RE: [ozmidwifery] Any volunteers for a survey?

[Tania Smallwood]

Pick me, pick me...

I'm at [EMAIL PROTECTED]

Tania
xx



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett
Sent: Tuesday, 20 March 2007 9:55 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Any volunteers for a survey?

I'm up for it Sam,  will email you off list.
Lisa Barrett
- Original Message - 
From: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, March 20, 2007 9:19 PM
Subject: [ozmidwifery] Any volunteers for a survey?


> Hi Listers,
> 
> Are there any midwives on the list who could spare 15 mins-1/2 hour to
> fill out a survey on issues affecting midwives today?  We can do it via
> email or phone, I don't mind.
> 
> My email is spahl at pobox dot une dot edu dot au
> 
> Cheers,
> Sam.
> 
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.
>
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RE: [ozmidwifery] Re: Maternity coalition

[Tania Smallwood]

Can I just say that it would be terrible if this thread deteriorated yet
again into a personal slinging match.  Please can we all keep in our minds
and our hearts that we are all doing what we can, with the time we have, to
further the cause and help women...making comments on people's tone is not
in my honest opinion called for, or constructive.

A lovely friend of mine, one of the wisest women I know, has talked with me
about the email thing and the problems that we as women in particular,
encounter with it.  Her take on it, and I agree wholeheartedly is that we
must keep in mind that it was invented by blokes, and that it has no ability
to convey the subtlety of emotion that we often use to soften or round off
our comments.  Its purpose initially was probably for the sharing of meeting
minutes, and the like.  We don't talk like that, we don't communicate like
that, and when we attempt to use a medium that doesn't have the features we
need to put across the whole of the message, not just the words, then
something within that message can be lost.

Please, please, can we keep our own agendas out of this.  I have been a
member of birth support and information groups for nearly 10 years and for
the most part, it has been smooth sailing.  I still don't have a handle on
what the MC really does, even though I've been a member for sometime, and
our consumer groups have been members.  That doesn't mean I'm not
interested, or supportive.  It means I'm uninformed, and I thought for a
minute there, with this thread, that I might become a bit more informed.

This is a public list.  Christopher Cain and other presidents of the AMA
would be laughing their heads off if they were aware of the bitching and
internal back biting that goes on between us all.  As I've said before, with
us behaving like this, they have nothing to worry about.

Tania
x 

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RE: [ozmidwifery] 25th Homebirth Australia Conference

[Tania Smallwood]

Great Jo, look forward to hearing more about the conference…

 

Tania

x

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of jo
Sent: Tuesday, 6 February 2007 9:23 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] 25th Homebirth Australia Conference

 

HI all,

 

I am pleased to let you know that we now have a confirmed date and keynote
speaker for the 25th Homebirth Australia Conference.

 

The conference will be held in Adelaide on Sat and Sun, Nov 3rd and 4th
2007.

 

I have just had a definite confirmation from Sheila Kitzinger who will be
our keynote speaker over the weekend.

 

The theme for the conference is

 

“25 years on, HOMEBIRTH, paving the way for maternity reform”

 

It is most likely that this will be the last opportunity to hear Sheila
speak in Australia, so if you are keen, pop it in your diary now and over
the next month we will have more information regarding venues and
registrations.

 

Warm regards

 

Jo Hunter

 

Jo Hunter

National Convenor Homebirth Aus

Coordinator Homebirth Access Sydney

Innate Birth doula and CBE

(02) 47 51 9840

 


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RE: [ozmidwifery] Marvellous mothers milk

[Tania Smallwood]

You go girl!  

 

Tania

x

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Megan & Larry
Sent: Sunday, 4 February 2007 10:45 AM
To: ozmidwifery
Subject: [ozmidwifery] Marvellous mothers milk

 

Thought you might enjoy a story on my breastmilk curing my sons eye
infection. 

My 7 year old has an infection in a gland under his eyelid and after an
initial miss-diagnosis of conjunctivitis by a GP, I discovered a sore on his
inner eyelid. (mothers make better GP's sometimes)

Another appt at GP's and was offered a 6 day course of antibiotics or bathe
the eye every half hour with salt water and wait and see. 

I had already told GP I had started using breastmilk in his eye, to which
was the expected blank look and no further mention.

So off I go with script incase and home to bathe away with my milk. 

After doing this all day yesterday, my son's eye is drastically better and
with further care today, all will be healed. No antibiotics and a win for
breastmilk.

I plan on writing this GP a letter telling him that I used breastmilk
instead of salt water or antibiotics and perhaps in future he may consider
it a worthy treatment.

To support my "non-scientific" therapy is there any articles spelling out
how this can work which I could include in my letter? 

(Of course mothers have used their milk for treating eyes and whatever else
forever) 

Thanks in advance 

Megan 


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RE: [ozmidwifery] Breech Ob in S.A.

[Tania Smallwood]

Can we have the names of these practitioners then?  As a member of the three
consumer groups, I get weekly phone calls from women wanting these kinds of
births, and they have no way of finding out who might or might not support
them…only yesterday I talked to someone who has a friend who has twins,
second one presenting breech, and has been told that the only way to
‘deliver’ them is in theatre by section, and that there is ‘no-one in
Adelaide that would do it any differently’.  I’d love to know who the ob’s
are that are at least open to discussing this with women, and that’s how I’d
frame it, if asked, that these people would be worth making an appointment
with and at least talking to about it…

 

Tania

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of bigpond
Sent: Tuesday, 30 January 2007 9:34 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Breech Ob in S.A. 

 

I work in the private system where we have just recently had a vaginal
breech delivery. She was a known breech presentation ( 2nd baby ) and wanted
a vaginal delivery. Her doctor fully supported her in this decision. She
went into natural labour / no pain relief got up on to the bed a the last
minute and everything was very hands off. We have also had three sets of
twins born in the last month who were vaginal delivery ( 2 primips / 1 multi
) all with the second twin breech. These women all knew that it was
'possible' to have the birth they wanted even though they were in the
private system. This was with three different doctors who are all 'skilled'
in breech delivery.

cheers

zoe

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett
Sent: Tuesday, 30 January 2007 4:58 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Breech Ob in S.A. 

I think your friend would probably be safer with an elective c/s than
attempting a breech birth in the private system. it is unlikely to be
physiological but will be medically managed which is just not safe.

 

If she is seriously considering a breech birth it's important that the
practitioner is confident in breech birth and physiological labour.  In both
the public and private system the care is undertaken by midwives and the
breech extracted by an Ob, this is not something I would recommend.

Lisa Barrett

- Original Message - 

From: HYPERLINK "mailto:[EMAIL PROTECTED]"Kelly Zantey 

To: HYPERLINK
"mailto:ozmidwifery@acegraphics.com.au"ozmidwifery@acegraphics.com.au 

Sent: Tuesday, January 30, 2007 12:00 PM

Subject: [ozmidwifery] Breech Ob in S.A. 

 

Sorry if this is a double post, didn’t see it come through:

 

“Are there any Obs in Adelaide who are waterbirth and breech birth friendly?

My friend is hoping to get into the Midwifery Group Practice at the Womens
and Children's in Adelaide. Places are limited though and rather than the
public system being the second option she would prefer private care with an
Ob.

Ultimately her birthing preference would be to have a waterbirth... are
there any Obs that are open to accommodating this request? At the same
time... are their any Obs in Adelaide that will deliver a breech baby
vaginally (says something positive for their philosophy on birth)?

Any recommendation/help with this would be greatly appreciated!!”

 

Best Regards,

 

Kelly Zantey

Creator, HYPERLINK "http://www.bellybelly.com.au"BellyBelly.com.au

Conception, Pregnancy, Birth and Baby

HYPERLINK "http://www.abpnsconference2007.com.au/"Australian Birth & Post
Natal Services Conference 2007

 


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RE: [ozmidwifery] Breech Ob in S.A.

[Tania Smallwood]

I’m not recommending anyone per say, because as we all know, the difference
between the philosophies of midwives and private ob’s are often
great…however, it is worth looking at Chris Wilkinson and Brian Peat at the
Women’s and Childrens, and I know Basil Antonas does vaginal breeches for a
second baby…not sure of any others that would put themselves out there with
that kind of stuff, there are a couple of  Ob’s at Burnside who recommend
women to hire birthing pools (there are no baths there in their labour ward)
– Karen Chandler and Tracey Bradbury, but I’ve never met either of them.
They are both of the opinion that women can ‘wallow’ in labour, but not
birth in water…not sure what the midwives that work there think about that.

 

Not sure if that’s helpful, but a few names are better than none I
suppose…something to go on with and start researching…of course, if she
wants something better than that she should be looking for a practitioner
who regularly attends waterbirths, and is comfortable with her birthing any
which way she pleases – perhaps a private midwife??  Many are very
comfortable with the idea of an uncomplicated breech, waterbirth, standing,
whatever… :-)

 

HTH

 

 

Tania

Xx

 

PS you could always refer her to contact the Birth Matters group (my email
or HYPERLINK "mailto:[EMAIL PROTECTED]"[EMAIL PROTECTED] )
for further information

 

 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kelly Zantey
Sent: Tuesday, 30 January 2007 12:00 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Breech Ob in S.A. 

 

Sorry if this is a double post, didn’t see it come through:

 

“Are there any Obs in Adelaide who are waterbirth and breech birth friendly?

My friend is hoping to get into the Midwifery Group Practice at the Womens
and Children's in Adelaide. Places are limited though and rather than the
public system being the second option she would prefer private care with an
Ob.

Ultimately her birthing preference would be to have a waterbirth... are
there any Obs that are open to accommodating this request? At the same
time... are their any Obs in Adelaide that will deliver a breech baby
vaginally (says something positive for their philosophy on birth)?

Any recommendation/help with this would be greatly appreciated!!”

 

Best Regards,

 

Kelly Zantey

Creator, HYPERLINK "http://www.bellybelly.com.au"BellyBelly.com.au

Conception, Pregnancy, Birth and Baby

HYPERLINK "http://www.abpnsconference2007.com.au/"Australian Birth & Post
Natal Services Conference 2007

 


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RE: [ozmidwifery] short doula/labour support courses...

[Tania Smallwood]

Thanks for that Sharon, this woman will have the services of a professional
independent midwife at her side, as well as obstetric input, and her friend,
and to be honest, I don’t actually think she needs a student.  While I too
advocate students for many women, in this instance, I think it may
complicate things for her.  She will have plenty of love and support, but
unfortunately, as she won’t be arriving here in Adelaide until shortly
before the birth, so she won’t have the opportunity to build a relationship
with a student, thanks for the suggestion though :-)

 

Tania

 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of sharon
Sent: Saturday, 20 January 2007 10:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] short doula/labour support courses...

