[ozmidwifery] Jeanine Parvati

[Sally Westbury]

 

 



Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson



 

From Jeanine Parvati's latest newsletter on her
birthkeeper's website.

Our dear crone-sister is ailing. She is unable to
receive a liver transplant
and is now in a hospice preparing to pass.

She is asking for her friends/sisters/kindred
spirits to tune in together at
noon on the 23rd of October for
13 minutes and to send her your prayer
tincture, she refers to this as settling her
spiritual affairs and suggests
that it is time to say what has been left unsaid.

Her website is www.birthkeepers.com click on fall
2005 newsletter.

If her name sounds familiar you may have read
one of her booksJeanine's
books include Conscious Conception ,Prenatal Yoga
(the first book on this
subject 1970's) and Hygeia , a woman's herbal. She
is a woman who has made a
huge contribution to birth in this time and place,
in a very unique and
visionary way.

PAuline












YAHOO!
GROUPS LINKS


 


  Visit
 your group "NZhomebirth"
 on the web.
   
  To
 unsubscribe from this group, send an email to:
  [EMAIL PROTECTED]
   
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 use of Yahoo! Groups is subject to the Yahoo! Terms of Service.
 


 

RE: [ozmidwifery] Obs first visits

[Sally Westbury]

At King Edwards birth centre the GP/OB review
the notes only at 36 weeks.

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] 'Breech birth woman wise'

[Sally Westbury]

That’s fantastic Tina

 

You are an incredible strong woman. Don’t
forget it

 

love

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] Convenience

[Sally Westbury]

An you can send a puppy to boarding kennel so you can have a holiday

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] wyong reopens

[Sally Westbury]

That’s so fantastic

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] perinatal stats

[Sally Westbury]

Births deaths and marriages

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] wyong reopens

[Sally Westbury]

Where is wyong?

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] perinatal stats

[Sally Westbury]

I wonder what a letter from BD&M would
feel like for the parents. I think that if I got a letter from them I would
wonder if what my midwife was doing was legal. Then the parents are being asked
to police midwifery practice. These forms are not mandatory are we perhaps need to respect the decisions each practitioner makes.

 

Labels of lazy are not helpful. 

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] baby poo

[Sally Westbury]

I think that I would be trying to get more
hindmilk into the babe. Do you think it is a lactose
intolerance?

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] Friend with breach baby...told CS only options.

[Sally Westbury]

Hi Deb,

 

This is a hard position to be in.

 

The buck stops with how strong this woman
is. No-one can do a C/S without her consent. If she wishes to be really
stubborn, exert her rights and desire and be ready to have grumpy midwives and obs
assisting her c/s then she simply waits for labour. Remind her that the
medical/midwifery staff are there to provide her with a service, so don’t
be put off by this, just be prepared.

 

In a system that is unsupportive and
inexperienced with vaginal breech birth probably a C/S is gentler for her baby.
A breech extraction is pretty much medically managed, usually with an episiotomy
(which she may also refuse) added in staff who are very afraid the energy is
very violent. 

 

On the other hand an amazing woman who had
a c/s for breech with her first baby went on to have a VBAC breech. She had
planned to have an elective c/s when labour had established. When it actually
started she felt she could do it. Unexpectedly she met a fair obs at our
tertiary hospital who said something along the lines of… it is hospital
policy and therefore I advise you to have a c/s BUT I am experienced with
breech births. 

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] NSW news

[Sally Westbury]

Oh.. and just to dig the hole for myself deeper. I believe that
accreditation for independent midwives has not supported independent
practice but is a way to control and punish midwives who wish to work
within their full scope of practice.

Sally Westbury

Homebirth Midwife

"Learn from mothers and babies; every one of them has a unique story to
tell. Look for wisdom in the humblest places - that's usually where
you'll find it."

- Lois Wilson


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RE: [ozmidwifery] NSW news

[Sally Westbury]

Sheesh.. 

The old credentialing crap. Midwives do not need to be credentialed to
provide care for low risk women. That is what we are trained to do.
Credentialing should be for things that are outside the scope of normal
midwifery care. Things like epidurals, interpreting electronic fetal
monitoring, induction of labour etc.

This drives me crazy

Sally Westbury

Homebirth Midwife

"Learn from mothers and babies; every one of them has a unique story to
tell. Look for wisdom in the humblest places - that's usually where
you'll find it."

- Lois Wilson


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[ozmidwifery] Birds & Bees Circa 2005

[Sally Westbury]

 Seamless Unity
Junior asks his dad, "Daddy, how was I born?" His dad
sighs and replies, Ah, my son, I guess one day you would have to find out
anyway. Well, you see, your Mom and I first got
together in a chat room on MSN. Then I set up a date via e-mail with your mom
and we met at a cyber-cafe. We sneaked into a secluded room, where your mother
agreed to a download from my hard drive. As soon as I was ready to upload, we
discovered that neither one of us had used a firewall, but it was too late to
hit the delete button. Six weeks later, your mom sent me an instant message
saying that her operating system was showing signs of unauthorized program
activity from a self-extracting file which had implanted itself in her BIOS.
Then nine months later a little Pop-Up appeared and said: You've Got Male"

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] when to cut an episiotomy

[Sally Westbury]

I have never cut an episiotomy since I have
been registered as a midwife. I did as a student midwife in 1988. 

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] RE: shoulder dysticia

[Sally Westbury]

I agree with gloria in this. Actually I give all my first time mums your
article "pushing for first time moms"

Sally Westbury

Homebirth Midwife

"Learn from mothers and babies; every one of them has a unique story to
tell. Look for wisdom in the humblest places - that's usually where
you'll find it."

- Lois Wilson



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[ozmidwifery] caseload payment

[Sally Westbury]

Anyone have a decent caseload payment
within their health department that they could share with me??

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

[ozmidwifery] Intermittent auscultation

[Sally Westbury]

Does anyone have access to
this guideline??

 

The AWHONN () guidelines
which accept q10 minutes for "low risk" situations 

 

Sally Westbury

Homebirth Midwife

"Learn from
mothers and babies; every one of them has a unique story to tell. Look for
wisdom in the humblest places - that's usually where you'll find it."

— Lois Wilson

 

RE: [ozmidwifery] Shhhh dont tell

[Sally Westbury]

What is their problem?? As you are not a staff member you are not bound
by their policy. I was once asked to answer to the DOM and a paed at a
hospital and I told them just that. You are employed by the woman and
may do anything she allows you.

One wise midwife told me of a discussion at a hospital where the women
would not allow any of the hospital staff to do a VE. The women would
allow her independent midwife to do it. In the end she explained to the
bemused staff. If this woman said I may put my fingers in her vagina
then I can. If she said that you can't then you can't. If you want the
information I'm happy to share it with you.

Sally Westbury

Homebirth Midwife

"Learn from mothers and babies; every one of them has a unique story to
tell. Look for wisdom in the humblest places - that's usually where
you'll find it."

- Lois Wilson



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RE: [ozmidwifery] Midwives clinic

[Sally Westbury]

How long is the wait at the obs office?? In Hobart when they started a
know your midwife team one of the most decisive draw cards was that the
midwives ran their clinic on time so women were not waiting for ages as
they were in the hospital obs clinic.


Sally Westbury

Homebirth Midwife

"Learn from mothers and babies; every one of them has a unique story to
tell. Look for wisdom in the humblest places - that's usually where
you'll find it."

- Lois Wilson



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RE: [ozmidwifery] sounds during labour/birth

[Sally Westbury]

My second baby was a planned birth centre
birth. My water broke and I was automatically excluded from the birth center
and ended up in labour ward in the hospital that I had been working in as a
midwife!!

 

Some hours after being in labour ward at 1pm (having refused routine scalp electrode and been told that my baby
might die) I allowed a VE and was 1cm dilated!!! Sad me.
I was being a very good, very quiet girl. Then the beautiful Annie P (in Hobart) came to relieve the midwife for a lunch break. She turned the
lights off. Kicked all the other staff out of the room and got me making
noise!! She reminded me of who I was and helped guide me in touch with my body.


 

My baby was in my arms at 3.30!!

 

The sound make all
the difference.

 

 

RE: [ozmidwifery] Just thought I'd share....

[Sally Westbury]

I use a similar analogy for VBAC.

 

So you went on a holiday and something bad
happened, like you were robbed. It was frightening but you found the embassy had
your passport replaced, found the banks had your travelers cheques replaced.. and got home.

 

When you go on holiday’s
again do you spend all your energy worrying about being robbed?

 

The woman needs to find a way to deal with
the fear. Know where the embassy is. Get good travel companions perhaps. Put everything
in place to make her feel safe and then get on an enjoy
the holiday.

 

Sally

RE: [ozmidwifery] intermittent auscultation

[Sally Westbury]

Hi Sue,

I think you have missed the point. 

The alternative is not continuous fetal monitoring. As the research
shows this is not best practice. 

The alternative is perhaps guidelines that say 15 minutely in second
stage for low risk women. As these guidelines say:

The American College of Obstetricians and Gynecologists (ACOG) states
that with specific intervals, intermittent auscultation of the FHR is
equivalent to continuous EFM in detecting fetal compromise.4 ACOG has
recommended a 1:1 nurse-patient ratio if intermittent auscultation is
used as the primary technique of FHR surveillance.4 The recommended
intermittent auscultation protocol calls for auscultation every 30
minutes for low-risk patients in the active phase of labor and every 15
minutes in the second stage of labor.4 Continuous EFM is indicated when
abnormalities occur with intermittent auscultation and for use in
high-risk patients. Table 1 lists examples of the criteria that have
been used to categorize patients as high risk.
http://www.aafp.org/afp/990501ap/2487.html

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RE: [ozmidwifery] intermittent auscultation

[Sally Westbury]

I would like to go further with today’s
radical thought. 

 

I believe there is not evidence to support
the 5 minutely interval of intermittent monitoring in a low risk population in
second stage of labour. 

 

What do people think about this. 

