Re: [ozmidwifery] thumb not dummy

[Ruth Cantrill]

Everyone has a personal opinion and or experience of thumb and or dummy.
Most interesting. someone said "mothers get put under too much pressure to
do or not to do one. Uhmm Is marketing and advertising considered  as
pressure??? Dummies, pacifiers, soothers everywhere - in gifts to new
mothers in magazines on supermarket and chemist shelves. One would think it
a normal human phenomena yet fingers and thumbs were created way long before
the plastic thing. 

>From an academic point have you all seen and read Binns, C & Scott, J,
(2002) Using pacifier: what are breastfeeding mothers doing? Breastfeeding
Review, 10 (2) 21-25

so yes there are many facets to this topic and each parent needs to weigh up
the evidence and blend to their individual parenting style.

>From a personal view point. Our family has a history of thumb sucking  3 out
of 4 girls in a family of six  were thumb suckers. 1 out of 2 of my
daughters also was a thumb sucker (the other would suck only the breast)
from birth and possibly in utero. Based on my knowledge (at the time) of
coping and behavioral  development of children I gradually and gently coaxed
my 4 year old to  stop sucking her thumb  1st in the day time by  keeping
busy and distracting and sticker rewards and eventually at night time by
sticker chart rewards  etc. If I had my time again I would not do that. That
kind of management can be perceived by some child temperament types as
nagging and who knows what else.  I would leave her be and just show her
love acceptance and validity and lead her to make the decision  more at her
own pace.

I have known of adults who traded a dummy or thumb for smoking or other
harmful substances. In comparison a thumb or dummy sucking habit is quite
harmless and not disgusting at all as we seem to perceive it is after some
certain age. 

that's my input on this topic anyway


Ruth

Ruth Cantrill
> From: "Maternity Ward Mareeba Hospital" <[EMAIL PROTECTED]>
> Reply-To: [EMAIL PROTECTED]
> Date: Tue, 25 Feb 2003 20:42:55 +1000
> To: <[EMAIL PROTECTED]>
> Subject: Re: [ozmidwifery] thumb not dummy
> 
> I would have to agree with the genetic aspect. My mum needed braces as did I
> (not a thumbsucker) and my next sister also not a thumbsucker but the brother
> who was a thumbsucker had great teeth.  Then my daughter who sucked until
> around 8 yrs old also needed braces and surgery for an oral cyst. Must admit,
> by that time I wished the thumb was a dummy so I could throw it away. I was
> dead against dummies but now, am not so sure. Thumbs also get really dirty by
> the time the child becomes self-propelled.
> Judy
> 
>>>> [EMAIL PROTECTED] 24/02/2003 7:23:11 pm >>>
> Hi,
> 
> My son, aged 4.5, was seen sucking his thumb on ultrasound at 18 weeks. Nearly
> 5 years later, he's still going much to our delight! Never had we had
> dummies for our last two, as our oldest had lots of trouble getting rid of
> hers.
> 
> The youngest prefers to suck nothing, and that's cool too.
> 
> Both boys were breastfed beyond 14 months.
> 
> But Nathan still sucks his thumb, and with the other hand holds his earlobe,
> when tired. His teeth are perfect, and it is something he cannot lose at the
> shops or anything. He only sucks it late in the day, near bedtime, which is
> fine by us.
> 
> My cousin is a dentist, but earlier in life was seen forever with her thumb in
> her mouth. She ended up needing braces (as did her 5 non-thumb-sucking
> sisters) and swears to this day that it was genetic, not thumb-induced.
> 
> We love non-dummy households! And thumbs are fine by us. It's just one of
> those things (like co-sleeping) that people think we are strange for
> supporting - but each family is individual and so is each child, so who are
> the experts here?
> 
> Seeya
> Janine
> 
> 
> 
> 
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Re: [ozmidwifery] breech presentation - need help!

[Ruth Cantrill]

I understood ECV at 39 weeks was not a good idea??!!?!!? too risky??? Is
that only because I have seen a few bad comes of ECV??

Ruth C



> From: Carolyn Donaghey <[EMAIL PROTECTED]>
> Organization: CARES SA Inc
> Reply-To: [EMAIL PROTECTED]
> Date: Wed, 12 Feb 2003 15:58:33 +1030
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] breech presentation - need help!
> 
> Hi Tania
> I have also a page on our website that has the abstracts of studies on
> ECV for women with a previous cs, to put your mind at ease with the
> safety aspect.  The studies showed that it was a safe choice for women
> with a scar.  In addition contact Chris Wilkinson, as he is the one who
> has performed these successful ECV's that Jo refers to.
> Good luck, I hope she decides to do it as her chance for a successful
> vbac would be really good.
> Carolyn
> www.cares-sa.org.au
> 
> Tom, Tania and Sam Smallwood wrote:
> 
>> Hi all,
>> 
>> I'm writing for ideas for a friend, has had a previous LSCS for
>> failure to progress after an induction, now 39 weeks and has just
>> found out baby is breech.  Desperately wants to try for a VBAC, now
>> thinking it's all out the window.  What I need from you wise women, is
>> a shortlist of what I should suggest to her, as she doesn't have much
>> time, and going in for accupuncture treatments, or trying hands and
>> knees might just not work in time.  Is it reasonable to suggest she
>> try an ECV at this late stage ( I know there are increased risks
>> associated with a previous LSCS, but she may decide that those risks
>> are fewer than those of a repeat section).  I want to suggest to her
>> the things which have the best chance of working, while being honest
>> about the risks, and failure rate, so she can make up her own mind.
>> 
>> Thanks
>> 
>> Tania
>> 
> 
> 
> 

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Re: [ozmidwifery] Touching babes at birth......

[Ruth Cantrill]