 

Tanya has your friend thought of having a midwifery student follow her as
well. As midwives we should be advocating student midwives for all birthing
women. When I work in antenatal clinic that is one service that I offer all
women at first visit some take the offer others don’t. cheers  sharon 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Ken Ward
Sent: Saturday, 20 January 2007 10:08 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] short doula/labour support courses...

 

If her friend is birthing at a hospital I would suggest she attends classes
with her friend.  Personally I don't think formal classes are necessary,
just tune into inner self and feel comfortable with whatever is happening.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Tania Smallwood
Sent: Saturday, 20 January 2007 9:26 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] short doula/labour support courses...

 

I have a friend who is not a midwife, and she has been asked to be the
labour support person at a close friend’s birth.  She has birthed three
times herself, twice at home, and is a lovely gentle, practical woman, who
I’m sure will be perfect for the job.  She feels that she’d like to have
some kind of ‘formal’ training, even if it’s just a workshop, and I’m
wondering if there is anything like that available here in Australia.  She’d
be fine with something online or via correspondence, but doesn’t really need
to do the full doula course.  I’ve suggested she attends some of the fine
active birth workshops here in Adelaide that are run by the local yoga
centres, and that appealed too.  Any other ideas?

 

Thanks

 

Tania

 

 

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[ozmidwifery] short doula/labour support courses...

[Tania Smallwood]

 

I have a friend who is not a midwife, and she has been asked to be the
labour support person at a close friend’s birth.  She has birthed three
times herself, twice at home, and is a lovely gentle, practical woman, who
I’m sure will be perfect for the job.  She feels that she’d like to have
some kind of ‘formal’ training, even if it’s just a workshop, and I’m
wondering if there is anything like that available here in Australia.  She’d
be fine with something online or via correspondence, but doesn’t really need
to do the full doula course.  I’ve suggested she attends some of the fine
active birth workshops here in Adelaide that are run by the local yoga
centres, and that appealed too.  Any other ideas?

 

Thanks

 

Tania

 


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RE: [ozmidwifery] Birthskills workshops?

[Tania Smallwood]

Thanks for that Diane, I’ve just been reading on her website and got the
gist of the programme, have met GDR myself, bit of an odd bod, but like his
thought processes on pain and fear…

 

Tania

x

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner
Sent: Monday, 15 January 2007 6:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Birthskills workshops?

 

Hi Tania

 

Calmbirth, HypnoBirthing and Birth Skills are all very similar programs.
Shari was a HypnoBirthing Practitioner who like many of us wanted to create
the Aussie program so calmbirth and Birth Skills were born. All have the
same really good underpinnings of Grantly Dick Read.

 

warm regards

Diane Gardner

 

- Original Message - 

From: HYPERLINK "mailto:[EMAIL PROTECTED]"Tania Smallwood 

To: HYPERLINK
"mailto:ozmidwifery@acegraphics.com.au"ozmidwifery@acegraphics.com.au 

Sent: Monday, January 15, 2007 3:06 PM

Subject: [ozmidwifery] Birthskills workshops?

 

 

Hi everyone,

 

Just wondering if anyone has attended Shari Read’s Birthskills workshops?
I’ve just spoken to two women who went, and both were pretty impressed, but
I’m wondering from a midwives perspective whether they would be beneficial?

 

Any ideas or comments?

 

Tania

x

 

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RE: [ozmidwifery] Birthskills workshops?

[Tania Smallwood]

Thanks for that Natalie, just what I was thinking, but good to hear from
someone who has done the course,

 

Tania

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Natalie
Sent: Monday, 15 January 2007 3:38 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Birthskills workshops?

 


Hi Tania

 

I discovered BirthSkills prior to becoming pregnant with my second son, as I
was looking for that something extra after a traumatic first birth.  I was
very impressed with Shari and her program...my second son was born without
fear, minimal pain and in the bath.

 

As a midwife, a certainly found BirthSkills to be beneficial, and a great
holistic preparation for the labour and birth.

 

 

:) Natalie

 

---Original Message---

 

From: HYPERLINK
"mailto:ozmidwifery@acegraphics.com.au"ozmidwifery@acegraphics.com.au

Date: 01/15/07 13:07:58

To: HYPERLINK
"mailto:ozmidwifery@acegraphics.com.au"ozmidwifery@acegraphics.com.au

Subject: [ozmidwifery] Birthskills workshops?

 

 

Hi everyone,

 

Just wondering if anyone has attended Shari Read’s Birthskills workshops?
I’ve just spoken to two women who went, and both were pretty impressed, but
I’m wondering from a midwives perspective whether they would be beneficial?

 

Any ideas or comments?

 

Tania

x

 



 

 

 

 


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[ozmidwifery] Birthskills workshops?

[Tania Smallwood]

 

Hi everyone,

 

Just wondering if anyone has attended Shari Read’s Birthskills workshops?
I’ve just spoken to two women who went, and both were pretty impressed, but
I’m wondering from a midwives perspective whether they would be beneficial?

 

Any ideas or comments?

 

Tania

x


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RE: [ozmidwifery] Finding a birth pool

[Tania Smallwood]

A metre deep would be far too deep in my opinion, think of being on hands
and knees…Most of the birthing pools I’ve known and loved have been about
60cms deep up to the fill line, and that seems perfect for just about any
position.  The La Bassine Made in Water pools are a pretty good alternative
to a hard sided pool if you want something that’s portable.  Have a look on
the website, HYPERLINK "http://www.madeinwater.com/"www.madeinwater.com and
follow the links to the Australian distributor.  You could also have a look
on Joyous Birth website, I believe they are compiling a list of birth pools
Australia wide available for hire.

 

Hope that helps,

 

Tania

X 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Katy O'Neill
Sent: Monday, 8 January 2007 3:27 PM
To: Ozmidwifery
Subject: [ozmidwifery] Finding a birth pool

 

Dear all,  I know we have covered this, however I have been back over the
past year and can't find any references.  A women approached me about where
to find a suitable birthing pool.  She has been told it should be a mtr deep
and she has only found the kids ones of 750cm.  It will also need to fit in
her kitchen.  We are in rural NSW.  Does anyone have any info I can give to
her.  Katy.


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[ozmidwifery] ABC radio Broken Hill today...

[Tania Smallwood]

 

Hi there,

 

I was contacted last night by the programmer of the morning show on
‘alternative’ stuff, and they are doing a segment this morning about
waterbirth, on which I’ve been asked to speak!  So if there is anyone on the
list that lives in that area, tune in around 10.15am and pray for no stuff
ups or tongue ties!!

 

Tania


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RE: [ozmidwifery] independent midwifery

[Tania Smallwood]

Absolutely agree Jo that it is the women who are perhaps at higher "risk"
that would most benefit from the continuity of care from a known midwife,
the outcomes at the Women's and Children's in Adelaide have clearly shown
that the women who are in high risk groups going through the MGP are having
better outcomes, less intervention and more normal births, than the low risk
women going through the medical model of care.  Definitely food for
thought...goes to show that the research is indeed right.

I feel that it's the right place here to put in my 2c worth too, about IPM's
and homebirth.  Please remember that IPM's, while at times appearing to be
superhuman - and I say that from my experience as a consumer of IPM care,
they are also human.  Building up a rapport with a woman over the space of a
shift is indeed an art, and something I am amazed that my colleagues can do,
day in day out.  Really knowing a woman, having a relationship with her and
her whole family that spans months, and sometimes years, having an emotional
investment in helping her to achieve the best birth possible, is something
that simply can't be compared with working on a shift by shift basis. 

If you have never stood by, and watched a woman be lied to, or coerced with
untruths, or half truths, if you have never been treated appallingly by
those who are your equals, but feel you are beneath them, if you have never
seen the look of defeat in a woman's face as all the positive energy leaves
the room and someone calls her stupid and naïve for trying to have her baby
without intervention, then you have no idea about the pain that is felt, and
the helplessness, and even the feeling of betrayal you feel because you can
no longer protect or hold the space, for that woman.  I have been in these
situations, and I can really understand why some midwives prefer not to
provide care to women choosing to birth in the hospital system.  There is an
element of self preservation about it too, let's not forget that.
Sometimes, it's just too painful to go willingly and knowingly into a
situation that you know is not going to go the way the woman wants.
Transferring in for an obstetric need is of course, something completely
different...  

And that's not to say that the care you provide Sharon, in the hospital in
which you work, is not the best you can do, with the circumstances you have.
What we all know is that it is not the best thing for all women, and
according to the research, it's actually not the best thing for most
women...just because it's all that's on offer doesn't mean we shouldn’t be
looking to improve it, and one midwife one woman care is just the
beginning...

Tania



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RE: [ozmidwifery] Donation of birthing kits

[Tania Smallwood]

Zonta and World Vision both do something of the sort, not sure where they
distribute to, also try any of the overseas charities such as Save the
Children.  What I do know is that the Zonta kits are made in Australia by
volunteers and then sent over, and there is some agreement with the
government whereby they get $1 for each $1 donated to them.  A kit costs
approx 70c to make, so if you had $100 that would buy a lot of birth kits!

 

On a similar note, my mother in law last year for Christmas bought me a
bicycle for a village midwife in Africa, through a charity in the UK.  You
get a lovely card with a photo on it and an explanation of the gift and what
it means to that community – lovely!  What a great idea for your workplace
to come up with…not sure what the charity was, but a quick google search
should come up with something.

 

Tania

xx 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Tuesday, 28 November 2006 8:52 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Donation of birthing kits

 

Hi All.

Can anyone provide me contact details of either an organisation or
individual through which donation of a birthing kit can be made to
Midwives/communities/coutries in need. 

 

This is  a Christmas gift/donation instead of Kris Kringle at a workplace. 