 

Do you think I could argue this point
effectively??

 

Sally Westbury

 

[ozmidwifery] intermittent auscultation

[Sally Westbury]

OK.
What the Nice Guideline have based the bulk of their guideline
on are the following three studies. All of these studies have randomized high
and low risk pregnancies.

I
would like to propose that the auscultation intervals set are reflective of a
lack of risk screening.

I
would like to us think about is whether it is appropriate to try to translate
these auscultation interval to a low risk client group??

What
do other people thinks??

 

Efficacy
and safety of intrapartum electronic fetal monitoring: an update 

SB Thacker, DF Stroup, and HB
Peterson

 

STUDY SELECTION: Our search identified 12 published RCTs addressing the
efficacy and safety of EFM; no unpublished studies were found. The studies
included 58,855 pregnant women and their 59,324 infants in both high- and low-risk pregnancies from ten clinical centers in
the United States,
Europe, Australia,
and Africa. DATA

 

 

Vintzileos, A. M. et al. 1993. "A randomized trial of intrapartum electronic fetal heart rate
monitoring versus intermittent auscultation." Obstetrics &
Gynecology 81:899-907.

 

METHODS: The study was conducted simultaneously at two university
hospitals in Athens, Greece (Alexandra and Marika Iliadi Hospitals) from October 1, 1990 to June 30, 1991. All patients with
singleton living fetuses and gestational ages of 26 weeks or greater were
eligible for inclusion. The participants were assigned to continuous
EFM or intermittent auscultation based on the flip of a coin.

 

 



 



 

[ozmidwifery] transverse

[Sally Westbury]

So why is it that ecv is not promoted for transverse lay?

Sally

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RE: [ozmidwifery] fetal heart monitoring.

[Sally Westbury]

What I find really interesting is that I can
see lots of obstetric guidelines but no midwifery guidelines.

 

Sally

[ozmidwifery] fetal heart monitoring.

[Sally Westbury]

I’ve
been looking at patterns of intermittent auscultation for midwifery practice.

It seems
that little is published outside the NICE guidelines but the ACOG say

The
American College of Obstetricians and Gynecologists (ACOG) states that with
specific intervals, intermittent auscultation of the FHR is equivalent to
continuous EFM in detecting fetal compromise.4 ACOG has recommended a 1:1
nurse-patient ratio if intermittent auscultation is used as the primary
technique of FHR surveillance.4
The recommended intermittent auscultation protocol calls for auscultation every
30 minutes for low-risk patients in the active phase of labor and every 15
minutes in the second stage of labor.4 Continuous EFM is indicated when abnormalities
occur with intermittent auscultation and for use in high-risk patients. Table 1 lists examples of the criteria
that have been used to categorize patients as high risk.



http://www.aafp.org/afp/990501ap/2487.html

Would anyone
like to share their guidelines?

 

Sally Westbury

 

RE: [ozmidwifery] High babies

[Sally Westbury]

It in not usual for a woman to have an engaged baby if she has had
previous vaginal births. It would be more surprising if the baby was
engaged.

Love Sally
Homebirth Midwife
Fremantle

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RE: [ozmidwifery] just a thought

[Sally Westbury]

Just this week I had a primip who only had 5-7 minutely contractions for
the last hours before her baby was born. After the baby was born we
waited 7 minutes for the next contraction with which the baby was born.
It was a long long long long 7 minutes. I was tempted to do something!!
Then she pushed the baby was born. The baby breathed beautiful. I
breathed again!

It reminded me so much of the birth of my second child. I remember the
midwife calmly telling me.. one more push and your baby will be born and
me thinking... that feels so much better.. I'm not in a hurry. I'm sure
that I gave my poor midwife a few grey hair that day 13 years ago!!

Love Sally Westbury


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[ozmidwifery] unscarred Uterine rupture

[Sally Westbury]

The Golan study concerned ninety-one cases of uterine rupture during a
five-year period. Of these, 61 occurred in normal uteri while 32 were
found in patients who had undergone a previous section. There were nine
maternal deaths, and all occurred in the group of mothers who had not
had previous cesarean surgery. The fetal mortality was also much worse
for the women without previous cesareans. The fetal mortality for the
previous cesarean group [who experienced uterine rupture] was twenty-two
percent, while it was more than triple, or seventy-four percent, in the
unscarred group [who experienced rupture]. The ruptured uteri in the
normal, unscarred group were, for the most part, associated with
oxytocin administered during labour." (Joy of Natural Childbirth, 1994)

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RE: [ozmidwifery] Ascending head

[Sally Westbury]

I loved Ina May Gaskins approach to doing a VE. Put your fingers in and
then rest gently on the cervix. Don't do.. just wait a moment so that
the cervix doesn't clamp. (if you think about doing a rectal exam you
know that the involuntary action it to clamp, if you wait a moment
before trying to do anything else it helps the involuntary reflex). Then
after waiting/meeting the cervix gently feel.

Sally

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RE: [ozmidwifery] Risk of uterine rupture

[Sally Westbury]

The likelihood of uterine rupture with
attempted VBAC is 0.5%. (0.2% uterine rupture, 1.1% asymptomatic dehiscence
from case control studies). The risk of hysterectomy and perinatal death from
uterine rupture are 0.05% and 0.07% respectively in hospitals equipped to
provide rapid laparotomy. (Australian VBAC study) Major
uterine rupture, before or during labour, after a classical Caesarean section
is 5%.

 

http://www.birthrites.org/

 

From the birthrites
website.

 

Love Sally Westbury

RE: [ozmidwifery] lotus placenta

[Sally Westbury]

One of the women in Geelong planning a homebirth and lotus placenta
transferred in and needed a C/S and still had her lotus placenta several
years ago. 
Amazing what can be achieved!

Love Sally

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RE: [ozmidwifery] umbilical cord

[Sally Westbury]

Two holes ... like it was Velamentous Insertion of Umbilical Cord. Makes
the most sense to me. Divided into two.. then two holes??

Love Sally

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RE: [ozmidwifery] broken collar bone & subsequent birth

[Sally Westbury]

One of my clients had a baby with shoulder dystocia who had a transient
paralysis who went on to have another big baby with no problems with the
shoulders.

No one can make any guarantee that either it will or won't happen. In
this each individual must make the best decisions given the information
that they gather. Trust your gut.

Love Sally

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RE: [ozmidwifery] physiological 3rd stage

[Sally Westbury]

I would love to see your package Janet.

 

Love Sally

RE: [ozmidwifery] physiological 3rd stage

[Sally Westbury]

I saw a fantastic father stand up for what
he believed in. 

In a teaching hospital they informed him
that they would cut the cord immediately in order to take blood gases. When he
questioned this the doctor told him that it was to
ensure that the baby was well at birth so that he could not sue them. This dad
then told them that he believed in the benefit of allowing the cord to stop
pulsating before cutting it and that he would sue them if they cut the cord
unnecessarily. The doctors soon backed off. 

I was inspired by his clarity.

Sally Westbury

RE: [ozmidwifery] Re: Colac & the Otways - reigniting the flame of reclamation

[Sally Westbury]

What would be great is to see maternity
coalition start as a coalition of families and midwives and
doctors for change in the area. We need to aim for something like the NHS.

 

Love Sally Westbury

RE: [ozmidwifery] A birth centre for Townsville - 2nd post, I dont think it came through the first time

[Sally Westbury]

Hi Pauline,

 

My heard goes out to you colac midwives who are
still facing the same fights as when I left the otways
3 years ago.

 

Love sally westbury

 

RE: [ozmidwifery] Problems With new Models - perineal suturing

[Sally Westbury]

I do suturing that I feel comfortable with. In the past when I have not
felt comfortable then I have asked a friendly GP/obs to help the women
and they have.

Love Sally

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RE: [ozmidwifery] Problems With new Models

[Sally Westbury]

I have read that around 40 is reasonable caseload. But if there is a lot
of traveling in the particular area then it needs to be less. I think
that 30-34 is probably about right for me with a mix of local women and
women who may be 30-40 minutes away. 

I do almost all antenatal visits at the women's homes. If that is the
model then certainly a few less than 40 is important.

The postnatal daily visits are what really make me busy. If I have
several women birthing close together and they are not close by then it
can take me half the day every day for a while to visit.

Having said this. Generally I work 9-3 m-f with only births and the odd
postnatal out of these hours. I like to be home for my children and my
clients know this and support me.

Love Sally

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RE: [ozmidwifery] News article, woman refused care for being overweight.

[Sally Westbury]

We have had a similar thing here in WA but
not BMI driven. If you are over 100kg then some hospitals will not allow women
to birth in their facility.

 

Sally

RE: [ozmidwifery] vulval varices

[Sally Westbury]

Just remembering a VBA2C. Her second C/S was recommended by her ob because of the VV. She
had a beautiful VBA2C with no problems with the VV.

 

She did a lot of grieving about her second
C/S.

 

Sally Westbury

RE: [ozmidwifery] Australia stand on vaccine help please

[Sally Westbury]

http://www.health.vic.gov.au/immunisation/schedule.htm

 

this site has the national schedule

 

Sally Westbury

Homebirth Midwife

RE: [ozmidwifery] Baby!

[Sally Westbury]

That is so fantastic Jo

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of JoFromOz
Sent: Friday, May 27, 2005 10:19 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Baby!

Hello one and all.

Just a quick note to let you know that my darling little William Matthew

Watson is here!

He arrived at 0529 this morning born in water at home with membranes 
intact, and he's gorgeous! 3.4kg, 50cm length, 33cm head, attended by 
the honerable Mary Murphy :)

That's all for now.

Love Jo (RM)

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RE: [ozmidwifery] re epidural top ups and iv cannulation

[Sally Westbury]

30% of women are not normal Gosh.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jenny Cameron
Sent: Sunday, May 22, 2005 1:27 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] re epidural top ups and iv cannulation

GBS is not normal. What is the cut-off point for midwifery care & scope
of 
Px?