Well said, thank you Rita. that about sums it up nicely

Ruth C

> From: "Deliverywoman" <[EMAIL PROTECTED]>
> Reply-To: [EMAIL PROTECTED]
> Date: Wed, 12 Feb 2003 16:29:29 +1000
> To: "[EMAIL PROTECTED]"@dodo.com.au
> Subject: Re: [ozmidwifery] Touching babes at birth..
> 
> Talking about the "education" of families to encourage touching the baby
> etc.  I will never forget the words of an educator in relation to
> childbirth, stating that the experience will begin with DE-EDUCATION, I
> found this to be a very powerful word as it describes that the current
> 'trend' of education and what has been 'learnt' from parent's and peer's and
> professionals is not neccessarily the 'ONLY' way.
> 
> The process of de-education is to demystfy and rectify previous information
> 'learnt' in the area of childbirth, and to RE-EDUCATE with the families with
> al the knowledge to allow them to make informed choices regarding their
> birth experience, if it be touching their baby during birth, different
> positions, waiting for cord to stop pulsing before cutting etc. etc.
> 
> --
> Yours in Childbirth and with the Love of Friendship
> Rita
> «€∫€‹È£ÏVÊR¥·WÓMÄÑ€∫€»
> 
> Mother of David ˆ 13, Haydie ˆ 11, Alysha ˆ 10 and Baby Tyler 8 months
> Registered Nurse, Student Midwife (currently in hiatus ˆ due to
> injury), Aspiring CBE and Doula
> 
> 
> 
> - Original Message 
> From: Ruth Cantrill <[EMAIL PROTECTED]>
> To: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
> Subject: Re: [ozmidwifery] Touching babes at birth..
> Date: 10/02/03 13:39
> 
>> 
>> 
>> >
>> > .just as dangerous is the assumption that women are not
> interested in
>> > touching their babies during birth
>> 
>> yes I agree absolutely true. Previous comments  originate from  having
> seen
>> many women refuse to touch themselves and  being rather adamant  they
> don't
>> want o look or touch when gently invited/informed/encouraged.
>> 
>> >and to suggest that women need "education"
>> > to handle their babes at birthM..Encouraging the woman to
> touch
>> > her baby is a very powerful way of connecting her to the birth
> process and
>> > gives her purpose often when energies are waning 
>> 
>> Yes I have seen and experienced those  aspects as well and whole heartedly
>> agree.
>> 
>> Unfortunately it is a sad fact that for many years now it has been/is the
>> perception of women and that at birth the baby is handeled by someone else
>> and washed suctioned, taken away, wrapped  etc etc before the mother gets
> to
>> hold and even if she does, the baby is most often wrapped. (Even in  the
>> documentary made of Steve Erwin and their first baby's birth -p which
>> surprised me since they proclaim to be so in touch with nature.)  Much
>> education is needed to change the damage done in the past which robs women
>> of confidence in simply holding their baby after birth. I am sure if more
>> women touched during the birth process and touched and picked up their
>> babies at the moment of birth the positive effects would spiral much like
>> throwing a pebble in the water.
>> 
>> > Yours in reforming midwifery
>> 
>> I applaud all effort in reforming. Education in some from is required to
>> change  socialized belief and attitude of women who conceive and give
> birth
>> and of those who support and assist.
>> 
>> 
>> Ruth
>> 
>> 
>> -
>> Ruth Cantrill
>> Griffith University
>> NATHAN QLD   4111
>> 
>> Email: [EMAIL PROTECTED]
>> 
>> 
>> 
>> 
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>> 
>> 
>> 
>> 
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Re: [ozmidwifery] Re:first breastfeed

[Ruth Cantrill]

Wow. that's great Lieve. I would love to read your paper. I hope you can
translate it for us Aviva. May I please have a copy when it is done. Some
times  I see good abstracts of papers written in a language not English and
wish i could read them.
will look forward to the translated result.

Did you publish in a journal lieve? If so which one? If not you may consider
it??

Ruth C


> From: Lieve Huybrechts <[EMAIL PROTECTED]>
> Reply-To: [EMAIL PROTECTED]
> Date: Tue, 11 Feb 2003 08:33:30 +0100
> To: <[EMAIL PROTECTED]>
> Subject: Re: [ozmidwifery] Re:first breastfeed
> 
> I made a paper about the first contact and the first feeding. I wrote it in
> dutch, but maybe one of the dutch speeking listmembers has the time to
> translate. At least there are some references at the end that may be
> usefull. If someone is interested, I can send it off list.
> 
> When I worked in the hospital (I worked mostly at night when nobody
> interferes) and now as independent midwife I never touch the babys after
> birt. They are lying quiet on the mothers breast. We are packing our things
> together and drinking tea, filling in papers or just reflecting on the
> birth. Most of the time the baby starts drinking without anyone, even not
> the mother 'helping'. The students are amazed, they never saw the capacity
> of children to take care of there own surviving.
> 
> 
> Warm greetings
> Lieve
> 
> 
> 
> On 10-02-2003 04:15, "Ruth Cantrill" <[EMAIL PROTECTED]> wrote:
> 
>> 
>> 
>>> Also is anyone aware of any good
>>> journal articles on the first breastfeed in birth suite. I tried to search
>>> the
>>> web but mostly seemed to get personal stories or documents I couldn't open.
>>> 
>> 
>> certainly there is research informing of optimal approaches to  the first
>> breastfeed after birth (including 'Evidence for the ten steps to successful
>> breastfeeding' step 4 as mentioned by Alesa) to facilitate positive
>> experience for  mother and baby which may impact on maternal confidence and
>> infant feeding  ability for optimal attachment. Perhaps someone interested
>> in research could investigate women's experience of the first breastfeed.
>> Gabriel Palmer and Royal College of Midwives (RCM) both point out the
>> importance  of  how midwives assist mothers with the first breastfeed.
>> 
>> My research project last year for a Masters was concerning  "The first
>> Breastfeed: Midwives knowledge and practice". Articles with results have
>> been submitted to journals for publishing.
>> 
>> No doubt the first breastfeeding experience immediately after birth is very
>> much associated with management of birthing and touching the baby.
>> Unfortunately it seems women and midwives do need education on matters of
>> newborn feeding ability and how to observe and work with what the baby can
>> do rather than 'teach' the mother what to do according to specific
>> techniques.
>> 
>> Ruth 
>> 
>> 
>> -
>> Ruth Cantrill
>> Griffith University
>> NATHAN QLD   4111
>> 
>> Email: [EMAIL PROTECTED]
>> 
>> 
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Re: [ozmidwifery] Miracle baby

[Ruth Cantrill]

> This was a heart warming story.

Indeed it is. However as often happens in media coverage some expressions
tend toward misunderstanding.

for example:

>I wonder what makes them think that the baby
> was "in a dry womb for 2 months" when at birth the hole in the  membranes had
> sealed and there was amniotic fluid there?
 
sounds like media speak without an informed  understanding. There needs to
be a clearer understanding of these matters by people and I find it
difficult to grasp that in the modern scientific age we live in with so much
information available that such misunderstandings  prevail.

>I thought that the placenta went on
> making amniotic fluid gradually all the time?

yes it does
To put it simply the cells of the amniotic membrane  keep on making fluid in
most cases. And the fetus  swallows amniotic fluid and  urine is excreted to
be come part of the amniotic fluid.
 
Try
Stables Dorothy. 1999, Physiology in child bearing with anatomy Related
Biosciences, London: Bailliere Tindall (page 143 Chapter 12)

Although Stables states "the exact source of amniotic fluid is not yet
known" the amniotic membrane (which is part of the placenta but not THE
placenta) seems to play a part. The chorion and the amnion  part of the
membrane have cells which are involved in the transfer of the fluid across
the cell membrane. it seems  prolactin and other hormones may play a part in
the regulation of the volume of amniotic fluid produced. "Water and solutes
can be transferred across the amnion and chorion by hydraulic, osmotic and
electochemical forces" "amniotic fluid is in a constant state of circulation
and renewal."