 

Kindest Regards

Wendy Buckland


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RE: [ozmidwifery] JAUNDICE & BREASTFEEDING

[Tania Smallwood]

Wow, what an excellent explanation Jennifairy!  For the very first time in
my career as a midwife, I see the light!! (no pun intended)

 

Tania

x

 

 
 
  

Hi Ramona, my understanding of this is that the bilirubin is produced when
the fetal red blood cells are broken down by the liver (adult red blood
cells start being produced at this stage). So the bilirubin is in the
bloodstream, where it gets bound to albumin, which is a protein in the blood
serum that often binds with and hence transports fatty acids, (like
bilirubin). So this bilirubin that has connected with the albumin (its
called "unconjugated" bilirubin) gets back to the liver, where it combines
with glucuronic acid to become "conjugated" bilirubin. Now its water
soluble, and can be excreted through the kidneys and intestines as wee &
poop. So, it follows that the more the baby intakes, the more it excretes,
which gets rid of the bilirubin. The unconjugated stuff will just keep on
circulating until it goes through the process of conjugation in the liver,
or it can also become conjugated in the small blood vessels of the skin when
exposed to light (which is what the phototherapy is all about).
It still then needs to be excreted through the digestive system. 
hope this helps,
cheers

-- 



Jennifairy Gillett RM 

Midwife in Private Practice 

Women’s Health Teaching Associate 

ITShare volunteer – Santos Project Co-ordinator 
ITShare SA Inc - HYPERLINK "http://itshare.org.au/"http://itshare.org.au/ 
ITShare SA provides computer systems to individuals & groups, created from
donated hardware and opensource software 


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RE: [ozmidwifery] getting synto etc

[Tania Smallwood]

Hi Kristin,

 

This sounds a lot like the Nature’s sunshine product called 5W that’s no
longer available here in Australia.  I’ve used it for the last year for
heavy menstrual bleeding and it works a treat!  Helps with cramps, soothes
the belly, lightens the bleed, no clots…probably too much information, but
I’ve seen great things postnatally with it too, wondering if that’s what you
base your tincture on?

 

Tania

 

 

   _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kristin Beckedahl
Sent: Thursday, 16 November 2006 12:20 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] getting synto etc

 

Pip,

Have you considered a partus-prep herbal tincture formula as well.  Usually
start at 34/40 at low dose and gradually increase over the weeks until
labour.  I give it to all keen mums-to-be. Typically I make it a mix of of
squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc.  The
first bottle (from 34-38 weeks) is slightly different from 2nd bottle
(38-40+).  I put a few extra herbs in the 2nd bottle that are better to use
closer to term.

Combination of actions include uterine tonics, uterine astringents, hormonal
support and working towards efficent cxns with minimal pp loss.

Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk
too...

Cheers,

Kristin (Naturopath/Herbalist)




   _  

New Release XBOX 360 Games staring from $39... HYPERLINK
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RE: [ozmidwifery] homebirth costs

[Tania Smallwood]

Approx $2000-$2500 here in SA I think,
from what I know anyway…

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of diane
Sent: Wednesday, 15 November 2006
4:51 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] homebirth
costs



 



Wow thats a significant difference between NSW and Vic, what
about elsewhere??





 





Cheers,





Di










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RE: [ozmidwifery] getting synto etc

[Tania Smallwood]

This is part of the big problem with the
way in which independent midwives are forced to work here in Australia isn’t
it?  An IPM who chooses not to carry synto or erg would be crucified in the
event of a PPH, but the reality is that there are few ways to legally acquire
it, and even fewer ways to legally administer it.  Sadly we have a long way to
go in this battle, and though it seems like a miniscule thing, I think it’s a
big deal that many midwives simply have no way of getting the drugs they need
to carry, and equally no way to be able to give them when the are needed.  I
don’t know of one single Dr in SA who would write a standing order for synto
knowing that the woman receiving it was choosing to birth at home.  And why
should women have to broach the subject with (mostly) disrespectful and
ignorant GP’s.  Isis, you are lucky!  

 

Just my thoughts…

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Isis Caple
Sent: Tuesday, 14 November 2006
8:58 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] getting
synto etc



 

As a woman planning for a homebirth, I
just went to my GP and got a prescription from her for a dose of syntometrine.
I still have to go to the pharmacy to get it filled- hope they are as easy to
deal with as my GP is J I do know my midwife has a GP who will write scripts for her, yet
my GP is supportive of HB and I was happy to approach her for it.

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of cath nolan
Sent: Tuesday, 14 November 2006
9:13 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] getting
synto etc



 



I have a few births at home coming up and was wondering
about synto and other drugs in my kit. How do others purchase them? Do I have
to have a script from a doctor? The other issue that I do find difficult is the
issue of cost for homebirth.Others I have been involved in have been for
friends and colleagues. Does anyone have a schedule of payment and cost
that they use? I am meeting with a couple on Monday and would love to have a
bit more idea. Any feedback will be greatly appreciated,





 





Thanks Cath










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RE: [ozmidwifery] Delaying synto with active 3rd stage

[Tania Smallwood]

Just going from a very faded memory from
my Mid education, but wasn’t it the Hinchinbrook trial that outlined the
dangers of mixing the two practices?  I know it was seen as a flawed and dated
trial, with dubious parameters of ‘normal’ and of what ‘physiological’ actually
meant, but if someone can find the paper it might lead to other references…

 

Tania

 

 








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RE: [ozmidwifery] hanging baby scales

[Tania Smallwood]

Hi Sonjya,

 

I got mine on ebay, just put in fish
scales and you should find them, have a good look at the max weight though,
some go up to 35kg!  

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Sonja & Barry
Sent: Monday, 30 October 2006 7:00
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] hanging
baby scales



 



Wondering if anyone knows where I would be able to purchase
hanging baby scales.





Thanks 





Sonja










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[ozmidwifery] Homebirth Awareness week...

[Tania Smallwood]

 

Right back at ya Jo!  I’ve just received a call from
the producer of Radio Adelaide’s brekkie show, and I’m getting a
whole 7 minutes on air tomorrow morning to promote HBAW and homebirth in
general!  It’s a community radio station, and I know they don’t
have the listeners that some of the more commercial stations do, but I’m still
getting really nervous!

 

Tania

x








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RE: [ozmidwifery] 60 minutes

[Tania Smallwood]

Janet,

 

Wanted to add my support and thanks for
taking on the formidable 60 minutes ‘journalists’, (and I use that
term loosely.)  You came across as highly articulate and obviously loving
and caring towards your children, without fitting into the mould that they
obviously wanted you to, hence the mountains of vision of the family from
overseas.    It was interesting how they predictably brought up
everything they could think of that would marginalize AP, including vision of a
real life birth!  As I watched it I was thinking…cue the hippy
breastfeeding the school aged child, cue the homebirther, cue the woman with
baby in a sling (how shocking!).  Thankfully this show lost most of it’s
credibility years ago, most people I know who actually watch it think that it’s
laughable that they see themselves as investigative journalists.  More
like an upmarket Today Tonight, making stories up for ratings.  Must have
been a slow news week!

 

 

Tania

x

 








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[ozmidwifery] Column in today's Advertiser

[Tania Smallwood]

 

Hi everyone,

 

I’ve just received a very excited email from one of
our great consumers here in Adelaide to tell me that she has had an article
about homebirth printed in today’s Sunday Mail, entitled “No place
like home for giving birth”.  It’s on page 44.  I can’t
access it electronically but she has it saved and when she sends it I’ll
send it onto the list.  I’ve attached my letter to the Ed, hope there is
a flood of letters that are controversial enough to be printed next week!

 

Tania

X

 

 

 

 

I am writing in support of the fantastic and heartfelt
column written by Louise Mathwin - "No place like home for giving
birth".  I too have experienced the professional care of a midwife - the
expert in normal pregnancy and birth care, for both of my pregnancies, and as a
trained midwife myself, have to say that it's the best money I've ever spent.

 

 Homebirth and exclusive midwifery care is not for every
woman, but research tells us that women of all levels of risk have better
outcomes when they are cared for by a known midwife, in conjunction with, where
appropriate, medical and/or obstetric staff. Our soaring caesarean section
rate, in some hospitals in excess of 50%, is not solely as a result of women
choosing.  The birth support and information groups in Adelaide (such as Birth Matters, CARES, and
the Homebirth Network) are testament to that fact, with every week women
contacting them to debrief about unsatisfactory and distressing birth
experiences.  The caesarean section rate of Independent midwives ranges around
6-10%, and even in low risk hosptial settings, those figures are tripled. What
most people don't realise about choosing continuity of midwifery care and
homebirth, is that all the other options are still on offer, and may be taken
up if needed or wanted.  Staying at home in labour, and eventually for the
birth, is an added option that twice as many women are taking up today than
they were three years ago.  With the Department of Health's Homebirth policy
about to be released, it is hoped that women of low risk will also be able to
choose this option whilst accessing care through a midwifery model, such as
that at the W & Ch and Flinders medical centre.  What a great day for women
it will be when they are truly given choice of maternity care provider and
place of birth, and not dictated to by their health insurance company or by
lack of financial means.

 








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RE: [ozmidwifery] I need to vent!!!

[Tania Smallwood]

Sounds like the same one we were opposite
at last year’s expo here in Adelaide Kelly and yes, they even have a cute
cuddly bear that gives out the freebies to the kiddies…perhaps you need to organize
a breastfest sit in for an hour a day, get all the mum’s you can to gather
around and sit on the floor and feed their babies, letting everyone know what’s
really important when it comes to nutrition!  Put signs up on the back of
toilet doors, give out handouts, you’ll be surprised by how many women will
gather around for something that’s specified to happen at a certain time!

 

Good luck

 

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Kelly @ BellyBelly
Sent: Thursday, 19 October 2006
9:22 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] I need to
vent!!!



 

I’m going to be at the Melbourne Pregnancy, Babies and Children’s
Expo in Melbourne
starting tomorrow, and who else is my stand next to but…. Karicare! I felt so
angry the whole time setting up today - I have a really bad feeling they are
going to be giving out toddler milk samples, ready to drink – on the stand they
have one of those drink dispensing machines with the clear plastic tops with a
mixer inside it, you know like when you go to those ice-cream shops and they
have slushies or juice in them swishing around? GrRRrrRrr! I hope I am wrong
but they always hand out samples anyway. The marketing plastered all over the
massive stand just infuriates me... for mums who nutrition is important to
them! It’s firing me up and I am not even there yet!!! I don’t want to even
look at them tomorrow…

 

Kelly Zantey

 








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[ozmidwifery] risks for birth...

[Tania Smallwood]

 

My kids are watching the ABC pet show tonight…Question
– “so, what’s the greatest risk when your pet is giving
birth?”

 

Straight from the spunky vet’s mouth…”THE THING
THAT PUTS YOUR PET AT THE GREATEST RISK IS THAT PEOPLE TRY AND INTERFERE TOO
MUCH” 

 

Sigh…and we can’t see that fantastic wood for
those dastardly trees…

 

Tania

x








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RE: [ozmidwifery] re: goodbyes

[Tania Smallwood]

Hugs to you Belinda, call me anytime, you know where I am :) and I make a
mean coffee...

Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Monday, 16 October 2006 9:29 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] re: goodbyes

well said Tania, I have been trying to think about all of this and what 
to say but am a bit fragile due to a difficult birth this week...talk 
about the politics and consequences of blood gases int hospital system 
for a baby transferred in!
I would have Lisa's straight talking and advocacy in my corner any 
time...I do think it is a skill that we have to acknowledge some people 
are better at than others...I am not great on the in your face stuff, I 
wish I was, I am not good at confrontation and I really wish i was...
I do what I believe I need to do and refuse to do what I don't think is 
needed but i take the stress with me and I find the fights eat up my 
energy which is definitely flagging
Lisa reminds me that we need to support and embrace and argue and 
challenge - not to be afraid of our individuality or difference, I wish 
I had her energy and ability to speak out regardless of how we would see 
things
I am a glass half full kinda person, I try to be anyway, if unsure 
assume the positive aspect rather than negative so that what is a debate 
does not get seen as personal, I often see people getting upset and am 
surprised because I didn't read it that way
maybe we are so used to being out on a limb alone and always defending 
ourselves we struggle to see that difference in debate or practice or 
context is not a personal attack?
Belinda



Tania Smallwood wrote:
>
> I’d like to add to the current conversation about cord blood gases…
>
>  
>
> I’ve been lurking just lately, as many of you know, I’ve had to make a 
> difficult decision to stop practicing independently due to family 
> commitments…and so, when the bloke I’m married to is actually here, I 
> don’t spend as much time as I used to reading and contributing to 
> Ozmid.  Just yesterday I had a few moments to catch up, and when I 
> read the thread on blood gases, I was sure that I’d missed some mails 
> (perhaps I have, there seems to be a few problems with mails doubling 
> up, or getting temporarily lost in cyberspace!).  Halfway through the 
> mails, it seemed to go from a lively and informative debate, 
> (something that’s been missing from this list for a while IMHO) to a 
> slinging match, with people getting upset that others are honest and 
> up front about their views. 
>
>  
>
> Can I just say that I know Lisa B, and if there is a midwife who has 
> walked in the shoes of every midwife torn between hospital policy, 
> threat of losing her job, and what’s best for the women, it’s Lisa.  
> She’s worked in a position of authority for over 2 years at one of 
> Adelaide’s esteemed private hospitals, and I’m sure the conversations 
> we’ve had about what she had to fight for there are only a small 
> portion of what actually goes on.  She’s well aware as we all are, of 
> what a battle it can be in the system, and along with me, and all the 
> IPM’s I know, has utter respect and admiration for those attempting to 
> change things one birth at a time.  I also see Lisa as a straight 
> talker, and sometimes even I find it confronting to hear what she has 
> to say, and I know her better than most on this list!  But that 
> doesn’t mean that I pack my bags and go away, I may not agree, or I 
> might think hey, that’s a bit blunt, but I also think that she’s made 
> me think about things that I’d otherwise just go along merrily with, 
> and not look at in a truly critical light.  I actually think that 
> along with */everyone/* on this list, she has oodles of knowledge and 
> skill, and heaps to contribute. 
>
>  
>
> I know I will never be a strong enough midwife to do what most of you 
> do, go in every day and beat my head against that wall and hope to 
> Goddess that a woman gets away with a good birth.  But please, don’t 
> stop contributing because it’s hard.  Being a midwife is a hard road, 
> no matter where you decide to direct your skill and passion.  We’re a 
> downtrodden minority group, with ideals about women that are not 
> shared by most of the people in power.  Refusing to keep the dialogue 
> going is never going to be productive, all it will do is stagnate us 
> where we are, and I think we all want midwifery and provision of 
> evidence based maternity services to improve and become stronger in 
> this country.
>
>  
>
> That’s all from me for now,
>
>  
>
> Tania
>
> x
>
>
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[ozmidwifery] re: goodbyes

[Tania Smallwood]

I’d like to add to the current conversation about cord
blood gases…

 

I’ve been lurking just lately, as many of you know, I’ve
had to make a difficult decision to stop practicing independently due to family
commitments…and so, when the bloke I’m married to is actually here,
I don’t spend as much time as I used to reading and contributing to
Ozmid.  Just yesterday I had a few moments to catch up, and when I read
the thread on blood gases, I was sure that I’d missed some mails (perhaps
I have, there seems to be a few problems with mails doubling up, or getting temporarily
lost in cyberspace!).  Halfway through the mails, it seemed to go from a
lively and informative debate, (something that’s been missing from this
list for a while IMHO) to a slinging match, with people getting upset that
others are honest and up front about their views.  

 

Can I just say that I know Lisa B, and if there is a midwife
who has walked in the shoes of every midwife torn between hospital policy,
threat of losing her job, and what’s best for the women, it’s
Lisa.  She’s worked in a position of authority for over 2 years at
one of Adelaide’s
esteemed private hospitals, and I’m sure the conversations we’ve
had about what she had to fight for there are only a small portion of what actually
goes on.  She’s well aware as we all are, of what a battle it can be
in the system, and along with me, and all the IPM’s I know, has utter
respect and admiration for those attempting to change things one birth at a
time.  I also see Lisa as a straight talker, and sometimes even I find it
confronting to hear what she has to say, and I know her better than most on
this list!  But that doesn’t mean that I pack my bags and go away, I
may not agree, or I might think hey, that’s a bit blunt, but I also think
that she’s made me think about things that I’d otherwise just go
along merrily with, and not look at in a truly critical light.  I actually
think that along with everyone
on this list, she has oodles of knowledge and skill, and heaps to contribute. 


 

I know I will never be a strong enough midwife to do what
most of you do, go in every day and beat my head against that wall and hope to
Goddess that a woman gets away with a good birth.  But please, don’t
stop contributing because it’s hard.  Being a midwife is a hard
road, no matter where you decide to direct your skill and passion.  We’re
a downtrodden minority group, with ideals about women that are not shared by
most of the people in power.  Refusing to keep the dialogue going is never
going to be productive, all it will do is stagnate us where we are, and I think
we all want midwifery and provision of evidence based maternity services to
improve and become stronger in this country.

 

That’s all from me for now, 

 

Tania

x








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RE: [ozmidwifery] Fluids in labour

[Tania Smallwood]

Agree completely Christine, that's what I remember from this birth, and all
others I've been at, have never felt concerned that a woman is overdrinking,
although sometimes worried that they are not drinking enough :)

Tnaia
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Christine
Holliday
Sent: Tuesday, 10 October 2006 4:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Fluids in labour

No I don't think we should limit the amount they drink but I don't think we
should encourage excessive fluid intake, perhaps just to make sure they are
not thirsty is a good idea.
Christine


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Tania Smallwood
Sent: 10 October 2006 16:22
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Fluids in labour

I transferred a woman in from home and I think that's the woman you're
talking about Suzi, (small world) and yes, we didn't think anything was out
of the ordinary with her fluid intake, but her baby was very flat with a low
sodium level...I think they decided it was some kind of strange and self
limiting endocrine disorder, but I couldn't be 100% sure of what it was...

I think we need to keep in mind what athletes would be drinking to replace
fluids during a 24 hour period, and remember that while women are labouring
and also resting, they are sometimes sweating and labouring in water, and so
we should surely be encouraging them to drink to quell their thirst.  Surely
we shouldn't be trying to limit the amount women drink, given that most
women find it hard to tolerate anything much in established labour...I don't
recall this woman drinking to excess, and I've certainly been at much longer
labours where a flat baby hasn't been the outcome.

Tania
x


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RE: [ozmidwifery] Fluids in labour

[Tania Smallwood]

I transferred a woman in from home and I think that's the woman you're
talking about Suzi, (small world) and yes, we didn't think anything was out
of the ordinary with her fluid intake, but her baby was very flat with a low
sodium level...I think they decided it was some kind of strange and self
limiting endocrine disorder, but I couldn't be 100% sure of what it was...

I think we need to keep in mind what athletes would be drinking to replace
fluids during a 24 hour period, and remember that while women are labouring
and also resting, they are sometimes sweating and labouring in water, and so
we should surely be encouraging them to drink to quell their thirst.  Surely
we shouldn't be trying to limit the amount women drink, given that most
women find it hard to tolerate anything much in established labour...I don't
recall this woman drinking to excess, and I've certainly been at much longer
labours where a flat baby hasn't been the outcome.

Tania
x


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RE: [ozmidwifery] Backward step

[Tania Smallwood]

Hi Chrisine,

 

I’m with you on this one completely, but I
wonder if some of the confusion and difficulty in defining things is because
there is also a Post-grad Bachelor of Midwifery here in Adelaide?  Essentially you are either an undergrad
doing the three year full time BMid, or a post-grad, already an RN as you and I
were, doing the one year full time BMid.  I think if we can get the powers to
be to realize that Nursing is Nursing, and Midwifery is Midwifery, and demand
that to become a Midwife, you become educated as a Midwife, all in the same way,
then perhaps this blurry line in the middle will become a little less so and
people will stop comparing the two…just my thoughts 

 

Tania (someone who WAS a Nurse, IS a
Midwife, and who believes it would have been a more comprehensive and
appropriate course if I’d been able to do the 3 yr BMid)

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Christine Holliday
Sent: Thursday, 5 October 2006
8:09 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
Backward step



 

I understand why people refer to the Bachelor of
Midwifery as a direct entry course but I wish we could learn to stop doing
this.  If we continue it still means we are measuring midwifery against nursing
or still referring to nursing, we never see Registered Nurses referred to as
direct entry nurses.  If you are having difficulty explaining direct entry
midwifery to managers etc if you refer to RN’s as direct entry nurses they do
seem to get a better grasp on this.

 

I don’t intend this to sound critical just to try and
cause change.

Christine

 

 

-Original
Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Mike & Lindsay Kennedy
Sent: 05 October 2006 07:49
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
Backward step

 

I would like to reply to this one as a
just about to finish Mid student with 6 years as an RN. There are two ways to
become a midwife in Au, a one year (18 months) upgrade or a 3 year direct entry
course. The upgrade course for RN's relies on the fact that you have some
nursing experience WHY? From where I am now, I absolutely agree that an RN
cannot do the full job of a
midwife without formalised midwifery training. Before I began my course, I too
thought that midwifery was really just another nursing specialisation like an
ICU nurse or a Psyc Nurse. 

 There are a lot of skills and
practices that are common to both professions especially as most of us work in
a hospital setting. Midwifery requires advanced people skills, time management
skills and assessment skills as well as learning to work within the hospital
system and learning to work with other health care professionals in an often
autonomous role. Even after 3 years of training RN's need a new grad year to
develop the basics of these skills and probably a further 2 or 3 years to
become proficient. Obviously maturity, background and life experience all play
a part in this transition.

 I have met a couple of new grad RN's
who have gone straight into 1 year mid training and they appear to find it
difficult as the upgrade program appears to expect a level of
knowledge/experience not yet developed in a new grad RN. Not to say that
experienced RN's find it a breeze, its not. It's hard work and can be bloody
stressful ;) Obviously this is a generalisation and once again the maturity,
background and life experience of the individual will apply. 