Jennifer Cameron FRCNA FACM
PO Box 1465
Howard Springs NT 0835

0419 528 717
- Original Message - 
From: "Ken WArd" <[EMAIL PROTECTED]>
To: 
Sent: Saturday, May 21, 2005 5:06 PM
Subject: RE: [ozmidwifery] re epidural top ups and iv cannulation


> Why involve an obs for GBS? As long as correct procedure is followed, 
> there
> is little chance of transmission. We give oral abs if prom iv in
labour. 
> We
> don't induce for 48hrs, rather just keep an eye on the woman's temp
and 
> ctg
> at 18hrs and and 24hrs following. We have never had a problem. Our drs
rx
> the abs, antenatally when the woman is diagnosed at 37/40.  A lot of
our
> women elect not to be swabbed, and again no probs. All babies are 
> monitored
> temp etc for 24hrs and parents aware of what to watch for.  Lets keep
drs
> away from normal women having nice pregnancies and babies
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] Behalf Of Jenny
Cameron
> Sent: Saturday, 21 May 2005 12:39 PM
> To: ozmidwifery@acegraphics.com.au
> Subject: Re: [ozmidwifery] re epidural top ups and iv cannulation
>
>
> I take everyones point about it being useful and probably essential
for
> midwives in rural areas to be able to cannulate but don't forget the
core
> skills of midwifery practice during labour are support and assessment
of
> progress and the ability to recognise potential problems. I don't feel
> comfortable hearing that midwives are performing induction of labour
> cannulations etc. Or inserting bungs for IV antis for GBS for that
matter,
> If a woman is GBS pos then she should be referred and OBs involved.
Who
> orders the antis??
>
> Jenny
> Jennifer Cameron FRCNA FACM
> PO Box 1465
> Howard Springs NT 0835
>
> 0419 528 717
> - Original Message -
> From: "Miriam Hannay" <[EMAIL PROTECTED]>
> To: 
> Sent: Saturday, May 21, 2005 7:43 AM
> Subject: Re: [ozmidwifery] re epidural top ups and iv cannulation
>
>
>> From a student's perspective any discussion on what
>> constitutes a core midwifery skill really interests
>> me.
>>
>> we have a template that needs to be completed and
>> signed off by supervising midwives regarding epidural
>> maintenance. we are supposed to witness a few and then
>> do the top ups ourselves and also remove the catheter
>> after the birth, document etc. This is obviously
>> regarded as an important midwifery skill by our
>> educators. However, I know of VERY few students who
>> have been given the opportunity to acquire cannulation
>> skills. In the tertiary hospital I am currently placed
>> in the RMOs do all the cannulation. Midwives can do it
>> but must do a course to become accredited. This course
>> is not available to students, and as far as i am
>> aware, you must have done a grad years in the hospital
>> to access the course. To me this seems ridiculous! I
>> have no intention of doing a GMP, instead intending to
>> apprentice in private practice before setting out my
>> own shingle. How on earth can I safely practice in the
>> private sector if i am not confident in establishing
>> iv access? to me this is a core midwifery skill that
>> while hopefully rarely utilised is of critical
>> importance when needed. It is a skill I would much
>> prefer to develop than doing maintenance and clean up
>> for our anaeshetists.
>>
>> Also, on the thread of epidurals and instrumental
>> births...in my limited experience what Marilyn
>> mentions is borne out. I have been involved in several
>> births with epidural blocks and have only seen
>> instrumental birth needed when coached pushing was
>> utlised. In those cases where the power of the uterus
>> was allowed to facilitate descent until we had head on
>> view no assistance was required. The power of these
>> women's bodies birthed their babies despite the block
>> and it was marvellous to watch.
>>
>> Miriam (2nd year Bachelor of Midwifery Flinders uni of
>> SA)
>>
>>
>> --- Marilyn Kleidon <[EMAIL PROTECTED]> wrote:
>>> LOvely, Alesa that is exactly how I had experienced
>>> epidurals being set up in the USA. However, I have
>>> been told here that these large syringes that
>>> require top ups are more innovative than the
>>> infusion (pcea) pumps : I can't see how, even though
>>> I can see (in some ways) that if this is the
>>> technology we are using then midwives should be ofay
>>> with it?? And yes I had never experienced the
>>> epidural as being anything but turned off in second
>>> stage in fact, at least until 2002 when i left it
>>> was common practice to allow passive descent so that
>>> active pushing did not commence until the head was
>>> on view. Wit

RE: [ozmidwifery] GBS and iv cannulation

[Sally Westbury]

Love to see you policy about this. 

Sally

From: "Ken WArd" <[EMAIL PROTECTED]>
To: 
Sent: Saturday, May 21, 2005 3:36 PM
Subject: RE: [ozmidwifery] re epidural top ups and iv cannulation


> Why involve an obs for GBS? As long as correct procedure is followed, 
> there
> is little chance of transmission. We give oral abs if prom iv in
labour. 
> We
> don't induce for 48hrs, rather just keep an eye on the woman's temp
and 
> ctg
> at 18hrs and and 24hrs following. We have never had a problem. Our drs
rx
> the abs, antenatally when the woman is diagnosed at 37/40.  A lot of
our
> women elect not to be swabbed, and again no probs. All babies are 
> monitored
> temp etc for 24hrs and parents aware of what to watch for.  Lets keep
drs
> away from normal women having nice pregnancies and babies
>

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RE: [ozmidwifery] re epidural top ups and iv cannulation

[Sally Westbury]

The doctor orders the antibiotics...but since when does he/she ever
actually give the antibiotics? I guess that it is an interesting thing..
so the midwives could cannulate... the motivation to do this? Make it
easier for the women? minimize stimulation during labour? Make it easier
for the obs.. he doesn't have to get out of bed. Make it easier for the
midwives.. no.. we are taking more responsibility.
Is this being an obstetric handmaiden or is it being professional
midwives.
Is the danger here become obstetric midwives.. how far do we go as
midwives in medical intervention in birth?

It is very cloudy.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Barry & Sonja
Sent: Sunday, May 22, 2005 8:36 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] re epidural top ups and iv cannulation

are you saying that the plus or minus 30% of women that are strep B pos
all
be referred to an ob, even if they are well women with no
complications???
Sonja
- Original Message - 
From: "Jenny Cameron" <[EMAIL PROTECTED]>
To: 
Sent: Saturday, May 21, 2005 12:38 PM
Subject: Re: [ozmidwifery] re epidural top ups and iv cannulation


> I take everyones point about it being useful and probably essential
for
> midwives in rural areas to be able to cannulate but don't forget the
core
> skills of midwifery practice during labour are support and assessment
of
> progress and the ability to recognise potential problems. I don't feel
> comfortable hearing that midwives are performing induction of labour
> cannulations etc. Or inserting bungs for IV antis for GBS for that
matter,
> If a woman is GBS pos then she should be referred and OBs involved.
Who
> orders the antis??
>
> Jenny
> Jennifer Cameron FRCNA FACM
> PO Box 1465
> Howard Springs NT 0835
>
> 0419 528 717

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RE: [ozmidwifery] Antenatal Screening/Informed Choice Agreement. Vitamin D supps.

[Sally Westbury]

Hi
Gaye,

 

It is
an interesting question about antenatal testing.

 

I ask
all my clients are booked into a hospital as a backup. They are booked through
antenatal clinics or GP/Obs or Obstetricians. There
is a problem with getting this booking in done properly. As a midwife in WA I cannot
order path tests, this is of course done by the doctors and it is their responsibility
to provide results to the local hospital. I cannot book people into the hospital, this is the doctor’s responsibility also. Some
of the doctors are great and provide copies of blood tests to me so that I can
put them in my/clients antenatal records so that it is easy for hospital
transfer situations. Other doctors are not so cooperative and will not provide
them to me and make it difficult, even though the woman has a right to have
copies, for the woman to have a copy. In these instances I trust what is passed
on to me by the woman, hope the doctor follows up on anything abnormal and ask
the woman to remind the doctor to provide copies for the hospitals records in
case of transfer. Sometime the doctors do this, sometimes they don’t.
Sometimes the ‘offical’ result documents
are in some doctors surgery files only and not accessible in the middle of the
night when a transfer has happened.

 

Having said
this I have had a client that declined all blood tests,  due to her own personal belief
systems. It is her right. I did speak with her about why these test are done and clearly documented in my antenatal notes
the discussion and we both signed the notes. 

 

Um… did
that help clarify anything???

 

Sally Westbury

 



Hi
All,
    Just hoping some of you wonderful
Homebirth midwives out there can enlighten my ignorance regarding what
"routine" antenatal investigations you order for or recommend to your
clients, as part of your initial consultation. Is there a standard guideline
that you must adhere to?(Apart from the "National Midwifery Guidelines for
Consultation and Referral", that is). Or is it only up to the individual
practitioner and his/her client to discuss and come to an agreement about what
tests she will have and when she must go to hospital? 
    My reason for asking is the vague
responses to our enquiries  we recently encountered when a planned
homebirth client presented to hospital for delivery. There was no accompanying
antenatal record so we thought it feasible to ask basic questions of the client
and her midwife such as blood group, last Hb, etc because it was no longer a
normal situation. Is it probable these tests weren't done, because she was
hitherto a normal, healthy woman with the right to choose what invasive
procedures she had? Sorry to sound stupid but I'm used to the Obstetrician/G.P.
who orders every test the lab has ever done and then some, you know - like the
questionable Hep C and HIV without prior counselling, but I won't go there!
   I've done a couple of Web searches re the
evidence (and lack of), and cost-effectiveness of the regular antenatal screen
blood tests (I think I read it cost Medicare some $48 million dollars back in
1997), but wanted to know what you guys are practicing out there.