It is not uncommon for women whose membranes have ruptured very early to go
on producing  amniotic fluid for many more weeks or for the  break to seal
and the baby gets to be born and a more viable age.

Ruth

-
Ruth Cantrill
Griffith University
NATHAN QLD   4111

Email: [EMAIL PROTECTED]

 


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Re: [ozmidwifery] Touching babes at birth......

[Ruth Cantrill]

> 
> .just as dangerous is the assumption that women are not interested in
> touching their babies during birth

yes I agree absolutely true. Previous comments  originate from  having seen
many women refuse to touch themselves and  being rather adamant  they don't
want o look or touch when gently invited/informed/encouraged.

>and to suggest that women need "education"
> to handle their babes at birthM..Encouraging the woman to touch
> her baby is a very powerful way of connecting her to the birth process and
> gives her purpose often when energies are waning 

Yes I have seen and experienced those  aspects as well and whole heartedly
agree.

Unfortunately it is a sad fact that for many years now it has been/is the
perception of women and that at birth the baby is handeled by someone else
and washed suctioned, taken away, wrapped  etc etc before the mother gets to
hold and even if she does, the baby is most often wrapped. (Even in  the
documentary made of Steve Erwin and their first baby's birth -p which
surprised me since they proclaim to be so in touch with nature.)  Much
education is needed to change the damage done in the past which robs women
of confidence in simply holding their baby after birth. I am sure if more
women touched during the birth process and touched and picked up their
babies at the moment of birth the positive effects would spiral much like
throwing a pebble in the water.

> Yours in reforming midwifery

I applaud all effort in reforming. Education in some from is required to
change  socialized belief and attitude of women who conceive and give birth
and of those who support and assist.


Ruth


-----
Ruth Cantrill
Griffith University
NATHAN QLD   4111

Email: [EMAIL PROTECTED]




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[ozmidwifery] Re:first breastfeed

[Ruth Cantrill]

> Also is anyone aware of any good
> journal articles on the first breastfeed in birth suite. I tried to search the
> web but mostly seemed to get personal stories or documents I couldn't open.
> 

certainly there is research informing of optimal approaches to  the first
breastfeed after birth (including 'Evidence for the ten steps to successful
breastfeeding' step 4 as mentioned by Alesa) to facilitate positive
experience for  mother and baby which may impact on maternal confidence and
infant feeding  ability for optimal attachment. Perhaps someone interested
in research could investigate women's experience of the first breastfeed.
Gabriel Palmer and Royal College of Midwives (RCM) both point out the
importance  of  how midwives assist mothers with the first breastfeed.

My research project last year for a Masters was concerning  "The first
Breastfeed: Midwives knowledge and practice". Articles with results have
been submitted to journals for publishing.

No doubt the first breastfeeding experience immediately after birth is very
much associated with management of birthing and touching the baby.
Unfortunately it seems women and midwives do need education on matters of
newborn feeding ability and how to observe and work with what the baby can
do rather than 'teach' the mother what to do according to specific
techniques.

Ruth 


-
Ruth Cantrill
Griffith University
NATHAN QLD   4111

Email: [EMAIL PROTECTED]


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Re: [ozmidwifery] Birth through water

[Ruth Cantrill]

> A new midwife to our unit from England said our baths would not be suitable
> because of back care for the midwife! My response was that from what I've read
> the baby is birthed by the mum, hands off by the midwife, so why should there
> be a  problem!!

how many women are willing to touch their baby during the process of birth
and immediately at the moment of birthing???

i can see that with much pre education this may be possible. However if it
is to happen the way you idealistically suggest then perhaps one criteria
for  in  water birthing will need to be that  women are fully educated
willing and cooperative in  handling her baby  at the moment of birth.

we do have to be careful in the asumptions we make about how women may feel
and be able to respond at the various stages of birthing.

Ruth


-----
Ruth Cantrill
Griffith University
NATHAN QLD   4111

Email: [EMAIL PROTECTED]

> 

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Re: [ozmidwifery] Reasons to avoid a "natural" birth

[Ruth Cantrill]

yes i agree Lesia we should just as we should and most often try to do in
all other spheres of care and day to day living - respect people's choice
whether right or wrong  safe or unsafe in our own eyes. and lets face it
each one can only do the best they can do in the circumstances and
understanding they have at a moment in time. Our understanding and
circumstances can change.

Ruth


-
Ruth Cantrill
Griffith University
Faculty of Nursing and Health
Kessels Road
NATHAN QLD   4111

Ph: 0438987261
Email: [EMAIL PROTECTED]

> From: [EMAIL PROTECTED]
> Reply-To: [EMAIL PROTECTED]
> Date: Sun, 2 Feb 2003 06:37:56 EST
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] Reasons to avoid a "natural" birth
> 
> Hi,
> 
> Deep breath in, ok I'm about to loose a lot of favour here but hey ho
> 
> What about supporting all women in there choices even if they are not the
> choices we would make?  Shouldn't we empower women and then support them in
> their decisions?
> 
> Lesia (setting the cat among the pigeons)
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Re: [ozmidwifery]breastfeeding

[Ruth Cantrill]

What an excellent answer Lieve. You have highlighted well that we must look
at what the baby can do and show mothers how to observe and work with what
baby can do. the mother is the baby's teacher midwives should be supporters
and  encouragers  to  generate maternal confidence when it comes to
breastfeeding. We all need more confidence in what the baby can do and the
physiology of  what happens if babies are kept where they should be  - in
their mothers arms near the food source (or fathers arms if mother not
available).

So Kartini remember the baby must breastfeed and suckle to get milk. If the
baby sucks on the nipple there will be nipple pain and damage and the baby
will  get either no milk or likely inadequate milk depending on whatever
else is going on in the breast.  You can learn much by observing women and
babies. Medicalisation  has us believing the midwives instinctivly know how
to help mothers and show them what to do but  midwives really need to learn
much more from mothers and by observing babies instinctive feeding
behaviours.

Ruth 


Ruth Cantrill 
RN RM BN M Mid (Hons) IBCLC
-
BreastWorx
Baby Feeding Assessment and Breast Management Information Service
PO Box 7254 
REDLAND BAY 4165 QLD Australia

Ph: 32067520
Mob: 0438987261
Email: [EMAIL PROTECTED]
   [EMAIL PROTECTED]
_-


 

 

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Re: [ozmidwifery] New years baby

[Ruth Cantrill]

yes, I wonder what sort of impact on the world it may have had if TV news
covered and portrayed the baby skin-to skin with the mother  initiating
feeding behaviour minutes after birth with a brief explanation as to why the
baby was not removed. wouldn't it just make life easier all round for
midwives trying to uphold the simple important  practice of skin-to skin
contact for the initiation of breastfeeding and adaptation of the baby and
bonding of the mother and baby and...