 In NZ RN's were able to upgrade in a
similar way. However those RN's felt that they were not receiving as adequate
training as the direct entry Midwives. So now RN's complete the same course as
the direct entry mids with a credit for a portion of the course based on their
qualification/experiance.

 So that is why I feel as an RN
almost midwife that RN's should have at least one year post grad experience
prior to training. The better way would be to do the 3 year direct entry course
if you want to be a midwife and not an RN as well.

 Some more thoughts on the original
post.

 It feels like the proposal to train
RN's to work in mid is not based on a concern for the patients or the RN's but
a way of staffing the ward cheaply. They could offcourse pay for these RN's to
do the Mid training which is available, as it is appropriate for mid students
who happen to be RN's to work on the ward under midwife supervision. Assuming
the RN's are willing to complete the appropriate assignment work etc. If they
aren't they are they really the right ppl to be working on maternity in the
first place.

Most RN's would agree that it would be
inappropriate to replace RN's with AIN's and train them to look after patients,
take obs, change dressings, mobilise patents etc. Then have an RN be held
responsible should the AIN make a mistake or fail to recognise a patient who
had deteriorated or needed reviewing. That is the legal s

RE: [ozmidwifery] Any ideas??

[Tania Smallwood]

Know a midwife here in Adelaide who has done this in the past, email
me off list and I’ll pass on her details to you

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of lisa chalmers
Sent: Monday, 2 October 2006 10:11
AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Any
ideas??



 



Thanks Di, She has
now decided this is the best option.





So...how can she go
about finding a midwife that can help her???





Its exactly the sort
of thing I'd love to do, if I was a midwife! 





Would it be ok to
post her email address in case any was interested?





And thanks Sharon, I didnt get
your post the first time, so was good to read and I will pass it on to
her.





Lisaxx







- Original Message - 





From: diane 





To: ozmidwifery@acegraphics.com.au 





Sent:
Monday, October 02, 2006 8:27 AM





Subject:
Re: [ozmidwifery] Any ideas??





 





Why not have some midwives go to Malaysia for a
homebirth for her? She could have her local hospital for backup and not have to
remove herself from her family and friends. It may even be more affordable,
anyone up for a months holiday in Malaysia?





Di







- Original Message - 





From: sharon






To: ozmidwifery@acegraphics.com.au 





Sent:
Sunday, October 01, 2006 3:41 PM





Subject:
RE: [ozmidwifery] Any ideas??





 



I know that the mid group
practice at wch is offering water birth and there are also some independent
prac midwifes who offer water birth in south
  Australia in the home. The woman would have to pay
for all services naturally as she is not Australian and therefore covered by
medicare what if she approached the practiconer independently and asked them.
Cheers sharon

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
Sent: Sunday, 1 October 2006 2:06
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Any
ideas??



 

I have cared for a number of
“overseas visitors” who have come to Perth to have their baby at home in the
water.  As she will have to pay for all her hospital care, she would have
to also foot the bill for the hospital service.  We do not have any
hospitals that offer waterbirth.  If it is possible, a hospital that
offers waterbirth would cut out the double payment she would have to make if
she needs transfer for additional obstetric care. If she is married to a
Malaysian man, this is less likely than if married to a Caucasian. Cheers, M

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of lisa chalmers
Sent: Sunday, 1 October 2006 9:02
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Any ideas??



 



Hello to all , 





I received this
email this morning and have no idea if what this woman wants is at all
possible??





Has anyone got any
experience of anything similar. i thinkits grest that she is actively persuing
a birth experience that she wants and would love to give her some info.





 





Many Thanks 





Lisa  xxx





 





Hello there.
I would like to find out,is there such waterbirth laws in New Zealand also or only in SA? Is
there any midwives services in New
  Zealand also? I'm actually a Malaysian,but i
really want to have my child in Australia
or New Zealand and not in Malaysia because my husband and i are very
interested and really want to have an aqua baby due to all the benefits that
waterbirth has and this service is not available here in Malaysia. I would really like to
know how can i deliver our baby over there and how is the government's policy
to go there and have a baby? Is it possible because we really want a waterbirth.

Please do reply soon. Thank you very much for your cooperation.

Regards,
Jashpreet Kaur 





 





 





 











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RE: [ozmidwifery] FYI news article

[Tania Smallwood]

I think we are thinking the same things
Lisa…just saying them differently!  Absolutely agree, I think we all
have to keep in mind that even in a perfect world, where women all know and
acknowledge what is truly best and safest, there will still be those that are
not ready to hear it.  That’s frustrating, but that’s
life.  I think part of our challenge is to try and see when people are
receptive to the information, and then get it across in a way that makes them see
the sense in it, and want to know more.  If women are closed to receiving
it from us, or anyone else, then I think we need to respect that, and keep
working at getting the information out there for those who are interested in
searching.  This doesn’t always mean ‘preaching to the converted’;
sometimes it just means having a presence and arousing some curiosity in
someone who is open to thinking about it in a different way to the ‘norm’. 
I suppose, we need to keep it in perspective too, without losing the passion
and drive, but realizing as Megan said, that if it’s only one woman
affected positively, it’s a win. 

Keep the faith Lisa, we need you out there

Tania

x

 









From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Lisa Barrett
Sent: Friday, 22 September 2006
9:35 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] FYI
news article



 



 







- Original
Message - 





From: Tania Smallwood 





To: ozmidwifery@acegraphics.com.au 





Sent: Friday,
September 22, 2006 5:19 PM





Subject: RE:
[ozmidwifery] FYI news article





 



I have worked as a Registered Nurse, in
Psychiatry, and also as a Midwife, and I have never gotten used to the amount
of internal bickering and horizontal violence that is perpetrated by women,
towards other women.  I can tell you from my experiences in these fields
that Doctors do not sit around, discussing each others practice, bitching and
moaning about whether they agree with someone’s philosophies.  They might
be unprofessional bastards some of the time, but they are united in their
common goals, and in their public persona.  As we fight internally about
the best way to get women to see the light, they are there shining it brightly
and the women are drawn to it clearly!  I don’t think for a minute
we should, as midwives and birth activists, see ourselves as having to sell out
and become an entity that has no integrity or spirit in order to get the
message across.  But I do think that we all need to take a leaf out of
some other professions books, and show a bit of respect to those that have gone
before us, and encouragement for those that will pave the way ahead. 
Eating our young is no way to carry on the cause; it just further perpetuates
the fragmentation that already exists.  Let’s welcome Kelly, Janet,
and everyone else who has the energy to do things a bit differently, and also
keep our feet firmly planted on the ground, so we can continue to carry on
getting the word out there in any way we can.

 

Nicely said Tania, but you've got to admit
there are just some days when you don't want to justify what you know is well
researched and evidence based just to get the word out to people who are not
interested. 

Lack of respect for everyone I don't think
is in it.  I have nothing but admiration for the work done by Kelly, Janet
and everyone "working for the cause" but on a day to day basis it's
wearing.  On a day like today when I'm tired have a headache, quarelled
with the husband due to my birth obsession  I find it hard to see the
middle ground.  Slated by the uninformed is one thing but to be told to
make it all more sellable and main stream just seems too hard. Take up
insurance to make yourself more Profesional and get the women interested in
whats on offer. Sell it like a business, move into the 21st centary.  It
doesn't seem to be about birth.

Maybe it's just a bad day.

Lisa Independent midwife.

 










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RE: [ozmidwifery] FYI news article

[Tania Smallwood]

Hi Kelly, Janet, and everyone,

I’m thrilled to think that we have
yet another strong woman-centred consumer advocate in Kelly, and I also admire her
energy and enthusiasm.  Can we all please keep in mind that there are lots
of women (and men too) who have spent a considerable amount of money, and time,
dedicating their lives to exactly this already…and whether they have
chosen a difficult and tedious path, or an easy and obvious one, they deserve
the respect of all of us…we are all in this for the same reasons! 
We all want the same thing!  This is such a multifaceted problem, it’s
political, it’s historical, it’s personal for so many of us, I
appeal to everyone to please, keep the big picture in mind.  We are all in
this together.  We all want women to have the enlightenment to trust
themselves, for midwives to be seen by the population and the Government as the
most appropriate providers of maternity care to the majority of women, and for
them all to have wonderful empowering births.  There are lots of things we
can do to help this happen, and I think there is benefit in having the ongoing
battles being fought and won over time, as well as having speed and energy
pushing things forward.  I for one, think that we need to realize that if
we want longevity in this fight, and given the history both here and overseas,
we’re going to need it, we need to take comfort in the small wins, as
well as keep in focus the larger battles.  Every woman who is touched by a
positive story of birth, every woman who makes a positive change to her own
situation, every woman who has a ‘better birth’ is worth
acknowledging as being a small, but significant step in the right
direction.  

I have worked as a Registered Nurse, in
Psychiatry, and also as a Midwife, and I have never gotten used to the amount
of internal bickering and horizontal violence that is perpetrated by women,
towards other women.  I can tell you from my experiences in these fields
that Doctors do not sit around, discussing each others practice, bitching and
moaning about whether they agree with someone’s philosophies.  They
might be unprofessional bastards some of the time, but they are united in their
common goals, and in their public persona.  As we fight internally about
the best way to get women to see the light, they are there shining it brightly
and the women are drawn to it clearly!  I don’t think for a minute
we should, as midwives and birth activists, see ourselves as having to sell out
and become an entity that has no integrity or spirit in order to get the
message across.  But I do think that we all need to take a leaf out of
some other professions books, and show a bit of respect to those that have gone
before us, and encouragement for those that will pave the way ahead.  Eating
our young is no way to carry on the cause; it just further perpetuates the
fragmentation that already exists.  Let’s welcome Kelly, Janet, and
everyone else who has the energy to do things a bit differently, and also keep
our feet firmly planted on the ground, so we can continue to carry on getting
the word out there in any way we can. 