   On another tack, I just read this gem in
an excerpt from a policy statement by The American Academy of Paediatricians:
"Vitamin D drops containing 200iu
should be given to all breastfed infants starting in the first two months of
life"  Gartner LM et al
"Breastfeeding and the use of Human Milk" Pediatrics 2005 Feb; 115:
496-506.
   Alaskans born in the middle of winter perhaps? I think
our NICU give daily Pentavite from about Day 5, but surely, if there is some
sun exposure this routine administration shouldn't be necessary? Do different
skin colours absorb it from sunlight at different rates, such as black skin
slower, perhaps? Any Lactation Consultants able to comment here please?
   Cheers,  Gaye :) 

RE: [ozmidwifery] fear clinics etc

[Sally Westbury]

Perhaps hypnobirthing is being used to
counteract the medicalization of birth.

 

The women that I see are women who are
choosing homebirth so on many levels they are already have different views of
birth than the majority. These women are diverse but in the majority are able
to follow their instinctive knowledge. So I guess that my perspective is
usually in supporting women to trust themselves rather than ‘stuff’.

 

Sally Westbury

Homebirth Midwife

 

"Every culture develops rituals around major transformational life events
that reinforce the core beliefs of the culture.  Our culture's core beliefs relevant to
birth are that technology is superior to nature and that women are inferior and
untrustworthy.  Thus, our dominant
maternity care systems reflect those beliefs and does its best to make them
appear to be reality"  (Davis-Floyd 1992)

 

RE: [ozmidwifery] fear clinics etc

[Sally Westbury]

Have you read Michael Odent’s new
book. The Caesarean?? It talks about not stimulating
the women. I think that it is something like hypnobirthing in that it is about
not stimulating the neocortex, allowing the woman to stay in her experience not
in the world. 

 

I would hesitate to say that midwives use
hypnobirthing instinctively as this reinforces the idea that midwives ‘drive’
the experience. Rather that women instinctively do
what they need. Midwives simply are present to the experience if they are is
quiet, still and calm. 

 

In a way, I’m ducking for cover here,
hypnobirthing is just another way that we teach women that they don’t know
how to birth. Reliance of stuff, instead of trusting their instinctive
knowing.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] Foetal positioning

[Sally Westbury]

What I thought was interesting about this article is the following statement

 

 

"Guidelines
that propose norms for expected labour duration should take into consideration
position of the foetal head at full dilatation and the strategy of
pushing," conclude the researchers.

 

I took this
in the positive.. eternally
the optimist, that we should be allowing longer for women who have babies
positioned in ‘interesting’ positions.

 

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

[ozmidwifery] Foetal positioning

[Sally Westbury]

Foetal malposition lengthens labour
and poses maternal risks
Source: Obstetrics & Gynaecology 2005; 105: 763-72

Assessing the impact
of foetal position at full dilatation on labour duration and indicators of
maternal morbidity. 

Pregnant women with occiput posterior or
transverse position at full dilatation are at increased risk of a prolonged
second stage of labour and of maternal morbidity, research shows. 

"Since Mauriceau's classical work was
published in 1681, the occiput posterior and transverse malpositions have
remained an obstetric challenge," write Julie Senecal (Laval University, Canada) and colleagues. 

For the current study, the team assessed the
effect of such foetal positions on the duration of the second stage of labour
and on indicators of maternal morbidity, using retrospective data for 210 women
whose foetus was in the posterior position, 200 with it in a transverse
position, and 1198 with an anteriorly positioned foetus. 

This revealed that foetal malposition at
full dilatation was associated with significant maternal morbidity, including
increased risks of instrumental delivery, caesarean delivery, oxytocin
administration, episiotomy, and blood loss exceeding 500 ml. 

In addition, the duration of the second
stage of labour with early or delayed pushing was higher for transverse (3.6
hours and 2.5 hours, respectively) and posterior (3.8 hours and 3.0 hours,
respectively) positions than for the anteriorly positioned group (3.1 hours and
2.2 hours, respectively).

"Guidelines that propose norms for
expected labour duration should take into consideration position of the foetal
head at full dilatation and the strategy of pushing," conclude the
researchers.

Posted: 12 April 2005

 

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] Can anyone answer some questions from an English Student Midwife?

[Sally Westbury]

Hi Julie,

 

I’m in Fremantle WA. 

 

I have to admit I laughed when you asked if
you can go immediately into caseload here in WA because currently only 150 women
each year are given government funded access to a caseload model. That is the
Community Midwifery Program http://www.communitymidwives.org.au/

 

The other options in WA are team practices
like the Family Birth Centre at King Edward but they only employ midwives with experience
post grad. It seems pretty backward to me when you are not permitted to work in
a low risk unit. Surely that is what we as midwives are trained to do. You can
work in the high risk setting and get lots of practice in abnormalities which
will help you recognise normal birth??? It is all a bit crazy for me.

 

In the meantime when you are in Perth feel free to contact me and you might like to meet the local
community midwives.

 

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] caseload

[Sally Westbury]

Being on call 24/7 is the reality of caseload midwifery. Otherwise what
is being done is team midwifery.

I have been case loading for 12 years. It works really well for me. 
With 4 women a month (and 4 back ups) this means that I will at worst
case scenario lose 8 nights sleep each month. The reality is that
probably only half of the births will make me lose sleep. 

Generally I work 9am to 3pm so that I am there before and after school
for my children. Any school functions or social events get put in my
diary first, no negotiating shift swaps, I simply don't book work then.
If it is something that I absolutely do not want to miss I tell the
women that are due and my midwife colleagues that I'm not available from
6pm until 10pm on Wednesday and they should call their backup midwife.
None of the women have needed to do this. They just wait for me. 
I find the women incredibly respectful and they don't call me in the
middle of the night unless it is an emergency. 
It does take some getting used to being on call all the time and I often
talk about it in terms of a Zen existence. Living in the now. I get on
with my life knowing that all could change in a moment. Now I'm eating
dinner but I could be called to a birth, it doesn't stop me from eating
dinner. Now I'm at the movies, but I could be called to a birth, but I'm
enjoying the movie. I'm in the now and open to what the future holds. I
love it. I love the unpredictable nature of it.

I have great family and friend support with my children, so I can go to
attend women without any worry. That is vital.

The payment stuff is tricky and really needs a good solution but we
don't have a good solution here yet. You should not be getting a pay
decrease as reward for your increased responsibility and service to
women.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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RE: [ozmidwifery] caseload

[Sally Westbury]

Hi Justine and Monica.

Can this discussion stay on the list as it is coming up for everyone.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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RE: [ozmidwifery] still a buzz

[Sally Westbury]

That's beautiful Andrea!!

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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[ozmidwifery] Making Sense of Ideological Conflict in Midwifery

[Sally Westbury]

This is a fantastic article from Canada.

http://www.inter-disciplinary.net/spoel-james.paper.pdf

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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RE: [ozmidwifery] returned

[Sally Westbury]

Hi Jan,

 

For the WA woman. Community Midwifery WA would be her best contact. If she wants to
have a homebirth with a midwife she can apply for our government funded
program. http://www.communitymidwifery.iinet.net.au
For lots of information one of our resource centres is in Leederville. There is
a library of books and videos to borrow and a midwife to speak with. The woman
can just phone the resource centre to speak with a midwife too
Midwifery & Natural Childbirth Centre
336 Oxford Street
Leederville WA 6007
Tuesday & Thursday 10 - 2 pm
Phone 9242 3330

 

 

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] waterbirth

[Sally Westbury]

Keep the faith Tina. You are awesome. 

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] waterbirth

[Sally Westbury]

Anyone got rights and responsibility
documents they would like to share??? I’d love a copy of the one from
Barwon Health which I quite liked when I worked there.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] waterbirth

[Sally Westbury]

'South Australia  has recently adopted Statewide policy (in consultation

with consumers, midwives, doctors, paediatricians) on waterbirths that 
means that women anywhere in the State can have a water births.

Regards,

Andrea'

Does anyone have access to this document I would dearly love to see it.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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RE: [ozmidwifery] one umbilical artery

[Sally Westbury]

My memory said that there was a higher
incidence of other abnormalities.

 

My research told me this…

 

http://www.netsvic.org.au/nets/handbook/index.cfm?doc_id=637

 

http://www.womens-health.co.uk/sua.asp

 

http://www.thefetus.net/page.php?id=1149

 

 

skip to: page content
| links on this page | site
navigation | footer (site
information) 

My reasearch showed me this.

 

RE: [ozmidwifery] RE: breech

[Sally Westbury]

Oh.. the other thing that I wanted to say is that at 32 weeks I
would not be too worried. Babies are often that way at 32 weeks and then turn.
If you were a client of mine I would be saying don’t worry until 34-35
weeks. Then do everything!!

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

[ozmidwifery] RE: breech

[Sally Westbury]

Hi Helen,

 

If you can get hold of the book Breech
Wise by Maggie Banks you will have it all at your fingertips. Maggie is an incredible
NZ midwife who has spoken widely about Breech issues.

 

If you can’t get a hold of it, let
me know and I would be willing to post you my copy

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] Gestational diabetes

[Sally Westbury]

Here are a couple that might help

 

http://www.ahrq.gov/clinic/uspstf/uspsgdm.htm


 

http://www.hta.nhsweb.nhs.uk/execsumm/summ611.htm

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] MORE ACTIVE MANGAEMENT

[Sally Westbury]

Eating some placenta does work as the
placenta is full of oxytocin, therefore contracts the uterus.

 

Taking placenta as medicine also is very
helpful for postnatal depression.

 

Recently I have had an amazing result from
taking placenta pills to treat a woman who has debilitating paralysing
migraines. Within 10 minutes the headache would go, 15 minutes warmth come back
to her arm and leg, 30 minutes all paralysis gone. With her first baby she had
been in bed with blinding, paralysing migraine for 14 days. This time she was
not bed ridden and took placenta pills for about 14 days when she started to
feel symptomatic.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] MORE ACTIVE MANGAEMENT

[Sally Westbury]

Hi Leanne,

I would treat this women the same as any other. Physiological 3rd Stage
unless I need to intervene.

Here is a study to support this.