Ruth Cantrill 

> From: "Sheena Johnson" <[EMAIL PROTECTED]>
> Reply-To: [EMAIL PROTECTED]
> Date: Wed, 1 Jan 2003 17:42:02 +1100
> To: <[EMAIL PROTECTED]>
> Subject: Re: [ozmidwifery] New years baby
> 
> I was watching the same report, I said to the people that I was with, that
> baby should still be with his mother skin to skin getting to know her, not
> wrapped up for national television. Then I explained that if they were left
> in peace, mother and baby together, that the baby could actually make its
> way to the mothers breast. There were quite a few smart remarks, champagne
> fuelled!!
> 
> Amazing how differently I view birth after this last twelve months.
> 
> Sheena Johnson
> Mid Student
> 
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Re: [ozmidwifery] Hepatitis B vaccination

[Ruth Cantrill]

Title: Re: [ozmidwifery] Hepatitis B vaccination



Barbara i would be very interested in any references you have to Hep B vaccination and chronic fatigue syndrome
Ruth

From: "Greg Barbara Cook" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
Date: Tue, 30 Jul 2002 19:26:05 +1000
To: <[EMAIL PROTECTED]>
Subject: Re: [ozmidwifery] Hepatitis B vaccination


Janelle,
I am employed by a public hospital and yes it is a condition of employment but nobody asked me for proof of my immune status when I started. How do they check? I am also allergic to Tet Tox so that's another one I'm not protected for.
If I have a needlestick/splash I get tested privately as I believe the employer is not out there to protect the worker rights! I do fill out incident reports if I am splashed/jabbed.  I do follow my employers guidelines for immunizations but I do stress for parents to do their own research before they make any decision. If they decide to vaccinate so be it I will do so.
 
 I had been vaccinated when the synthetic Hep B became available 1987-88 when I was working in ICU. I assumed I was OK. 7 years later I found out I had no protection to Hep B. 
 
I am personally against universal Hep B vaccinations for various reasons, none more stronger than the link with Chronic Fatigue and liver failure.
Cheers
Barb
 

RE: prem care

[Ruth Cantrill]

that is fantastic sally. Keep up the great work you are doing. all 
you have said sounds so familiar.
In full support of KMC for all babies as able and appropriate
ruth
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Re: sorry -ignore previous email here

[Ruth Cantrill]

That is quite true. Any helpful breastfeeding advice based on correct
information and up to date evidence based research is good advice no matter
where it comes from. Problem is as we all know the advice given by many  (by
many i mean exactly that - the many who do give advice whether
professionally or not) is not always helpful, conducive to sustained
breastfeeding or grounded in helpful information. So if we have a new set of
careers being trained to give such advice lets hope the educators have
learnt from the past and ensure these people access  correct information and
group discussion/debrief regularly to thrash out their own misconceptions
(if any) and indeed provide a high quality service in the area of helping
the ordinary situation remain ordinary.

Ruth Cantrill RM IBCLC


> From: "Christine & Tony Holliday" <[EMAIL PROTECTED]>
> Date: Fri, 19 Apr 2002 17:27:44 +0930
> To: "Ozmidwifery" <[EMAIL PROTECTED]>
> Subject: RE: sorry -ignore previous email here
> 
> 
> I don't think we should presume the breastfeeding advice will be poor.  I
> think without some education about breastfeeding that the advice may have
> been poor.  I believe that it is verbal support for the women and not
> "hands-on" care.  I have to say my initial reaction was that breastfeeding
> advice was not a good idea, but many community supports for breastfeeding
> has actually increased the rates in many countries.
> 
> Christine
> 
> 
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED]]On Behalf Of Jayne
> Sent: Friday, 19 April 2002 6:45 AM
> To: [EMAIL PROTECTED]
> Subject: Re: sorry -ignore previous email here
> 
> I think it is a great program too, EXCEPT, the breastfeeding advice part of
> it concerns me.
> 
> Poor advice can lead to lower breastfeeding rates, not higher.
> 
> Jayne
> 
> 
> 
> - Original Message -
> From: <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
> Sent: Friday, April 19, 2002 2:14 AM
> Subject: Re: sorry -ignore previous email here
> 
> 
>> I support all of you who are defending this program against the "attack"
> by
>> was it Dr. Mudge. However, I would like to offer a note of caution.
> Australia
>> is not the Netherlands in many ways though many of its health care
> programs
>> are excellent. Howeverthere seems to be simultaneously an attempt by US
> based
>> healthcare corporations to get get involved in healthcare in Australia.
> These
>> corporations are entirely profit based (not that I think profit in itself
> is
>> a big evil, but I do think social responsibility is critical in health
> care)
>> and will erode  great programs by cost cutting and diminishing services.
> This
>> happened to early discharge programs in the US and continues to this day.
>> Women can be discharged from 6 hours after a spontaneous vaginal birth or
> as
>> soon as they are stable. The federal government had to pass a law making
> it
>> illegal for hospitals to discharge women and babies before 48 hours after
> the
>> birth. The women get another 24 hours if they had a c/s. Of course they
> get
>> no follow up care other than phone numbers to call if they are concerned.
>> They can initiate care, but it is not offerred to them. I guess my note of
>> caution to early discharge programs is that support services are GLUED to
>> them as I believe (without any RCT's at my finger tips) that they are
>> critical to mother and baby's well being. Oh! all of the above is not true
>> about midwifery led programs in the USA. I am talking about normal
> mainstream
>> OB led care.  marilyn
>> --
>> This mailing list is sponsored by ACE Graphics.
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>> 
> 
> --
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breastfeeding and home help

[Ruth Cantrill]

Regards the home help careers for early discharge postnatal women,  I am
interested in the quality and quantity of breastfeeding education given to
the home helpers.  I wonder what the content of their education on
breastfeeding is and what the qualifications are of the person who gives it.
I also wonder how that compares with midwifery and other health professional
education on breastfeeding. I wonder too will this open up the way for more
lactation consultants who are not necessarily of  health care professional
educational background. Just a few thoughts.

Ruth Cantrill RM IBCLC




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the rotten state of our childrens teeth

[Ruth Cantrill]

An excellent well put together letter to the Sunday Mail Megan. I also noted
the article and was appalled by the irresponsible reporting.  Telling women
not to breastfeed beyond 12 months - in direct conflict to advise given by
knowledgeable midwives and by world and government health promotion. some
people believe what the papers say on health matters and then get confused
when a health professional who knows tells them differently.

Ruth Cantrill

RN. RM. IBCLC.