Tania   

 









From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Stephen & Felicity
Sent: Friday, 22 September 2006
1:09 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] FYI
news article



 



I'm glad you're having such an awakening and
feeling so motivated, Kelly; it's something many of us felt and began to act on
a long time ago - welcome to the club, it's populated by many decades of women
who continue to work hard to heal birth in our culture - which is a long, slow
battle.  We're all pretty aware of the situation and we're all working to
the best of our own capacitys to improve it (some of us at no profit, by
finance or publicity or otherwise, to ourselves).  Some of your suggestions
have been really worthwhile and quite exciting, but I have to admit that
I'm losing my enthusiasm for them amid the sea of self promotional rhetoric
that accompanies them - OzMid is not a promotional tool for BellyBelly and some
posts on this list related to it have felt like advertising Spam in my
InBox.  I have to say I find your assumptions about Janet Fraser in
particular to be offensive.  Do you actually know the totality
of what Janet does in her professional and personal capacity, or the
widespread and rapidly growing effect Joyous Birth is having Australia wide,
both in the mainstream and otherwise? It's nothing like one woman espousing her
own views to the converted, and how utterly rude to dismiss the lifework of one
of your sisters as being such.  Every contribution counts and whilst I
think I understand the point you're trying to make about reaching the
mainstream, it's dangerous to begin tempering our message to better enable us
to begin "marketing" it to the majority gratuitously - women and
babies are not a market and our integrity is not for sale.  I fear the
overstepping of that invisible lin

RE: [ozmidwifery] FYI news article

[Tania Smallwood]

Hi Louise and others, 

No eating alive to be done from here J  but I did want to
comment on this one…the thing I think I find most offensive about all of this
is that it just carries on the charade that the women are paying for, and
therefore getting the ‘best’ care.  Women have been conned
into thinking that if they pay the highest fees for the PHI, and then pay the
biggest gap payment for the ‘best’ obstetrician, go to the ‘best’
hospital, they will have the best, and therefore the safest birth.  This
plan just carries that little lie on, by drawing more women into the system,
and into this one hospital in particular, when the cold hard reality is that
less than one in three of them is going to give birth to their babies through
their vagina anyway, and of those one in three, how many are going to be
straightforward?  My sources tell me that the c/s rate for primips is up
around 70%...so how many women are going to be conned into thinking that they
will get this great hotel stay, and then just be glad they were in the hospital
to start with, because they ‘needed’ a caesarean…

Just makes me sad

Tania

 


 
  
  
   

 


 


 

   
  
  
  
 


 








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RE: [ozmidwifery] Nipple care

[Tania Smallwood]

Is this like Raynaud’s?  The
ABA have published some great information about nipple vasospasm in the past,
Barb might be able to put you in the right direction with that…I suffer
with Raynaud’s but never had any problems with my boobs, much more
affected in my hands and feet.  Guess I was lucky!  I’m sure
some of the principals of keeping those bits warm and well perfused could also
be applied to the breast, but with caution (hot packs etc).  I have had
some success with Gingko Biloba, but it’s not proven safe in
pregnancy.  Mainstream treatment includes Beta blockers, but again, you’d
have to be careful on the effect on a developing baby if and when she gets
pregnant.  There might be some benefit in trying acupuncture or homeopathy
before she gets pregnant.  For me, my Raynaud’s was much better when
I had a baby on board, perhaps all that extra blood volume?  

 

Anyway, just some musings from someone who
knows a bit about it in other parts…

 

Tania

xxx

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Katy O'Neill
Sent: Tuesday, 19 September 2006
4:08 PM
To: Ozmidwifery
Subject: [ozmidwifery] Nipple care



 



Dear all,  I would like your help with info to forward
on to my niece who suffers from exemia in particular her nipples,
which crack and bleed.  She is not pregnant or feeding, but with
my midwives eye, I would like to help her clear things up to protect the future
BF potential.  My niece was BF till she was 4 and so I feel confident that
she will be very pro. I know little of what she has already tried so all info
would be great.  Thanks in anticipation.   Katy.










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RE: [ozmidwifery] mec staining

[Tania Smallwood]

I’ve been at two births at home
where it has become clear close to the time of birth that there is thick mec. 
Both babies born with no problems at all, neither had a dicky heartrate at any
time.  The two emerg transfers to hospital I’ve done in 4 ½ years, have
been with a baby with severe and sudden onset of deep decels, neither had any
mec at all.  I think the stats say that up to 40% (correct me if I’m
wrong) of all post term babies have mec stained liquor, that’s not the
case in my experience, both the babies with mec were either a bit early or on
time…and of all the post-dates pregnancies, including my own, it hasn’t
been a feature.  I agree with Sally, that the timing and type of mec is
important to note, and also I think it pays to see it is one of many cues that
may mean something, and to be on the alert for any other signs of distress, or
it may mean nothing sinister at all…just that the baby has a patent anus!

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Sally @ home
Sent: Friday, 15 September 2006
5:24 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] mec
staining



 



The research now states that suctioning of babies with mec
stained liquor actually makes no difference to outcome. Mec stained liquor
really is quite common...the most important aspect I think is whether it is
fresh/thick/particulate. Or old/thin. This can happen with/without fetal
distress.





 





Sally







- Original Message - 





From: Kristin
Beckedahl 





To: ozmidwifery@acegraphics.com.au 





Sent: Friday, September
15, 2006 4:21 PM





Subject: [ozmidwifery] mec
staining





 





Hi
all,

Are
all cases of mec liquor staining considered serious or treated as an
emergency?  Can you have staining and fetal heart rate be OK?

Thanks,

Kristin



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RE: [ozmidwifery] re birth story

[Tania Smallwood]

Just chiming in, we have three very active
consumer based birth support/education groups here in Adelaide, CARES, the
caesarean support group, Birth Matters SA, a more generic info group where
women gather and talk about where to get good information, and how to get a
good/better birth, and the Homebirth Network of SA, which has been clocking
over 40 women a month at our regular coffee mornings!  Not bad for a group that
only 3 years ago had two or three women turning up… there are small but
significant communities out there, and yes, there does need to be more of a
commercial feel about some of it. Unfortunately we live in a time where many
people think that the more you pay for something, the more it is worth.  Hence
a few of our information nights such as a waterbirth info night, attracted a
lot more interest when we advertised it as $15 per couple, than when we held
Birth Choices nights for free…that’s just how it is, and if you can
charge for something, and then plough the profits back into more advertising in
the mainstream, or into your library or newsletters etc, then that’s
great.  Also agree with Barb, the ABA
was a lifesaver for me with a new baby and in a remote place as a new mum…

 

Tania

 

 

 








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RE: [ozmidwifery] Fw: Notes from meeting with Contracting Advantage

[Tania Smallwood]

I didn't get anything from you either Jennifairy :(


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RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed

[Tania Smallwood]

Title: Message








Thanks for that Andrea, just on that
point, I think we all need to be mindful that there are probably many midwives
who are not online AT ALL.  I know of a few here in SA, who rely on other means
of keeping updated with things, and one of them had no idea about any of this
until I mentioned it to her.  I’m not sure what the answer is, the only
body we are all a member of or have contact with in common is the Nurses Board
(what an irony that is).  I suppose when the offer is on the table all midwives
may have to be contacted via the Nurses Board, and given the opportunity to
vote as was the case a few years ago…

 

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Andrea Bilcliff
Sent: Wednesday, 6 September 2006
1:48 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Fw: PI
Insurance - urgent - more interested midwives needed



 



My understanding of the offer is quite basic and
some will know much more than me and are better able to articulate it, but
I'll give it a shot...





 





Anne O'Connor was very helpful and willing to answer all our
questions at the meeting yesterday. What she couldn't, she was going to take
back with her to find out for us. I'm sure if you contacted her she would be
willing to answer any questions.





 





CA provide this service for all kinds of self-employed
workers. The management fee covers as much or as little book-keeping as we
desire. If we want them to take out super payments, child support payments,
whatever, they will. If we don't, they wont. If we want them to do BAS
statements etc, this is also included in the fee. If we want to continue
doing our own book-keeping, this is fine also. Salary packaging was
also mentioned for the hospital employed midwives - they will do this too.





 





They are aware that different midwives will charge different
amounts for their services (as do other self-employed professionals). Some are
paid in cash, some up-front, some in instalments, some after the birth. They
have no interest in dictating what our charges or practice should be.
Their concern is that we are registered as midwives. They are aware of the
ACMI guidelines being just that...guidelines.





 





The non-negotiable aspects, as I understand it, are:





-the depositing of funds into their account when an invoice
is paid (we get the final payment into our account the following day)





-the management fee of 5%





-the PII & Public Liability fee of approx. 1%





-the 20% flat tax rate (this is a minimum Govt
requirement - you may pay more if you wish, or claim it back at the end of
year if too much is paid) 





 





It is extremely hard to keep everyone informed as not
all midwives are members of the various email discussion groups, ACMI,
ASIM or even their local groups such as MIPP & SAIMA. I know
there are independently practising midwives here in Vic who are not MIPP
members. They have that choice but how do we get the message out to them?





 





For now, it would be of benefit if all midwives
interested in keeping up-to-date with the insurance offers joined the
midwives insurance list 





http://au.groups.yahoo.com/group/Midwives_Insurance/





 





Hope this helps : )





Andrea Bilcliff





 










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RE: [ozmidwifery] Fw: Notes from meeting with Contracting Advantage

[Tania Smallwood]

Thanks for that Andrea, we do feel a bit
in the dark over here, and many of us are members of the college, (the ACMI had
a study day a week ago and almost every IPM in Adelaide was there).  I think it just feels a
bit like these discussions are going on, and we’re not quite sure of what
it all means.  Glad to hear the Anne O’Connor will be coming to the other
states to discuss it with us.

 

Tania

 

 

 










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RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed

[Tania Smallwood]

Andrea said…“I dont think you will get midwives who only
work in hospital to be interested even though I think they should be”  

 

I think this is a key quote that also deserves some discussion…whilst
on one hand we are all fighting for recognition as a profession separate to
nursing, and we want to be seen as a united front to further the campaign for
improving maternity services throughout Australia, on the other hand we are pursuing
an insurance offer that yet again divides us as a profession.  Nicky Leap
said…a midwife is a midwife is a midwife…???  I feel like this
quest for insurance that is specific to IPM’s could be seen by midwives,
the AMA, politicians, and most importantly women, as a divisive move, and I don’t
think ultimately it can benefit us in our quest to improve the public persona
of the midwife.  

 

I really want to have access to insurance, not be forced into having
it.  I want to be able to purchase insurance that will cover me for any
activities I take in the name of midwifery, in or out of the hospital setting,
where I am being paid a wage, or where I am donating my time.  In my
wildest dreams I’d like to think that every midwife working anywhere as a
midwife would consider it a string to his or her professional bow to be insured
as well as registered.  That’s something that they have done in NZ,
attach the insurance to the membership of the professional body, the NZCOM, and
membership of the body is a necessary step to obtaining registration as a
midwife.  That way, all midwives are members of the professional body, and
all midwives are insured.  I know that’s a simplistic way of looking
at it, but it really worries me that we are getting caught up in something that
perpetuates an us and them attitude that has already gone on for too long…

 

Tania 

 








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RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed

[Tania Smallwood]

Just wanted to weigh in on this discussion…

 

I agree Lisa, there is so much fear and
distrust of birth, and the processes that make it safe, that I don’t
think insurance will make an ounce of difference per se, to the culture
surrounding birth in this country. That’s not to say that it isn’t
a positive step, and that we all shouldn’t be appreciative of the
exhaustive efforts of those such as Barb Vernon, Joy Johnston and all the
others who have worked hard to get this offer to the table.  I also know
that there are many IPM’s out there who whilst agreeing that of course we
should have fair and affordable access to insurance, for one reason or another
would choose not to have it.  Whether that’s wise, or professional
is another debate altogether, and I think that the reasons for wanting or not wanting
to take up the offer of insurance would be equally as diverse as the opinions
on any topic we have discussed on this list.  