Is grand multiparity an independent predictor of pregnancy risk? A
retrospective observational study.

Humphrey MD.

Cairns Clinical School, School of Medicine, James Cook University, QLD.
[EMAIL PROTECTED]

OBJECTIVE: To determine whether high maternal parity has any effect on
pregnancy outcome independent of other maternal characteristics. DESIGN
AND SETTING: Retrospective observational study using the database of a
referral obstetric unit in a 280-bed regional hospital in far north
Queensland. PARTICIPANTS: All 15 908 women who had singleton births
between 1992 and 2001, comprising 653 women with grand multiparity (>or=
5 previous births at gestation >or= 20 weeks) and 15 255 women with
lower parity. MAIN OUTCOME MEASURES: Spontaneous vaginal birth,
postpartum haemorrhage (estimated blood loss > 500 mL), placental
retention requiring manual removal, blood transfusion associated with
the birth, and perinatal death. RESULTS: Women with grand multiparity
were significantly older than those with lower parity, more likely to be
Indigenous, not to have had antenatal care, to have smoked during
pregnancy and to have had one or more previous caesarean sections. On
univariate analysis, women with grand multiparity were more likely to
have a postpartum haemorrhage (9.2% v 5.3%) and blood transfusion (2.8%
v 1.5%). However, multivariate logistic regression analysis of women who
began labour (ie, did not have an elective caesarean section) showed
that grand multiparity was not significantly associated with postpartum
haemorrhage or blood transfusion when other maternal characteristics
were included in the model (regression coefficients [95% CI], 1.36
[0.99-1.87] and 1.09 [0.59-2.02], respectively). However, they remained
more likely to have a spontaneous vaginal birth (regression coefficient
[95% CI], 2.10 [1.56-2.74]). CONCLUSIONS: Women with grand multiparity
do not have an increased likelihood of poor pregnancy outcomes.
Birth-suite protocols which dictate extra interventions as routine
during labour in these women should be revised.

PMID: 12964911 [PubMed - indexed for MEDLINE]

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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RE: [ozmidwifery] question

[Sally Westbury]

I have not notice any difference.

 

I’m also a redhead, so I do take
note.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] caseload

[Sally Westbury]

So the next question is do
people who have worked in caseload models feel that they were being paid fairly
for their on call commitment?

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

[ozmidwifery] roz

[Sally Westbury]

Is Roz from SA on this list.

 

I would like to contact her.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

[ozmidwifery] caseload

[Sally Westbury]

 

Another call for
assistance.

 

Is anyone able/willing to share what
salary they have negotiated for publicly funded, caseload midwifery. 

 

Also what caseload has been negotiated.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] Waterbirth Policy

[Sally Westbury]

Email address. [EMAIL PROTECTED]

 

Thanks wendy

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] Triumphant birth for Caroline (Cas) McCullough!!

[Sally Westbury]

Make me go happy all over to hear a you VBA2C! Well done Cas. 

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain


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[ozmidwifery] Waterbirth Policy

[Sally Westbury]

Can people share their waterbirth policy
from their units please.

 

Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain

 

RE: [ozmidwifery] feeds in 24 hrs?

[Sally Westbury]

"When saying it is a baby friendly policy, it pretty much is.  BSLs are 
only done if no EBM is obtained 3 hourly.  It's just that some midwives 
can't bring themselves to  not give a baby anything, and paeds I don't 
think are ever breastfeeding/baby friendly." JofromOz

understood..i know you are a fantastic midwife and advocate. it just is
so far from the gentle birth practice of homebirth that is still shocks
me. It is good to be reminded.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain



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RE: [ozmidwifery] feeds in 24 hrs?

[Sally Westbury]

I just have to say it if this is baby friendly then I really am
scared about what is baby unfriendly 

Love to you jo... and your bump

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of JoFromOz
Sent: Tuesday, 14 December 2004 3:06 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] feeds in 24 hrs?

Our policy is to attempt first feed within 1 hour of birth. If 
unsuccessful, attempt 3 hours later (max). If not EBM is obtained for 
the baby within 6 hours, then a BSL is done.  If this is fine (2.2 or 
above) then the baby can be left another 3 hours.  A baby left much past

this would probably be refered to the paed (eek!) and would probably end

up in the SCN tube fed, depending on the midwife...  ;) But as long as 
the BSLs are ok 3 hourly, the baby is left according to policy.  Often 
if the baby is mucusy (causing reluctance to feed) they will 
unfortunately likely be given a stomach washout...again depending on the

midwife.

The policy isn't as bad as I've seen at other places... it's pretty baby

friendly compared to others.

Jo (the new Mrs. Watson!)

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[ozmidwifery] Job with Community Midwifery WA

[Sally Westbury]

Title: Incidence of meconium








COMMUNITY MIDWIFERY WA
TEAM MANAGER 


A dynamic and motivated leader is required
part-time (25hr/wk, SACS 9+) to manage Community Midwifery WA and its flagship
- the Community Midwifery Program.  The CMP is a unique and highly
successful community-based, government-funded program, providing midwifery,
resource and educational services. 

The successful applicant will have excellent
interpersonal skills, a collaborative management style, financial planning and
administration experience, and an ability to inspire and guide staff to realize
the vision of the CMWA Board. 

For further details and selection criteria please
ring 0402 094 797, email [EMAIL PROTECTED] or visit our website:

www.communitymidwifery.iinet.net.au

 
APPLICATIONS CLOSE Wed 15th DECEMBER 

 

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



 

RE: [ozmidwifery] Homebirth slogans

[Sally Westbury]

Women stand up for homebirth choices

Homebirth: push for your right to choose.

My baby: made at home, born at home.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Debbie
Sent: Saturday, 20 November 2004 7:58 AM
To: [EMAIL PROTECTED]
Subject: Fw: [ozmidwifery] Homebirth slogans

Another slogan "Birth...your way"
From: "Catherine Allgrove" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, November 19, 2004 5:07 PM
Subject: Re: [ozmidwifery] Homebirth slogans


How about:

"Produced and Delivered at Home" with a picture of a baby.

No takeaways for us! Home Birthing is like Home Cooking, Fantastic!

Catherine Allgrove
5 Commonwealth Ave
North Perth
Western Australia 6006
PH (08) 92425618 
Mob 0401 936 643
 
[EMAIL PROTECTED]




> HOMEBIRTH - naturally
> 
> Baby Jesus -  born naturally
> 
> Have a great pageant.
> Jan
> Jan Robinson Independent Midwife Practitioner
> National Coordinator  Australian Society of Independent Midwives
> 8 Robin Crescent   South Hurstville   NSW   2221 Phone/Fax: 02
9546
> 4350
> e-mail address: <[EMAIL PROTECTED]>  website:
> www.midwiferyeducation.com.au
> On 18 Nov, 2004, at 17:00, Tania Smallwood wrote:
> 
>> Wondering if you wonderful women can bombard me please with some
>> homebirth slogans, looking for something direct and eye catching to
go
>> on a t-shirt, our local Homebirth Network in Adelaide is in a small
>> Hills christmas pageant next week, so as usual, everything at the
last
>> minute, but there are some wanting to get t-shirts made up, and I'm
at
>> a bit of a loss...
>> 
>> Thanks!\
>> 
>> Tania
> 

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RE: [ozmidwifery] Great News for NT Women

[Sally Westbury]

Title: Great News for NT Women








That is totally brilliant

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Justine Caines
Sent: Thursday, 18 November 2004
12:34 AM
To: OzMid List; MC NSW Branch
Subject: [ozmidwifery] Great News
for NT Women

 


Dear All

It seems that Maternity Coalition women and midwives have done it!

Today the NT Health Minister, Toyne  launched a comprehensive package of
reform for NT maternity services and indemnity for 
Independent midwives (of which the NT Gov will cover).  I can’t
attach the release and it is not yet on the website, but for those interested
in looking later here is the link

http://www.nt.gov.au/ocm/media_releases/


A good day for MC,

A great day for NT women and midwives!!

Thanks so much to Virginia Nock for a sterling effort of the last 18 months, it
was her wonderful experience of homebirth and a known midwife that fuelled the
passion.

This is an example of how a national organisation who has developed respect and
has some clout can support a branch to make great in-roads locally.

Just shows when we tap all of our talents what we can do together!!

Also very positive for the rest of the country, if Australia’s smallest
jurisdiction can self insure private midwives then why not VIC, NSW etc.

Champers tonight!

JC


Justine Caines
National President  Maternity Coalition Inc
PO Box 105
MERRIWA  NSW  2329
Ph: (02) 65482248
Fax: (02)65482902
Mob: 0408 210273
E-Mail: [EMAIL PROTECTED]

RE: [ozmidwifery] Geralton WA

[Sally Westbury]

That is of course homebirth

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sally
Westbury
Sent: Wednesday, 10 November 2004 6:25 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Geralton WA

Anyone out there interested in supporting a women having a second baby
to birth in Geralton

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain



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[ozmidwifery] Geralton WA

[Sally Westbury]

Anyone out there interested in supporting a women having a second baby
to birth in Geralton

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain



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RE: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Sally Westbury]

Please can this topic be taken else where. This is not midwifery
discussion.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Abby and Toby
Sent: Friday, 5 November 2004 7:44 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's
Right to Choose

> Do pro abornists ever stop to think about all the 'WOMEN' that are
aborted?

Very well said.also, what about their RIGHT TO CHOOSE?! There is
always so much focus on the "right to choose" for women to choose
abortion,
but "pro choice" people never talk about the person being killed and
their
choice. If it really is "pro choice" shouldn't it be every body that is
involved, their choice.