> From: "Maternity Ward Mareeba Hospital" <[EMAIL PROTECTED]>
> Date: Sun, 31 Mar 2002 21:20:42 +1000
> To: <[EMAIL PROTECTED]>
> Cc: <[EMAIL PROTECTED]>
> Subject: the rotten state of our childrens teeth
> 
> Megan Davidson-Eales
> 219 Walsh Street.
> Mareeba. QLD. 4880.
> 31/3/2002
> 
> Dear Editor,
> 
> I am writing to express my disappointment with regards to the article "The
> rotten state of our children's teeth", published in today's Sunday Mail.
> Although I found the subject to be important and pleased to see your
> publication offering advice on dental care for infants and children, I was
> disturbed by your advice not to breastfeed after 12 months of age.
> 
> As a midwife and breastfeeding mother, I had not heard of a strong association
> between breastfeeding beyond one year of age and the development of dental
> decay. After reviewing recent literature I believe that to suggest cessation
> of breastfeeding by 12 months of age is poor advice based on unfounded
> information. 
> 
> Whilst current literature does confirm that the development of rampant dental
> caries does occur in breastfeed babies, it is usually found in children who
> have nursed for 2 to 3 years and who have spent long stretches at the breast,
> however, these cases represent a small percentage of young children. (Lawrence
> and Lawrence, 1999. Riordan and Auerbach, 1998. Brams and Maloney, 1983.
> Gardner et al 1977 and Kotlow, 1977) It should be noted that overall
> breastfeed babies have less dental decay than do those who are fed otherwise
> (Al-Dashti et al, 1994. Tank and Stovick, 1995. Riordan and Auerbach, 1998.)
> 
> Dental caries are thought to be an inherited trait, therefore, breastfeeding
> toddlers who develop dental disease, probably represent a group who are more
> susceptible, and therefore it could be argued that some breastfed children
> develop caries not because they were breastfeed but in spite of it (Riordan
> and Auerbach, 1998.).
> 
> I am interested to learn what information the author, Elissa Lawrence, based
> this statement on, as the World Health Organisation has published findings
> regarding the benefits of breastfeeding into the second year.
> 
> In the area of orofacial development breast feeding has been found to have
> "immeasurable impact" (Riordan and Auerbach, 1998.).  Breast feeding has been
> found to prevent malocclusion, (which is associated with both speech and
> dental problems). A study under taken by Adamiak (1981) found that the longer
> the duration of breastfeeding, the lower the incidence of malocclusion
> anomalies. This finding was confirmed by Labbok and Hendershot's analysis of
> the Child health supplement of the 1981 National Health Interview Survey,
> which found an increased duration of breastfeeding was associated with a
> decline in the proportion of children with malocclusion. "This trend was found
> to be constant for all variables tested and remained even when adjusted for
> age and maternal educational level as a proxy of socioeconomic status"
> (Riordan and Auerbach, 1998:624.).
> 
> Lawrence and Lawrence (1999) state that the breastfeeding benefits for the
> older infant have been scientifically evaluated, for example a study conducted
> on middle class infants between the ages of 16 and 30 months in the United
> States revealed a decrease in the number of infections and improved overall
> health compared to those infants who were no longer breastfed.
> 
> "Unfortunately, many mothers are driven to "closet feeding" by insensitive,
> uninformed relatives and friends, even physicians. Closet nursing is nursing
> privately at home in secret and propagates ignorance about breastfeeding
> duration. *  Thousands of normal healthy children are breastfeed until they
> are 3 or 4 years old. The benefits of human milk continue. Research documents
> health protection and improved development for at least 2 years. It has not
> been evaluated beyond that except for the positive emotional and bonding
> experience associated with long term nursing." (Lawrence and Lawrence,
> 1999:346). 
> 
> The benefits of breast feeding longer extends to the mother, such as a
> decreased risk of developing osteo

Re: Gastric lavage

[Ruth Cantrill]

Here is some research against gastric lavage.

Widstrom, A., Ransjo-Arvidson, A., Christensson, K., Matthiesen, A.,
Winberg, J., & Uvnas-Moberg, K. (1987). Gastric suction in healthy newborn
infants:effects on developing circulation and developing feeding behaviour.
Acta Paediatrica Scandinavica, 76, 566-572.

Widstrom, A., & Thingstrom-Paulsson, J. (1993). The position of the togue
during rooting reflexes elicited in newborn infants before the first suckle.
Acta Paediatrica, 82, 281-283.

I believe there is more and some that explains how the liquor in the baby's
stomach is there for a purpose and provides a certain degree of nourishment.
But i don't have those references on hand

she maybe should also read the following concerning innate reflex ability of
the newborn. 
Righard, L. (1996). Early enhancement of successful breast-feeding. World
Health Forum, 17, 92-97.
Righard, L., & Alade, M. (1990). Effect of delivery room routines on success
of first breast-feed. Lancet, 336, 1105-1107.
Righard, L., & Alade, M. (1992). Sucking techique and its effect on success
of breastfeeding. Birth, 19(4), 185-189.


In fact if all midwives knew this and informed parents I wonder if as
Henderson has pointed out in   how many less attachment and sore nipple
problems there would be and what difference all this would make on society
as far as mother infant bonding goes.

Henderson, A., Stamp, G., & Pincombe, J. (2001). Postpartum Positioning and
attachment education for increasing breastfeeding: a randomized trial.
Birth, 28(4), 236-242.


good luck. Practice change in the workplace is a difficult one to tackle but
midwives usually respond well when given the information and rationnalles.

Ruth



-- 
Breast Worx
Baby Feeding Assessment and
Breast Management Information Service
PO Box 7254 
REDLAND BAY  Q 4165

Ph: 32067520
Mob: 0438987261
Email: [EMAIL PROTECTED]
Web: (to be constructed)


> From: "Jill Banks" <[EMAIL PROTECTED]>
> Reply-To: <[EMAIL PROTECTED]>
> Date: Fri, 15 Mar 2002 18:23:18 +0800
> To: "Ozmidwifery" <[EMAIL PROTECTED]>
> Subject: Gastric lavage
> 
> Hello everyone
> Any evidence that I can pass onto a colleague who has been out of midwifery
> for a short time and practises gastric lavage for mucousy babies?
> Thanks in anticipation
> Jill Banks
> 
> --
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Re: re Apgars

[Ruth Cantrill]

well said Carol

Ruth

> From: "Carol Thorogood" <[EMAIL PROTECTED]>
> Reply-To: "Carol Thorogood" <[EMAIL PROTECTED]>
> Date: Thu, 7 Mar 2002 14:51:37 +1030
> To: <[EMAIL PROTECTED]>
> Subject: Re: re Apgars
> 
> Hi
> I don't know why anyone would bother with 10 minute ROUTINE Apgar scoring.
> It's a screening test, not a diagnostic test. Admittedly the 5 minute one is
> a fairly good predictor  of whether or not asphyxia occurred in utero but it
> is not a good predictor of longterm outcomes including cerebral palsy.  Ten
> minutely Apgar scores are sometimes used to indicate if the neonate is
> responding to active resuscitation (but there are better ones).  I'm not
> sure where the quality co-ordinator is getting her/his evidence  from but
> there is plenty of good research to back up the list's claims about  the
> usefulness of Apgar scoring and perhaps that is the best place for 'quality'
> people to base their protocols on rather than trying to prevent litigation
> with more assessments of dubious worth.
> 
> Even arterial and venous pH levels and/or base deficits aren't very good
> predictors about longterm outcomes for most babies although there is a
> tendency to use them routinely for 'defensive or just in case I get sued
> medicine reasons'.  Golly no wonder the health system is broke.
> 
> For healthy newborns breast feeding is far more useful. A baby that can cry
> and sucks at the breast soon after birth is si in all likelihood not
> asphyxiated and is cheerfully making the transition to life in the big
> world. So in terms of quality auditing a more meaningful assessment is to
> write that the infant sucked well at the breast 'cause a compromised babe
> can't suck. Why do so many people try to make such a normal event as
> birthing so abnormal? Sometimes I think midwifery is quickly  becoming
> little more than a series of multiple assessments which are carefully
> documented on an ever increasing array of forms - probably at least 10 times
> in ten different places. The irony of it all is that most of it is quite
> meaningless.
> 
> Carol
> 
> --
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Re: Re 10 min Apgar scores