 

I keep thinking back to the first
midwifery conference I went to in New Zealand, and whilst I’m aware that
their system is not perfect by any means, it does have a few wonderful
innovations such as no fault liability…but I digress…and I remember
Karen Guilliland speaking passionately about how the impetus for change in the
system over there came from a core group of dedicated and passionate midwives,
in conjunction with the women of
New Zealand, who demanded something better.  How do we get around the fact
that we have a culture and generations of women here who believe that they are getting the best already, and that
anything less than a private Ob in a private hospital is substandard, and more
importantly, not as safe?  We have so much work to do to raise the profile
of midwifery care, and to make it something that all women demand, and feel
that they are deserving of.  Starting with the women who are of birthing
age now is too late, I fear.  They are already heavily indoctrinated to
think of birth as intrinsically dangerous, and as something that requires specialist
care, especially if you can afford it.  I don’t know how many of my well
meaning friends looked forlornly at me when we talked about choosing a midwife
and planning a homebirth, and asked sadly why we had let our private health
insurance lapse.  They actually felt sorry for me!  I found it
incredulous to think that not one of my friends, all educated women, some
already mothers themselves, saw any value in having a known midwife attend them
for their labour and birth, let alone for all the wonderful ante and post natal
care.  They just didn’t get why that was important to me.  So
yes, I think we need to start with programmes in schools and preschools, normalizing
birth, using the word midwife, birth, alongside the words joy, power,
satisfaction and safety.   We need to have the idea of having your
own midwife, regardless of where you choose to birth, in every little person’s
mind, as the normal thing to do.  How we do that, I don’t
know.  But I do think it’s worth us being open to looking at an
insurance offer, given that it’s the first one we’ve had any
proximity to in 5 years now, keeping in mind that it won’t be the answer
to everything…

 

Sorry for the rant, but wanted to have
some input while it was still in my fuzzy head (this cold just won’t go
away)

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Lisa Barrett
Sent: Tuesday, 5 September 2006
3:30 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Fw: PI
Insurance - urgent - more interested midwives needed



 



Hi there Jo,





 





For the homebirth movement to move forward here we need to
dispel the fear that women have surrounding birth, no amount of insurance can
do that.





 





I don't think that because they are the only company
offering insurance at the moment that is the main consideration at all. 
Would you buy rotten fruit if it was all that was on offer ( not comparing
rotten fruit with the offer at all you understand).





 





At the uni of SA student's can attend homebirths in fact I
had a birth this week with a student attending.  How is it that they are
able to and others eg in South Aus Flinders Uni can't.  Maybe it has more
to do with politics of birth than insurance.





 





I am doing my best along with other independent's in this
state to raise the profile of birth, insurance is not the only way to do this.





 





I do get fed up when on the odd occasion I have been with a
woman birthing at the hospital at the attitude of some (by no means all) but
catching the baby isn't the be all and end all of my job.  Getting the
woman the birth she desires is way more important and if that means advocating
from the side line I swallow my pride and get on with it.





 





All that said I would love as much as everyone else to have
insurance as a rod to help me.  But it has to be right and open discussion
is really important

RE: [ozmidwifery] The Purple Line

[Tania Smallwood]

Hi Mary,

 

The reference from the article by Lesley
Hobbs is the article that was initially published in the Lancet…here is the
complete reference from the Hobbs
article…

 

Byrne DL, Edmonds DK.  Clinical method for evaluating
progress in the first stage of labour.  Lancet 
1997; 335(8681): 122

 

I haven’t actually seen the original
study, just came across the Hobbs
article when I was doing my Mid training in 1998.  She was published in the
Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35.

 

I have often thought how great it would be
to have some more compelling evidence, in this age of having to justify
everything with the research, but the idea of conducting a study, and comparing
length of purple line to cervical dilatation on women throughout labour seems
just unthinkable.  So I think it will have to be one of those things that we
see, and perhaps report on in a retrospective manner.  Perhaps a national purple
line database…just thoughts!  I think Heather Hancock
from Uni SA was considering doing some research using photos and then looking
at the time of the photo showing the elongated purple line, with the time of
birth, and using that comparison to propose that it could be used as a
complementary tool when assessing a woman’s progress in labour.  Haven’t heard
anything else about it though…

 

Tania

xx

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
Sent: Monday, 4 September 2006
7:57 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The
Purple Line



 

Tania, could I please have a few more details? E.g. author
and complete title of article? I am also puzzled by the (8681). I can’t seem to
access it with the details you provided.  Thanks, MM

 

Tania wrote:

For anyone who's interested, the original piece of research was
pubished in

the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat

 








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RE: [ozmidwifery] The Purple Line

[Tania Smallwood]

LOL you make me laugh...never mind the email...as long as you keep the baby
forever...!

I hope I didn't sound patronising, it's just that I think we can get stuck
on thinking that this is the way to assess labour, just like some
practitioners are stuck believing that the only way is to do repeated
VE's...I really believe that being mindful that every woman, and every
labour is different is the only way to personalise care, and give women what
they deserve - a care provider that trusts that she can do it, with a goodie
bag (both material and metaphorical) full of things to use along the way if
facilitation or assistance is required.

Just my two bob's worth,

Tania
xxx




-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 1:25 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Purple Line

Good point, Tania.  It's not the only tool.  I'll have to get a pic  
of my butt again next baby to compare the visibility of TPL.

Stunning, eh?  Well, I think I will have to keep this email forever :)

Thanks ;)

Jo

On 01/09/2006, at 11:35 AM, Tania Smallwood wrote:

>
>
> Megan,
>
> There was a paper published in the Practising Midwife in 1998 by  
> Lesley
> Hobbs called Assessing cervical dilatation without VE's, Watching  
> the Purple
> Line, looking at this phenomena and the research study that had put  
> forward
> the hypothesis that the purple line that creeps up the 'bum  
> cleavage' can be
> used as a measure of cervical dilatation... Can I just say that  
> while I
> agree wholeheartedly with what's being said about trusting women, and
> looking for other signs of progress, the purple lines that I've  
> seen (and
> yours is rather stunning if I may say so myself Jo :)) have been  
> much more
> visible and definite with women having their first babies, and not as
> reliably visible with women having second and subsequent babies.   
> So while
> it's a valuable tool to keep in mind, please don't think a woman isn't
> progressing just because there is no purple line, or if it's faint...
>
> Cheers
>
> Tania
>
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Megan &  
> Larry
> Sent: Friday, 1 September 2006 12:50 PM
> To: ozmidwifery@acegraphics.com.au
> Subject: RE: [ozmidwifery] The Purple Line
>
> For us non-midwives, now that I've seen the photo and understand  
> the "purple
> line", what does this mean regarding the birthing woman?
>
> Megan
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
> Sent: Friday, 1 September 2006 12:42 PM
> To: ozmidwifery@acegraphics.com.au
> Subject: [ozmidwifery] The Purple Line
>
> I have had a request to put my butt on photobucket, so I've worked  
> it all
> out, and there it is:
> http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg  
>
> :)
>
> Jo
>
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RE: [ozmidwifery] The Purple Line

[Tania Smallwood]

For anyone who's interested, the original piece of research was pubished in
the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat

Can hardly believe I could put my hands on it that quickly!  I just remember
coming across it when I did my Mid and being fascinated by it all...

Tania


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RE: [ozmidwifery] The Purple Line

[Tania Smallwood]

Megan,

There was a paper published in the Practising Midwife in 1998 by Lesley
Hobbs called Assessing cervical dilatation without VE's, Watching the Purple
Line, looking at this phenomena and the research study that had put forward
the hypothesis that the purple line that creeps up the 'bum cleavage' can be
used as a measure of cervical dilatation... Can I just say that while I
agree wholeheartedly with what's being said about trusting women, and
looking for other signs of progress, the purple lines that I've seen (and
yours is rather stunning if I may say so myself Jo :)) have been much more
visible and definite with women having their first babies, and not as
reliably visible with women having second and subsequent babies.  So while
it's a valuable tool to keep in mind, please don't think a woman isn't
progressing just because there is no purple line, or if it's faint...

Cheers

Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Megan & Larry
Sent: Friday, 1 September 2006 12:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line

For us non-midwives, now that I've seen the photo and understand the "purple
line", what does this mean regarding the birthing woman?

Megan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 12:42 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] The Purple Line

I have had a request to put my butt on photobucket, so I've worked it all
out, and there it is:
http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg

:)

Jo

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RE: [ozmidwifery] c/s and other stats for mid led units

[Tania Smallwood]

Don’t actually have them here at the
moment, but out of 99 women, 0% induction and episiotomy, 6% c/section, I think
around 10% perineal trauma requiring suturing, 65%waterbirths, and that’s all I
can remember off the top of my head!  Needless to say, Wendy and I are very
proud of the living proof that continuity of carer does seem to come up with
the goods.. J

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Helen and Graham
Sent: Sunday, 27 August 2006 6:06
PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] c/s and
other stats for mid led units



 



Hi Tania





 





Would be really interested to know your stats as I
anticipate they will be something to be proud ofI know midwifery led care
is the way to go and look forward to being able to shout this from the rafters with
some good ammunition





 





Helen







- Original Message - 





From: Tania Smallwood






To: ozmidwifery@acegraphics.com.au 





Sent: Sunday, August 27,
2006 5:52 PM





Subject: [ozmidwifery] c/s
and other stats for mid led units





 



 

Hi all,

 

Just doing a bit of my own research, and wondering if there
are any stats yet for the newly formed midwifery led units such as Ryde, St
George etc.  I have access to the ones that have been issued for the
Women’s and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery
programme.  Having just figured out what our personal stats for 5 years in
practice together are, I’d like to be able to compare with these groups if the
info is out there…anyone?

 

Tania

 



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[ozmidwifery] c/s and other stats for mid led units

[Tania Smallwood]

 

Hi all,

 

Just doing a bit of my own research, and wondering if there
are any stats yet for the newly formed midwifery led units such as Ryde, St
George etc.  I have access to the ones that have been issued for the Women’s
and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery
programme.  Having just figured out what our personal stats for 5 years in
practice together are, I’d like to be able to compare with these groups
if the info is out there…anyone?