Love Abby

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RE: [ozmidwifery] cold epidurals

[Sally Westbury]

This is also recommended be the hospitals here for birth of twins. Just
in case.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Denise Fisher
Sent: Friday, 5 November 2004 7:37 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] cold epidurals

Someone recently mentioned the advent of 'cold epidurals', where the 
epidural is put in place before an induction is started. I'd not heard
of 
this before and was shocked!  But is it unreasonable? Vincent & Chestnut

(1998) gave the administration of IV oxytocin intrapartum as the most 
useful predictor of which women will request epidural anaesthesia during

labour. What's the incidence?? I don't know but guess it's pretty high. 
When would be the best time to put an epidural in - when a woman is 
distressed and moving experiencing strong labour pain, or before it all 
starts and she is lying still and quiet?
It's the outcome here, ie use of cold epidurals, that horrifies me when
it 
should be the number of unnecessary inductions or perhaps the way 
inductions are conducted that force a woman into acute pain so quickly
that 
should be reviewed.

It's a while since I've worked in birthing suite. Those of you who are 
familiar with inductions why do they HAVE to be so rugged?

Denise

***
Denise Fisher, MMP, IBCLC
Health e-Learning
http://www.health-e-learning.com
[EMAIL PROTECTED]

 

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RE: [ozmidwifery] Maggie Banks midwifery intensives for 2005

[Sally Westbury]

I fully agree. It was inspirational for me to be amongst midwives who
see what we do as so normal. Whilst as a homebirth midwife I feel
isolated and marginalised. 

It was also great to be amongst like minded folk at the homebirth
Australia conference last weekend for similar reasons. It is lonely
being a homebirth midwife in Australia. I guess that there are probably
around 100 of us through the whole of Australia.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sue Cookson
Sent: Wednesday, 3 November 2004 3:03 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Maggie Banks midwifery intensives for 2005

Hi Denise and others,
Maggie's NZ Intensives aren't fully booked for next year and she loves
having Australians there!
What I meant about being fully booked was that Maggie has already
decided
her itinerary for the entire year - and I doubt if she'll be able to
include
extra trips to Australia.
Do go Denise - it was really reaffirming of normal birth.

The intensives are as follows:
Dec 8 -10th 2004
February 2 - 4th 2005
March 7 -9th 
April 27 - 29th
June 10 - 12th
August 24 - 26th
September 28 - 30th
November 16 - 18th 

For more info go to her website; www.birthspirit.co.nz

Sue

> Dear Sue
> How sad 2005 is fully booked I contemplating going to NZ for the
reasons you
> said
> Denise Hynd
> 
> "Never believe that a few caring people can't change the world.  For,
> indeed, they are the only ones who ever have."
> Margaret Mead
> - Original Message -
> From: "Sue Cookson" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Wednesday, November 03, 2004 7:31 AM
> Subject: [ozmidwifery] Maggie Banks midwifery intensive
> 
> 
>> Hi Andrea and others,
>> The cost of the Maggie Banks Intensive in Australia is $980. This
works
>> out to be much the same as the cost if you go to New Zealand and you
get
>> the lovely break as well. I flew in the day before and stayed for 2
days
>> after, visiting Rotorua and seeing hours of lovely NZ. We stayed with
>> Maggie and Tony - the accommodation and food are all part of the cost
and
>> it's a great way to meet other women passionate about birth.
>> From my discussion with Maggie whilst I was over there, I  think 2005
is
>> fully booked already, considering she's also doing a PHD as well.
>> 
>> Really worth the trip ...
>> 
>> Sue
>> 
>>> Hello,
>>> 
>>> These are great programs and you don't have to go to New Zealand to
do
>>> them we have one available in Sydney in a few weeks (November 25
-27)
>>> and this is a cheaper option!
>>> 
>>> There are a few places left - the maximum number we will take is 14.
If
>>> there is enough interest, we'll look at presenting one of these in
>>> Melbourne next year, maybe Queensland too let us know!
>>> 
>>> You can find out more about the Sydney program here:
>>> http://www.birthinternational.com/event/intensives2004/index.html
>>> but you will have to be quick to register, as the closing date has
>>> passed
>>> 
>>> Cheers
>>> 
>>> Andrea
>>> 
>>> 
>>> 
>>> At 07:02 PM 30/10/2004, you wrote:
>>> 
>>>> Hi,
>>>> I have just returned from a midwifery intensive held at Maggie
Banks
>>>> home in Hamilton, New Zealand.
>>>> Fantastic venue, great food, and very midwife-centred (not
>>>> obstetric-centred) hands on midwifery skills.
>>>> The workshops are limited to 10 visitors, and our group had 3 from
>>>> Australia and 7 New Zealanders.
>>>> 
>>>> We covered shoulder dystocias, breech births, unusual presentations
>>>> (cord prolapses, shoulder presentations etc), PPHs,resuscitation
>>>> techniques, suturing, and intubation. Most of the work was done
through
>>>> discussion of case scenarios which therefore covered all aspects of
the
>>>> mother and baby's wellbeing and it was fascinating being aware of
>>>> everyone's experience in birth as well as their life experiences,
and
>>>> how these affected their midwifery decisions and
perspectives.(Maggie is
>>>> the author of "Breech Birth Woman Wise" and "Homebirth Bound" -
both
>>>> available through Birth 

RE: [ozmidwifery] 2nd Stage of Labour

[Sally Westbury]

The analogy that I tell women is that
being ready to push is like being ready to vomit.

 

When you feel nauseous you are probably going
to vomit some time. You know that it is coming but you are not actually doing
it.

When you feel like you want to push you
know you are probably going to push soon but you are not actually doing it. (and probably not ready)

 

When you vomit there is no stopping it. It
is an overwhelming bodily fuction. 

When you are ready to push it is
overwhelming and there is no stopping it.

 

This analogy seems to help women. It is
something that they can relate to.

 

 

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
 

So, I guess what I'm really asking is - do you allow women to go with their
bodies and what they are feeling (which would be my
instinct, rightly or
wrongly who knows!)  or wait for external signs
that pushing 'ok'?

Cheers
Tania


--

RE: [ozmidwifery] RE: antenatal question

[Sally Westbury]

I would approach this something along the lines of.

If the baby is not 'normal' would you rather be prepared so that
appropriate treatment is ready? Then do it
Or if the baby is not 'normal' would you rather meet the baby
and then deal with what needs to happen? Then don't do it.

So I guess that I would suggest that you talk in these terms. Of being
prepared for the baby.

Having a scan in 2 weeks is not going to change what is happening for
this baby and perhaps a later scan would be more useful?

She is planning a hospital based birth?

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sylvia
Boutsalis
Sent: Wednesday, 20 October 2004 6:04 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] RE: antenatal question


Hi all,

I'm needing a bit of information if you are able to help me.  My sister
in law just came home from a 20 week scan. The Gyno told her that there
was some space in the baby's brain.  He measured the distance from the
skull to the inner membrane(??) 5 times and only once did the meaurement
come up a percentage difference from the normal. They were strongly
advised to have an amnio but they turned it down because they will not
abort under any circumstance.  They then advised her to go again for
another scan in 2 weeks.  She turned that down too, as she doesn't want
to know (she's in denial as she thinks everything is fine). I'm thinking
the scan is a good way of determining whether this 'space' is growing
along with the baby. As a childbirth Educator I couldn't answer any of
their quesitons. Can anyone shed some light onto this?  Sorry this
information is sketchy, but they were too stressed to take in any decent
information.

Thanks in advance
Sylvia Boutsalis
Childbirth Educator
Infant Massage Instructor
Adelaide

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RE: [ozmidwifery] Induction by Rupture of Membranes

[Sally Westbury]

Susan Weed in her book recommends that rather than take castor oil
internally the women could rub it on her tummy and then put a hot towel
over the castor oil. 

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Abby and Toby
Sent: Thursday, 7 October 2004 6:04 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Induction by Rupture of Membranes

>>From there you can go to acupressure points and
acupuncture.Then herbs and lastly castor oil. You can find recipes for
these
on various web sites.
> marilyn

Thanks Marilyn. Suggested all those earlier today just didn't want to
miss
any if there was extras. www.gentlebirth.org ( i think) have a great
section
on natural induction methods, I always back up my suggestions with links
to
sites, books etc.

>From communicating more, she seems to have been "told" she was having
the
stretch and sweepaauugghh!! She knows that her and bubs are okay
and
she knows all the options..I kinda wish I had been there to hear
what
had been said to her.

We have spent a fair bit of time talking about options as induction was
bought up a while ago. It is so hard to go against what the docs are
saying,
especially in those last weeks when some women are really keen to meet
their
baby. Hopefully it won't come to that date and things will get started
before then.

thanks
Love Abby
( P.S. Wondering if it is normal to spot after a "stretch and sweep"?
She
was incredibly shaken for quite a while after it and has started
spotting.)



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RE: [ozmidwifery] Re: uterine rupture 1998

[Sally Westbury]

There is such a wide variation about how
people are trained. I feel pretty lucky to have has midwifery training and then
apprenticed with a group of midwives. I worked for about 18 more months as the
apprentice. This was a fantastic time. One of the women who inspired me (Hi
Annie Pop) told me that the longer I spent working in the hospital the more
fear I would learn. I am eternally grateful t her for encouraging me to move
out of hospitalised birth earlier rather than later! This is one way to blend the
medicalised training with wise woman training.

 

I believe that we need to work more with the
wise women and I am still learning from and in awe of my mentors here in Fremantle
(Hi Theresa and Mary).

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Abby
and Toby
Sent: Monday, 4 October 2004 12:55
PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Re:
uterine rupture 1998

 



>>While I do not support the
notion that women desiring vbac are considered high risk or obstetric care, I
do believe that once a decision is made to augment and/or induce a labour then
the obstetrician needs to be consulted referred to and obstetric protocols need
to be followed if the decision is made to augment/induce, even though midwives
are providing the one-to-one care, it is now obstetric care. 





 





I think the way midwives are trained
now, they can still be the carer if induction etc was chosen because they are
trained basically as obstetric nurses, not really in the traditional sense of a
midwife. (Throw the flames if you want, but this idea comes from student
midwives themselves.)





Though, I would question any midwife
that agreed or suggested medical induction for any woman having a vbac, it
hikes the risk factor up by heaps.