[Ruth Cantrill]

I'd like to know how does a person like that with such a knowledge deficit
get the job of being quality improvement coordinator and get away with
wasting time and energy on such things and then call it quality improvement.
Surely there are many more important and useful things to spend time
improving so the quality of care is high.

where does she get her information from that it is an
> Aust wide clinical indicator??
and a clinical indicator for what?

Ruth


> From: Lyle Burgoyne <[EMAIL PROTECTED]>
> Date: Wed, 06 Mar 2002 15:15:02 +1100
> To: [EMAIL PROTECTED], [EMAIL PROTECTED]
> Subject: Re: Re 10 min Apgar scores
> 
> Hi,we only do 10min apgars on babies that have  low apgars at birth   Lyle
> 
 cjknight <[EMAIL PROTECTED]> 03/06/02 02:44pm >>>
> Dear listers
> Does anyone else out there do a routine 10 min Apgar score on babes? I am
> having a long running argument with our Quality Improvement Coordinator that
> this score is not routine and most cases meaningless. It just means more
> paperwork with little impact on the way we practice. She insists that it is an
> Aust wide clinical indicator. Anyone else got any ideas ?
> Regards 
> Jane
> 
> --
> This mailing list is sponsored by ACE Graphics.
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Re: ninemonths

[Ruth Cantrill]

that is dreadful. this is where there needs to be some standards to oversee
the health information dispersed on the webb. who gives those people
authority to say what they say? and where do they get the info from?

I had this very problem at work last night when a mother told me that a
midwife 'ordered her to do  similarly to what the the 'said site' advises.
she identified that she felt confused after such advice as most other
midwives had supported her in her close contact with baby and feeding to
need and trusting her assessment of baby's needs.  a good demonstration of
how vulnerable some are.

Then I had the mother whose mother in-law was a midwife trained in the late
60's who told her daughter in-law to wash her nipples before nuzling her
prem baby and thought all the blankets were autoclaved. No conception or
admission that some things may have needed to be changed  not even the
recognition that it could be important to find out what may be different.

how to change this - i don't know exactly. but I think the education of
health professionals in this area leaves much to be desired and I wonder if
we are now reaping results of past poor education in lactation and infant
feeding to health professionals.

No doubt the new ba in midwifery program will make some inroads to rectify
the situation in some corners of the world.

My recently launched poster and brochure entitled 'Breasts work' may also
help some. watch for notices in NACE and ALCA galaxy.

Ruth

Ruth Cantrill
---
Breast Worx
Baby Feeding Assessment and
Breast Management Information Service
PO Box 7254 
REDLAND BAY  Q 4165

Ph: 32067520
Mob: 0438987261
Email: [EMAIL PROTECTED]


> From: "barbara glare & chris bright" <[EMAIL PROTECTED]>
> Date: Wed, 13 Feb 2002 02:58:12 +1100
> To: "Ozmidwifery" <[EMAIL PROTECTED]>
> Subject: ninemonths
> 
> Hi, Another page from ninemonths to raise your blood pressure
> 
> "Only feed your
> baby 3-4 hourly (newborn) otherwise it gets into the habit of "snacking and
> cat napping".
> "Most midwives suggest that you avoid the "snacking and catnapping". This
> will only make more work for yourself. Try to extend the time between feeds
> to at least three hours calculated from the time of the first feed to the
> time of the subsequent feed. Adjusting to this schedule may take two or
> three days. You may wish to record the times on paper until you reach your
> goal of six to eight feeds.
> If you keep your baby's feeds regular in the daytime, it is likely that you
> will need to feed only once before 5am. By about eight weeks, a night time
> feed can be as quick as 12 -15 minutes from the time you get out of bed to
> when you return. Many babies sleep from 6pm to 2am. Waking a baby at 10pm
> seems to make no difference. When a baby starts solids at
> four months, it is likely the 2am feed will not be necessary.
> "
> 
> http://www.ninemonths.com.au/content_page_1.asp?page_id=72&main_menu_id=5&l1
> _id=3&l2_id=6
> 
> 
> Barb
> 
> --
> This mailing list is sponsored by ACE Graphics.
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Re: ninemonths

[Ruth Cantrill]

Title: Re: ninemonths



yes do , please. it is precisly information as described on this site that is a major cause for people to perceive they are not able to breastfeed.
ruth

From: "Pinky McKay" <[EMAIL PROTECTED]>
Date: Mon, 11 Feb 2002 20:21:02 +1100
To: <[EMAIL PROTECTED]>
Subject: ninemonths


Love your letters girls!
They must be wondering what has struck them.Shall we give them a daily dose?
Pinky

Re: VBAC

[Ruth Cantrill]

Dear Lynn

I note your desire to turn the language of midwifery around. wonderful! I am
sure this is a very important work. i advocate that you include the
midwifery text books (if you have not already). since midwives learn some
from recommended texts it would seem reasonable that they will follow what
is in the texts. then another important place to break down barriers is with
the computer technology databases and the forms midwives work with. then as
well as all that there are the existing perceptions of the general public
and the women themselves.

for example the other day at work I heard a women  visitor greet one of the
midwives with "you delivered my baby..." there is a  perception by the
public that someone will 'deliver' the baby. try telling them that they will
give birth to the baby and they don't need anyone to 'deliver' the baby and
it is a bit like trying to convince them that their breast milk won't dry up
overnight and the day their breasts go  soft actually means the breasts know
how to respond to the baby's needs rather than not have any milk left as
they believed i could go ond on with comparisons. It is a tough world.

there are many such terminologies we need to change. But how to. In trying
to do so we also need to mind our tone. some people try to bring these
things to the attention of others but the tone of the way they go about it
creates antagonism and defensiveness. This requires self awareness on the
part of the instigators of change.