A scarred uterus is usually only at
a higher risk of rupture than an unscarred uterus when unnecessary
interventions are performed ie induction. I haven't heard or read of any woman
having a vbac that had a uterine rupture that was labouring completely
naturally, with absolutely no interventions eg. natural or medical inductions,
ve's, ARM etc.





I have met one woman that ruptured,
not after a c-section, but her second son was born so quickly and ferociously
she ruptured.





 





Love Abby 





 

RE: [ozmidwifery] ve's

[Sally Westbury]

There is a fantastic chapter in Ina May Gasgin's new book about vaginal
examinations. I would recommend that you find it and read. It really
give some great information and guidance about vaginal examinations.


Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Sunday, 3 October 2004 9:25 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] ve's

One of my strongest memories from my fourth son's birth was doing a VE
on myself whilst reclined on the toilet. I did it mainly because it was
my last oppurtunity to feel a dilating cervix. WOW it was amazing, but
it was mine to feel.

My first son was born in hospital where I had a few VE's, I did then
believe I needed to know how I was doing. Next 3 bubs born at home with
same Ind Midwife, no VE's by her. I did have a feel with my third son,
but by then his big beautiful head was working its way out.

When I touched my cervix and felt the circle that was about 4 cm, so
clearly and readable, it was amazing. How far dialted I was made no
difference, I was an hour into labour and an hour later I was holding my
baby boy, that was the measure of my progression.

How we dilate has become such a focus for birthing women and maybe more
so their carers, its become the yard stick of childbirth. I understand
why women think they want/need them, especially when birthing in an
environment of the unknown.
Sadly most Midwives are not able to work (for lots of reasons) in a
model of continuity and women are no doubt asking for Ve's as
inspiration or perhaps used with time as the marker to have the
intervention.
I also see women being told that they don't need to have VEs, but then
we expect them to birth with Mids/Obs who need to do them. It can get
very confusing for the birthing woman.
What do Midwives do in this circumstance and I assume that confidence in
understanding the dilation process is an advantage?
Which I think is was Stacey is asking?

Its questions like this that spread the wisdom learnt, not one teacher
but many,
cheers
Megan R

This message was sent through MyMail http://www.mymail.com.au


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RE: [ozmidwifery] question

[Sally Westbury]

Women have had good results with Magnesium supplement as homeopathic or
cell salts. Otherwise extra calcium or potassium supplements.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Rebecca King
Sent: Friday, 1 October 2004 8:06 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] question

hi everyone,
my name's bec, I'm a student midwife. One of my friends is pregnant and
she has 
what I think is called restless leg syndrome. She says it feels like
ants are crawling 
over her legs all the time and it's driving her crazy! I have not really
come across this 
too much and I haven't heard of any ideas of what may help relieve this
for her. I think 
her midwife suggested maternity stockings may help, any more ideas
anyone? 
Thanks in anticipation,
bec king :)
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RE: [ozmidwifery] Morning sickness

[Sally Westbury]

Some women have had success with sea
sickness bands. If you don’t like ginger what about taking ginger
tablets? 

 

Poor darling

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Megan and Sean
Sent: Wednesday, 29 September 2004
8:12 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Morning
sickness

 



Jo,





you have all my
sympathy, I know just how you feel. I have in the past and with this pregnancy
tried everything I have heard of without much success. I have come to the stage
where I think that there is very little you can do but:





 





1. REST- I take
that desire to hybernate as a good message. The more tired you are the worse
you feel so try to get early nights and nap as often as you can.





 





2. EAT- small
amounts of food frequently, I mean at least every 2 hours. I find that the
nausea increases on an empty stomach. and try to eat before going to bed, makes
the night and morning more bearable.





 





3. DRINK- sip small
amounts frequently, flavour water with a dash of citrus like lemon or lime, or
other flavour. try icecubes of various flavours. 





 





4. BE KIND TO
YOURSELF- You might not feel better, but some days you will cope better! Do
what you can on your good days, and don't be hard on yourself on the days that
you feel like crap and don't get as much done. After all tomorrow could be a
good day!





 





Let us know how you
go,





Megan (23 weeks to
go till no spew day!!!)







- Original
Message - 





From: Mary Murphy






To: [EMAIL PROTECTED] 





Sent: Tuesday,
September 28, 2004 9:46 PM





Subject:
[ozmidwifery] Morning sickness





 





Jo wrote Also, I was
wondering if anyone had any bright ideas to fix morning sickness
please!!  I feel nauseous all the time - constantly... I don't actually
vomit very often, but all I want to do is stay in bed and sleep through the
nausea, because that is the only time I feel ok. 
--





Jjo, I would suggest you
talk to a homoeopath or accupuncturist.  If you email me off list I can
give you the names of some local practitioners.  Poor you!!! M

RE: [ozmidwifery] midwives.com.au

[Sally Westbury]

I have not been able to access this site either.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of 80simona fox
Sent: Wednesday, 22 September 2004 8:09 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] midwives.com.au

Hello

I would like to make all Midwives aware that the "Midwives message
board" is 
now up and running at www.midwives.com.au  click on "your say" and sign
up 
(midwives only).

You can still opt to have postings sent to your own email box - however 
there is a great advantage to visiting the "Your Say" message boards in
your 
own time, rather than having your email box filled with subjects and
posts 
that are really of no interest to you - and simply clutter up your email

box.

The service is free. Alll Midwives that sign up to the service between
now 
and the end of October will be entered in a free draw - the winner will
get 
their own profile on www.midwives.com.au

Whilst www.midwives.com.au is still partly under construction, there is 
already plenty to see - especially in the "your Shop" section.

This website is based and run here in Australia - however due to the 
incredible service that is offered in supporting the midwife memorabilia
by 
cafepress, the products are shipped from the USA -globally, take about
7-10 
days.

This site is designed primarily to create greater awaress of midwifery -

both here in Australia and worldwide. One of the services offered is to
have 
your own midwives email address, [EMAIL PROTECTED]

The long term goals regarding www.midwives.com.au is to create a search 
engine for everything midwifery - and we would love to hear your idea's
both 
for products in the shop and anything else you would like to see
featured on 
the site.

Thanks for reading

Warmest regards

Simona

_
Smart Saving with ING Direct - earn 5.25% p.a. variable rate:  
http://ad.au.doubleclick.net/clk;7249209;8842331;n?http://www.ingdirect.
com.au/burst6offer.asp?id=8

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RE: [ozmidwifery] patient rights

[Sally Westbury]

That is truly an amazing and scary story. 

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda Maier
Sent: Monday, 20 September 2004 8:24 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] patient rights

she did. when the morning shift midwife came on and saw how stressed out
the
room was ( I must say I was tired and overwhelmed myself and while
trying to
support my friend while enduring the withering looks from doctors etc I
was
not very assertive about kicking them all out, I was also in as her
support
person not her primary midwife) , doctors rushing my friend and really
pushing that she was doing the wrong thing and that they had legal
advice in
to try and make her  'let them save the baby' etc she said to my friend
you
know what is going on why we want you to have a section etc when my
friend
was adamant she would not comply the midwife sent everyone  out of the
room
and we very quickly got back into the labour. She said to me later
(thank
goodness it was her who came on - she is also a friend of mine) that
when
she came into the room she could feel the weight of the tension between
the
doctors and the woman and her husband and though well if she wont have a
section then lets get on with the labour so this  child can be born. My
friend laboured well then, although tension occurred again when she kept
begging for pain relief and her husband adamantly refused on her behalf
-
but that's when I felt I got back into it myself, using all my midwifery
skills to help her get through which she did. I caught her beautiful son
a
few hours later who was born in a thick  coating of mec and very flat.
The
pediatrician then came in (it was actually the neonataologist who got
involved at this point and I though on no here we go again, but he
resused
the baby and then gave him to my friend to hold for ages before he took
the
baby to the nursery where all he did (and all they would consent to) was
cot
oxygen. For a nursery who stabs jabs and bottles so many babies and is a
great cause of worry and angst to me it was amazing that this baby was
really left alone so much. after twenty four hours he was better (they
worried for  while he may have mec asp but he didn't) he went ot his
mum. He
is now a healthy happy, weight gaining gorgeous breastfed baby.
- Original Message -
From: "Marilyn Kleidon" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, September 20, 2004 10:47 AM
Subject: Re: [ozmidwifery] patient rights


> So, Belinda did your friend go on to birth her baby vaginally? Wow!!
It
> sounds like a very scary trace.
>
> marilyn
> - Original Message -
> From: "Belinda Maier" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Friday, September 17, 2004 7:53 AM
> Subject: Re: [ozmidwifery] patient rights
>
>
> > I had a woman/friend very passionate Christian who had severe fetal
> distress
> > in labour who refused cs suggestions because she believed God would
care
> for
> > her if she had faith. The doctor was very aggressive and tried all
he
> could
> > to find a legal way to force her into a cs. Risk management were
called
in
> > (3am) and they could not do anything but get custody of the baby
once it
> was
> > born. This was a situation I had not faced before and was caught
between
> my
> > role as friend midwife support in keeping the doctors away ( this
was
what
> > she wanted from me) and my own fears for her baby who was at times
sitting
> > on 40-60bpm for two or three minutes then back up to 180-190 etc. We
have
> > been able to talk honestly about our feelings hers her husbands and
my
own
> > and I have learnt that while I cannot say I would do anything
differently
> > (as in supporting the apparent need for emerg cs) I would move on
quicker
> > once she made it clear that she would not agree to help her labour
and
> birth
> > which is what she did (once the doctors were asked to leave the room
and
> we
> > all 'got back into' the labour). What made me accept her choice and
move
> on
> > to supporting her was when the doctor called in legal people it find
a
way
> > to force her which thankfully was not in their realm of power and I
fear
> the
> > day they will. Although it would not be my choice I do not have more
> > invested in her child's wellbeing than her. Her son is doing well by
the
> > way, constructed in the debrief 'us professionals' had as being
lucky
and
> to
> 

RE: [ozmidwifery] Spiritual Midwifery

[Sally Westbury]

I love hippys... all of them.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Marilyn
Kleidon
Sent: Sunday, 19 September 2004 10:11 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Spiritual Midwifery

You know Jen I have a real problemo with that too... but heh I guess I
hung
out in Santa Cruz too much. The combo is a great
combination/recommendation
to me! And on last peek I didn't notice Ina May hiding the fact. Full
disclosure is I think the name of the game.

marilyn
- Original Message - 
From: "Jen Semple" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, September 17, 2004 9:23 PM
Subject: [ozmidwifery] Spiritual Midwifery


> BUT???
>
> What's wrong with being a hippy from America?
>
> Jen
>
>  --- katnap076 <[EMAIL PROTECTED]> wrote:
> > It is a good book, she is a hippy and is from
> > America, but she is a real
> > midwife and a caring one.
>
> > - Original Message - 
> > From: "Fiona Rumble" <[EMAIL PROTECTED]>
> > To: "ozmidwifery" <[EMAIL PROTECTED]>
> > Sent: Friday, September 10, 2004 5:34 PM
> >
> >
> > > Hi all, I have just come across the book Spiritual
> > Midwifery at the op
> > > shop. What do others think of it, if you know the
> > book by Ina May Gaskin?
> > > Thanks Fiona
>
> Find local movie times and trailers on Yahoo! Movies.
> http://au.movies.yahoo.com
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RE: [ozmidwifery] wanting homebirth

[Sally Westbury]

Download the application form from
http://communitymidwifery.iinet.com.au/application.html
And send it straight in.
Do it now.

Any woman, or midwife, does not need a referral to do this as Community
Midwifery believes women know if they are pregnant and do not require
that they have their own knowledge confirmed by a GP.

How exciting for the midwife to find this out!! Tell her congrats!!

love

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Debbie Slater
Sent: Tuesday, 21 September 2004 6:35 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] wanting homebirth

Jo

Contact them now and they will send you the info.  They don't usually
accept 
formally on to the programme until 12 weeks gestation but it is better
to 
contact asap as it get booked up.

Regards

Debbie
Perth
- Original Message - 
From: "JoFromOz" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, September 20, 2004 9:11 AM
Subject: [ozmidwifery] wanting homebirth


> If, for example, a midwife found out she was pregnant last night,  and

> wanted a home birth with the community midwifery program in WA how

> early should she contact them to book in, and does she need a GPs 
> referral??
>
> Thanks,
>
> Jo ;)
>
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RE: [ozmidwifery] floradix

[Sally Westbury]

Many of the women I work with choose to
take Floradix. It is one of several options I suggest
to women who have low iron levels. I was introduced to if more than 10 years
ago by one of the pregnant women I worked with.

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Callum
& Kirsten
Sent: Saturday, 18 September 2004
7:46 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] floradix

 



Hi
all,





On
another list i'm on they are "discussing" Floradix. There are
opinions that state its harmful because its a non regulated herbal medicine and
should not be taken by pregnant or lactating woman.





I had
low iron levels in all my pregnancies and Floradix was recommended by mu
midwife. It was fantastic and improved my levels whereas Ferrogradumet did
not.





 





Does
anyone here recommend it for their mums to be? And also what about 5W? It was
common place in NZ to use it, but i haven't come across it here yet.





 





Kirsten





student
midwife





Darwin





~~~start
life with a midwife~~~

RE: [ozmidwifery] Breast Milk Urgently.

[Sally Westbury]

You are welcome to share this story! It
was great to be part of this circle of women supporting women.

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Nicole
Christensen
Sent: Thursday, 9 September 2004
7:10 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Breast
Milk Urgently.

 



Dear Sally,





I am a trainee breastfeeding
counsellor - and would like to ask your kind permission to share this inspiring
story to other trainee counsellors - with names deleted and of course your
name/details deleted from the end.





If you think it wouldn't be a good
idea - I would also be very understanding x x x x





thanking you and kindest regards,





Nicole





 





 





- Original Message
- 







From: Sally Westbury 





To: [EMAIL PROTECTED] 





Sent: Friday,
September 17, 2004 1:07 PM





Subject: RE:
[ozmidwifery] Breast Milk Urgently.





 



I just
wanted to let you know the amazing story about this call for breast milk.

 

A friend
in Exmouth got really sick and was evacuated by Royal Flying Doctor Service to Perth, leaving Exmouth about 9pm. Initially they thought
that the baby, Edyn, would come down with her but as mum was on some nasty
drugs she wanted some breast milk for an interim time until she was off the
worst of the drugs so the called me, their midwife, to try to source some for
them.

 

I phone
some of my clients and the first two I called both said, I have plenty of breast milk
but have trouble expressing could I just breast feed the baby. So I phoned back
to Exmouth (they were still waiting for the RFDS to come) and asked the mother
if she would consider this. She responded asking me ‘would I trust my
life with these women?” I told her I would. She the said she thought she
would be too ill to care for her baby and would I take her baby until she was
well enough and get the women who had offered to breast feed the baby. I said I
would.

 

They
were unable to transport her 7 month old, fully breast fed baby with her and so
dad was left holding the baby (plus caring for 4 other children. He tried to
give her formula in a bottle but she would have none of it! She would drink
water and he convinced her to eat some baby food. Dad and babe finally arrived
in Perth at 9.30pm I went to pick them up along with one of the wonderful
mum’s who had offered to breast feed the little baby plus her two small
sons!! We met then at the airport and Edyn was introduced to Helen and Helen
offered her a breast feed in the airport lounge and to all of our amazement
Edyn fed hungrily without a second look at Helen!! The Dad later told me that
he felt close to tears when he saw his baby feeding as he had been so worried
about her!!

 

I then
took Dad and Edyn to visit with mum and then took Edyn to my home where Helen
and her 2 boys had gone to sleep the night. The very adaptable Edyn slept with
me for a couple of nights (what a shock for me who’s babe is 8 years old),
breast fed from 2 wonderful women day and night until the worst of the drugs
were finished and it was safe for her to breast feed from her mum again!! 

 

Back at
home the Exmouth community mobilized and cared for the 4 other girls left there
day and night for about 1 week. 

 

Now Edyn
is back to breast feeding although she is very keen about baby food too!!

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate
for women, challenging authority and sacrificing social and professional
acceptance. It takes courage for a woman to choose a caregiver who will truly
advocate for and empower her."    -Judy Slome Cohain



-Original
Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Sally Westbury
Sent: Monday, 2
 August 2004 7:41 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Breast Milk
Urgently.

 

Anyone
in perth got a client with lots of milk to spare. I have a friend who is
dehydrated and going into hospital who would like to keep her baby on breast
milk.

 

She is
going into St Johns Subi.

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate
for women, challenging authority and sacrificing social and professional
acceptance. It takes courage for a woman to choose a caregiver who will truly
advocate for and empower her."    -Judy Slome Cohain





 

RE: [ozmidwifery] Breast Milk Urgently.

[Sally Westbury]

I just wanted to let you know the amazing
story about this call for breast milk.

 

A friend in Exmouth got really sick and was
evacuated by Royal Flying Doctor Service to Perth, leaving Exmouth about 9pm. Initially they thought
that the baby, Edyn, would come down with her but as mum
was on some nasty drugs she wanted some breast milk for an interim time until
she was off the worst of the drugs so the called me, their midwife, to try to
source some for them.

 

I phone some of my clients and the
first two I called both said, I have plenty of breast milk but have trouble
expressing could I just breast feed the baby. So I phoned back to Exmouth (they
were still waiting for the RFDS to come) and asked the mother if she would
consider this. She responded asking me ‘would I trust my life with these
women?” I told her I would. She the said she thought she would be too ill
to care for her baby and would I take her baby until she was well enough and
get the women who had offered to breast feed the baby. I said I would.

 

They were unable to transport her 7 month old,
fully breast fed baby with her and so dad was left holding the baby (plus
caring for 4 other children. He tried to give her formula in a bottle but she
would have none of it! She would drink water and he convinced her to eat some
baby food. Dad and babe finally arrived in Perth at 9.30pm I went to pick them
up along with one of the wonderful mum’s who had offered to breast feed
the little baby plus her two small sons!! We met then at the airport and Edyn was introduced to Helen and Helen offered her a breast
feed in the airport lounge and to all of our amazement Edyn
fed hungrily without a second look at Helen!! The Dad later told me that he
felt close to tears when he saw his baby feeding as he had been so worried
about her!!

 

I then took Dad and Edyn
to visit with mum and then took Edyn to my home where
Helen and her 2 boys had gone to sleep the night. The very adaptable Edyn slept with me for a couple of nights (what a shock for
me who’s babe is 8 years old), breast fed from 2 wonderful women day and
night until the worst of the drugs were finished and it was safe for her to
breast feed from her mum again!! 

 

Back at home the Exmouth community
mobilized and cared for the 4 other girls left there day and night for about 1
week. 

 

Now Edyn is back
to breast feeding although she is very keen about baby food too!!

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain



-Original
Message-
From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Sally Westbury
Sent: Monday, 2
 August 2004 7:41 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Breast Milk
Urgently.

 

Anyone
in perth got a client with lots of milk to spare. I have a friend who is
dehydrated and going into hospital who would like to keep her baby on breast
milk.

 

She is
going into St Johns Subi.

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate
for women, challenging authority and sacrificing social and professional
acceptance. It takes courage for a woman to choose a caregiver who will truly
advocate for and empower her."    -Judy Slome Cohain





 

[ozmidwifery] Breast Milk Urgently.

[Sally Westbury]

Anyone in perth got a client with lots of milk to spare. I have a friend who is
dehydrated and going into hospital who would like to keep her baby on breast
milk.

 

She is going into St Johns Subi.

 



Sally Westbury

Homebirth Midwife

 

"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her."    -Judy Slome Cohain