ruth



> From: "L & D Staff" <[EMAIL PROTECTED]>
> Date: Tue, 12 Feb 2002 07:43:36 +1000
> To: "Jackie Mawson" <[EMAIL PROTECTED]>
> Cc: <[EMAIL PROTECTED]>
> Subject: Re: VBAC
> 
> Hi Jackie - I want to give you a huge hug for all you do for women
> experiencing caesarean birth, but have one small favour to ask. Would you
> replace the word attempted with planned? I am looking more and more into the
> impact the language of maternity care  has on women, and believe it will
> help to reshape the culture of birth if we turn the terminology around to
> being positive instead of negative. A small step, but with growing momentum!
> Warm regards, Lynne
> - Original Message -
> From: "Jackie Mawson" <[EMAIL PROTECTED]>
> To: "Ozmidwifery List" <[EMAIL PROTECTED]>
> Sent: Monday, February 11, 2002 10:31 AM
> Subject: Re: VBAC
> 
> 
>>> I need the percentage of VBACs amongst the vaginal births for the state.
>> 
>> Hi Jan,
>> Thankyou for getting involved in finding these stat's. May I suggest
> chasing
>> down the percentage of VBAC's attempted in total, and the percentage of
>> successful VBAC's from those who attempted. Also the percentages of
>> homebirth VBAC, public and private hospital VBAC's for these two
> categories?
>> (ie, attempted and succeeded in the 3 birth environments?) Then there are
> so
>> many other categories - ie, previous number of c/sections prior to VBAC
>> attempt, etc.
>> 
>> Birthing Beautifully,
>> Jackie Mawson.
>> 
>> Convenor of Birthrites: Healing After Caesarean Inc.
>> Visit our Website at: http://www.birthrites.org
>> Email: [EMAIL PROTECTED]
>> 
>> Please note I am not a Professional Healthcare Provider, and all opinions
>> given in this email are not to be taken as medical, or legal, advice.
> Please
>> seek such advice from the relevant professional service.
>> 
>> Email me your postal details for a FREE copy of our quarterly magazine, if
>> you live within Australia - Overseas postage costs are above budget,
> sorry!
>> 
>> Too many Gods;
>> so many creeds,
>> Too many paths
>> that wind and
>> wind,
>> When just the art
>> of being kind
>> Is all the sad
>> world needs...
>> --
>> 
>> 
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Re: ba mid

[Ruth Cantrill]

> As to the 
> breastfeeding component, it is woven through every practice and
> midwifery theory subject. For example in the first year it is primarily
> physiology and midwifery skills in assisting with the initiation and
> maintenance of early breastfeeding.

that is fantastic. What an example for existing midwifery and health
professional  courses.
 
 >As the theory and practice
> dimensions become more complex, so do issues regarding lactation, for
> example, adding in support of lactation in special care nursery, when
> challenges occur etc. In addition the whole subject will be approached
> from a socio-political perspective in the two or three subjects devoted
> to the politics of maternity and women's health. I hope that answers
> your questions. 

yes thank you. I look forward to  the day when midwifery educators and
curricular developers will see the value in this and weave  lactation into
the course as you describe. can i ask which text books will you be using. i
have a contention with mid text books depicting midwives using a hands on
approach with mother sitting helplessly dependant on the midwife and it is
not common to see in the texts a baby immediately after birth  skin to skin
with mother but rather the baby is mostly wrapped and handed to parents. so
i will be interested in the texts you may have found best to use.

 
>In addition there is material on women's nutrition
> during pregnancy and lactation as well as the partner's role in support
> of lactation. There will be a thorough going critique of initiatives
> live baby friendly, etc.

sounds excellently comprehensive. I have a poster and brochure available
entitled 'breasts work' which i  developed as an excellent teaching tool for
health professionals and parents. if you would like to see it let me know
and i can post you a sample.

>Where are you? Are you in Victoria?

Wish I was - sometimes, but no i am in Brisbane Qld.

Ruth
Ruth Cantrill
> - Original Message -
> From: Ruth Cantrill <[EMAIL PROTECTED]>
> Date: Tuesday, February 5, 2002 11:13 pm
> Subject: ba mid
> 
>> Dear Trish
>> 
>> first of all I want to wish you the very best of success and luck with
>> running  the new Ba in midwifery this year. i hope it is exciting
>> innovativeand filled with excellent learning for all.
>> 
>> have just read your reply to Denise.
>> what wise advice you give to all. what you have said is so
>> important. I hope
>> enough people take notice of what you have said and remember and
>> apply at
>> the appropriate times.
>> 
>> My interest is particularly in breastfeeding being included in the
>> curricular of midwives. I am curious to know whether the new ba of
>> midwiferycurricular includes a significant component of up to date
>> human lactation
>> and infant feeding matters for the midwives coming through to be an
>> improvement on what we have seen in the history of mid on this
>> topic. it
>> will also be interesting to note how the new students deal with
>> the conflict
>> they are bound to find in the work place on this topic. Especially
>> when it
>> comes to how the mother is prepared for and how the baby is cared for
>> immediately after delivery in respect of the first breastfeed.
>> 
>> I have 
>> been watching
>> the discussion, wanting to say something but not known what to say
>> and to who.
 
>> 
>> good luck
>> all the very best
>> Ruth 
>> 
>> Ruth Cantrill
>> [EMAIL PROTECTED]
>> 
>> 
>> 
> 

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final call breastfeeding questionnaire respondants

[Ruth Cantrill]

If there are any ACMI members who come across that green booklet called
'breastfeeding questionnaire' as they clean out the end of Xmas season
papers, - your response is still welcome. The 'breastfeeding questionnaire'
was distributed as an insert in the October 2001 Australian Midwifery News.
The response by ACMI midwife members has exceeded expectations. However any
late responses are welcome. passing your questionnaire on to a midwife
colleague is also encouraged. Thank you all for your participation and
input. 

Ruth Cantrill

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slaping babies on the bum

[Ruth Cantrill]

I doubt it. 
Not any more if ever.
Certainly midwives i see in practice give baby tactile stimulation by
rubbing, wiping, drying, flicking feet. all these are done with care and in
an orderly fashion while continuing careful ongoing assessment with suction
then oxygen if need be and vitamin K injection as next step interventions
before needing to resort to more interventive measures which are done only
if necessary and needed.

If the most up-to-date evidence based  research were being practiced by all,
then simple skin-to-skin contact with ongoing assessment and observation
would be standard practice. Skin-to-skin contact with mother will help the
baby adjust to the new environment as breathing, heart rate, temperature,
blood sugar levels are stabilized by s-t-s contact. Further benefits include
baby will learn how to feed, will be able to organise innate reflex ability
to attach correctly to the breast and mother will be more likely to bond
with and accept her baby.

These are all well documented. My recent research as to what midwives do to
assist with the first breastfeed is revealing some aspects and a wide
variety of opinions about practice. Ongoing research into what standard
practices are concerning the baby  immediately after birth are needed
espescially  in light of whether the benefits of skin to skin contact are
being imparted to midwives and other health professionals at the time of
their education, told to women and their families antenataly and whether
midwives are informing clients of these prior to the birth of their baby and
giving them the opportunity to choose or have some say in  what they want to
do for themselves and their baby.

One post birth ritual I see practiced which no doubt means well but inhibits
all the above is  baby is wrapped/swaddled tightly so he/she can neither
learn about the new environment or feed well .

of course I am only one small corner of the world place time and history.
Ruth

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Re: too much time to think!

[Ruth Cantrill]

Title: Re: too much time to think!



I think mainly the urologist  or the general surgeon deals with men's anatomy. i could say some rude things about that but won't. (there will be men listening). surfice it to say their anatomy is significantly simpler that that of the women and urinary and  sexual organs share - hence a urologist will do the job as well as any specialist. Any women urologists???!!

Ruth


on 12/26/01 8:06 PM, Dean & Jo Bainbridge at [EMAIL PROTECTED] wrote:

Hi listers,
I have taken a much needed break from CARES for a couple of weeks to enjoy my family, watch the very slow progress of my house being built and to read Naomi Wolf's "Misconceptions" (which is quite good).
I was standing in the shower this morning contemplating my navel (which seems to be a lot more wrinkled than it once was!!) and wondered what the male equivalent to gynaecology is?  I am sure that gyn. is specifically female; but there would have to be specialists in male genatalia surely?!  Can anyone enlighten me? I could be nasty and say that I suppose all men are specialists but I had better not (oops! just did!)
anyway, I hope everyone had a good christmas.
cheers for now
Jo Bainbridge
founding member CARES SA
email: [EMAIL PROTECTED]
phone: 08 8365 7059
birth with trust, faith & love...

christmas

[Ruth Cantrill]

Wishing you all a relaxing happy Christmas holiday and a sucessful 2002
>From 
Ruth Cantrill

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KEMH inquirey

[Ruth Cantrill]

Thanks Carol for sharing that news with us. Lets hope changes are on the way
and spread across the the east and to north of the east.
Ruth

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breastfeeding research

[Ruth Cantrill]

Many thanks to all ACMI, members and other midwives  for your participation
and interest in the questionnaire on midwives knowledge and practice
assisting women with the first breastfeed.  The response is excellent.

All contributions in the way of comment, feedback and encouragement are
greatly appreciated. Thank you.

If there are any more people out there who have not completed the
questionnaire and would like to participate please do so soon (within the
next three weeks is OK  - there is still time). If you know of anyone who
has a questionnaire they have not completed and is willing to pass it on to
a midwife willing to participate in the survey that would be greatly
appreciated.

thank you again all. it is a great team effort for midwives and women and
their babies. 

Ruth

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urine measures

[Ruth Cantrill]

Hi Sadie, here are some more questions for the policy making panel on
measuring urine post partum.

who examines  results of the measured urine? what is done with the data
collection of amount of urine passed?

does any one ever check on how much urine was passed by each women?
What action if any is taken if not sufficient urine or if too much?
who decides/ stipulates  how much urine is to be  passed in the 24 hours
post partum? 


Are there other ways to inform women to expect a diuresis post partum and
have them report if they did or did not.

is there more to know about bladder recover after birth then just urine
measures. Are there a variety of ways  bladder symptoms should be being
assessed.

and i am sure the list could go on and on.
that is what i think any way to start with. If we don't ask questions we
never get answers nor are we give the opportunity to examine a variety of
opinions and possibilities.

Regards
ruth

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breastfeeding research

[Ruth Cantrill]

Thank you to all the midwives who have participated in the breastfeeding
survey so far. Thanks also to those of you who have assisted by reminding
and recruiting others to complete the questionnaire. This is just a reminder
to keep those responses coming to help make a difference.
With thanks to all
Ruth Cantrill

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midwifery research and the first breastfeed

[Ruth Cantrill]

Thanks every one for the excellent response to the 'breastfeeding
questionnaire' so far. Both ACMI members and other midwives in clinical
practice. Keep those completed questionnaires coming in.
Ruth Cantrill

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Hyperemesis

[Ruth Cantrill]

Title: Hyperemesis


On several occasions in a major tertiary hospital I have  been involved in
the care of women suffering severe hyperemesis treated effectively
with  IV prednisone. I have seen at least four cases severe
enough to be treated this way. client condition very responsive where
all other treatments not helped. I understand this is only a 
"short sharp" dosage of prednisone  with some oral
follow  reserved for severe case only. the dosage etc is a doctor
thing. but it certainly gave the women I have seen in this condition
some relief. NB care with too much maxalon and stemitil too much of
those can cause a reaction emergency crisis i have  seen this
happen when once due to too much over a period of time.

good luck
hope you can find someone who knows about this management. all
the other traditional management as you outlined still applies .

ruth

research

[ruth cantrill]

Hi My name is Ruth Cantrill. I am researching midwives’ knowledge and
reported practice when helping women with the first breastfeed. The
study is a requirement of my Master of Midwifery (Hons) degree at
Griffith University Queensland Australia. Midwives who work in Australia

in clinical practice and who interact with women antenatally, during the

birth of the baby or in the immediate postnatal period are invited to
participate. A ‘breastfeeding questionnaire’ has been distributed this
month in the Australian Midwifery News with full support of the
Australian College of Midwives Incorporated (ACMI). We are looking
forward to responses from AMCI members. Non members who would like to
participate can obtain a questionnaire and information sheet by emailing

me privately at [EMAIL PROTECTED] I will send you the questionnaire
electronically in PDF format or by post. The questionnaire will only
take 15 ?20 minutes of your time. The closing date to return the
questionnaire is 12 December 2001 so don’t delay. This is your
opportunity to have your say and make a valuable contribution to
midwifery research.
Thanks everyone hoping to hear from you soon.
Ruth Cantrill

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research

[Ruth Cantrill]

Hi My name is Ruth Cantrill. I am researching midwives' knowledge and
reported practice when helping women with the first breastfeed. The
study is a requirement of my Master of Midwifery (Hons) degree at
Griffith University Queensland Australia. Midwives who work in Australia
in clinical practice and who interact with women antenatally, during the
birth of the baby or in the immediate postnatal period are invited to
participate. A 'breastfeeding questionnaire' has been distributed this
month in the Australian Midwifery News with full support of the
Australian College of Midwives Incorporated (ACMI). We are looking
forward to responses from AMCI members. Non members who would like to
participate can obtain a questionnaire and information sheet by emailing
me privately at [EMAIL PROTECTED] I will send you the questionnaire
electronically in PDF format or by post. The questionnaire will only
take 15 ?20 minutes of your time. The closing date to return the
questionnaire is 12 December 2001 so don't delay. This is your
opportunity to have your say and make a valuable contribution to
midwifery research.
Thanks everyone hoping to hear from you soon.
Ruth Cantrill
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