 

Tania

 








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RE: [ozmidwifery] Insurance for midwives

[Tania Smallwood]

Hi Joanne,

 

Where exactly are we meant to be looking
on the ACMI website for this information?  I’ve searched, and can’t put a
finger on it…

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Joanne and Steve
Fisher
Sent: Friday, 18 August 2006 5:27
PM
To: Ozmidwifery
Subject: [ozmidwifery] Insurance
for midwives



 





Hi all, 

If you are interested in the Insurance situation being proposed by
Barb Vernon (ACMI) – see their
website for further info on this possible proposal, for midwives providing any
antenatal care, classes, birth or postnatal care in an independent
fashion.  You need to pass on your name to her and indicate your
interest.  Saying you are interested does not lock you in to anything and
just means that your name and email will potentially be included in the list
that Barb Vernon is trying to gather. 

There are not enough midwives
Australia
wide who have indicated their interest yet.  There may have been other
emails but they clearly need to state whether they wish to be placed on
the list as registering interest.  

Please consider this as we do need at least 200 midwives to go
ahead.  If you are on the list and do not practice independently for some
time it will not cost anything until you are practicing.

Thanks everyone. 

Cheers, Joanne.












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RE: [ozmidwifery] Use of ultrasound routinely to check for breech position!!!!!

[Tania Smallwood]

This reminds me of the time we accompanied
a woman into hospital in premature labour, with PROM and recently suspected
twin pregnancy (no previous scans), and multiple midwifery and medical palps
later, and three (count them, three) confirming ultrasound scans later, the
woman gave birth to a singleton.  

The tool of ultrasound is susceptible to
the same level of misuse and false interpretation as any medical tool we have, just
look at the research we have regarding EFM and it’s often
misinterpretation, and lack of overall improvement of outcomes.  The tool is
only as good as its operator…obviously we had a dodgy operator, or the
bloomin’ machine was spooked!  

Thought it was worth sharing amongst this
conversation,

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Lisa Barrett
Sent: Friday, 11 August 2006 6:26
PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Use of
ultrasound routinely to check for breech position!



 



I would like to
share my experience of this over the past week.( with the permission of my
client of course)





 





I have a client
who's baby was breech until 33/34 weeks after using natural therapies I felt
that it had turned.  At 37+ weeks  she felt huge movements then
nothing for 2 days.  She went to the local hospital for a check over(It
was a Saturday and she didn't want to bother me so didn't ring until she was
there).  Baby was fine but found to be breech confirmed on scan just
quickly run over her abdomen.  After a huge discussion of all options she
decided she'd still birth at home but would like a cephalic version just to see
if that was possible.  The Tuesday morning (now 38 weeks) I made an
appointment and off we went.  When we were there she was palpated by a
hospital midwife and the obstetrician.  Confirmed breech.  When the
scan was put on her before the procedure the baby was cephalic.





 





When I made the
appointment the obstetrician said to me, oh don't worry anyone could miss a
breech assuming that I had made a mistake.  However What if the scanner
over the weekend who couldn't tell anything but that it was breech was mistaken
(I wasn't there so don't know!!)





Or what if some
babies just move around right up until the end.  Either way there would
have been no point scanning her at 36 weeks.





 





Lisa Barrett,





Midwife





 





 





 










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RE: [ozmidwifery] Married to the Midwife

[Tania Smallwood]

This letter really touched me too...having just 'retired' from independent
midwifery so I can be the mother I need to be for now, and let my husband do
his thing, (going away for work 2 weeks out of every 4, without the extreme
guilt he used to feel for pursuing his career...)  It reminds me of how
lucky I have been to have had the support of my family and friends, and
other colleagues during this wonderful time.

Tania - who is eagerly awaiting what the universe might have in store for
her next...




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RE: [ozmidwifery] students & learning

[Tania Smallwood]

See where you're coming from completely Andrea, I suppose the difference is
that the institution where you can only attend as a support person is not
threatening to suspend you from practice if you make the choice to attend.

I have it first hand from a few BMidders at this particular uni that they
have been spoken to, and have it in writing that this will be the
repercussion if they are found to be attending births with IPM's.  Having
worked so hard to get in, and many of them uprooting families from
interstate, and making other huge sacrifices to have the opportunity to do
the direct entry course, it's a hard call for them to make, and I for one
don't blame them for being scared of the consequences of making this
decision.  

Yes it's all about what's happening in the real world, and the symbolism of
women being bullied into submission is not lost on me, but I can't help but
feel that it's a pretty big ask that these students stand up and sacrifice
their careers on a principal.

Just my thoughts'...

Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi
Sent: Thursday, 1 June 2006 7:27 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] students & learning

If the woman invites the student to be there and the MIPP is happy  
what prevents them from being there. Surely we are letting them know  
what the real world is like and the reality is that MIPP are working  
uninsured and having to cope with what that means in reality.  This  
is no different from when I attend a hospital with a woman and the  
hospital says that they only recognise me as a support person. I  
could let that stop me from going there but I don't. If students want  
to be at hom births they will, they will learn heaps and if they cant  
write it down on paper for the uni then dont but dont let it stop  
them from attending because the experience is to valuable to waste.
Andrea Quanchi

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RE: [ozmidwifery] Midwives in Qld?

[Tania Smallwood]

Thanks for that Janet, can you send me
details about the HMA and JB meets?  

 

Tania

x

 









From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Janet Fraser
Sent: Saturday, 6 May 2006 6:59 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
Midwives in Qld?



 



Tania you won't
get their details online, not even on Joyous Birth because it's not considered
safe to publicise their info. You can find out through the Home Midwifery
Association and their details are on the JB website in our community listings.
Your friend can also get support from HMA and Joyous Birth meets regularly up
there too. Next meeting early June for us so send her along!





J





http://www.joyousbirth.info/







- Original Message - 





From: Tania Smallwood






To: ozmidwifery@acegraphics.com.au 





Sent: Saturday, May 06,
2006 5:45 PM





Subject: [ozmidwifery]
Midwives in Qld?





 



 

I know this has been asked before, but I’ve looked in all
the normal places and can’t find the information I want…

 

 

Who are the IPM’s who will attend homebirths in the Brisbane area?  Have
a friend who is 16 weeks pregnant and looking to birth at home,

 

Thanks

 

Tania

 

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[ozmidwifery] Midwives in Qld?

[Tania Smallwood]

 

I know this has been asked before, but I’ve looked in
all the normal places and can’t find the information I want…

 

 

Who are the IPM’s who will attend homebirths in the Brisbane area?  Have a
friend who is 16 weeks pregnant and looking to birth at home,

 

Thanks

 

Tania








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RE: [ozmidwifery] For Julie Clarke...

[Tania Smallwood]

Thanks to all for your replies, I’ve
forwarded them onto my cousin, and she’s following them up,

 

Cheers

 

Tania

x

 








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[ozmidwifery] For Julie Clarke...

[Tania Smallwood]

 

Hi there,

 

Query for Julie and any others that might have information
about antenatal education in the Dulwich Hill area of Sydney?  Are there any groups, yoga centres,
antenatal courses or classes, or information nights that a rellie of mine could
attend in that area?  She’s due in August, birthing at home with the
midwifery group at the King George (or is it the St George?)

 

Thanks

 

Tania








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RE: [ozmidwifery] massage in pregnancy

[Tania Smallwood]

Hi Janet,

 

There is a midwife here in SA who does
Hawaiian Kahuna massage on pregnant women, don’t know much about it, but
you could email her on [EMAIL PROTECTED]
Her name is Katherine

 

Cheers

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Janet Fraser
Sent: Friday, 14 April 2006 1:56
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] massage in
pregnancy



 



Hi all,





can anyone
recommend a form of massage particularly beneficial in pregnancy? I've been in
contact with a massage student who's been told that she must never on any
account massage a woman in pregnancy as it can cause miscarriage. Personally I
know that's a crock but I'd love to be able to give her better info, perhaps on
traditional and well evidenced forms of massage in pregnancy.





TIA,





J





For home birth
information go to:
Joyous Birth 
Australian home birth network and forums.
http://www.joyousbirth.info/
Or email: [EMAIL PROTECTED]










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RE: [ozmidwifery] de midwife course in wa

[Tania Smallwood]

Completely respect everyone's decision to become educated in whichever way
they feel best for them...but I stand by my conviction that midwifery needs
to stand alone.  Mental health nursing is exactly that, a specialty within
nursing, we are not midwifery nurses, and so I think we need to be specific
about that in our legislation, our education, and our profession.

I'm a 'nurse/midwife' too, but bring on the separate register, as I see
myself as a midwife, and will happily only register as such (I'm actually a
mental health trained nurse too, but will happily not register as such when
I can). 

In the meantime, I'll continue to register with a board that is largely
irrelevant to my work, and belong to a union (the only one that will
represent me) that belongs to a profession I don't work in.  That's how it
is at the moment, but things will change...

Cheers

Tania

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of sharon
Sent: Thursday, 13 April 2006 8:44 PM
To: ozmidwifery@acegraphics.com.au
Subject: (Re: [ozmidwifery] de midwife course in wa

i also have no disrespect for anyone wanting to do midwifery either way. 
However i firmly belive that by doing the one year reg nurse course it 
assists in topping up for want of a better word  the mid qualification not 
to mention that nursing degree goes into more detail some aspects that mid 
does not. although i am doing  the one year degree for nursing i do not 
envisage ever having to use that degree so i look at it the other way in 
that iam hanging my nursing degree on a midwifery degree. not the other way 
around. there are many great de midwives that the university have graduated 
and mid has and is comming into its own as a stand alone profession as it 
should rightly so do however if you want to build upon your knowledge and do

mental health  which in my  opinion is a  assistance toward midwifery you 
cannot do this unless you have the magical rn degree as well. in all as 
midwives we need to be open minded in acceptance of  what other people 
choose to continue their educaton with, i consider myself to be a midwife 
first then a nurse , when i get my degree.

cheers  sharon
----- Original Message - 
From: "Tania Smallwood" <[EMAIL PROTECTED]>
To: 
Sent: Thursday, April 13, 2006 6:58 PM
Subject: RE: [ozmidwifery] de midwife course in wa


> With you all the way on this one Jennifairy...
>
> If midwifery is EVER going to come out of the shadow of nursing, and stand
> up and be counted as a profession in it's own right, we need to stop the 
> one
> year cross over from nursing to midwifery altogether.  No disrespect to 
> all
> my wonderful nurse/midwife friends and colleagues - I am one too!  I just
> see that we need to move away from making midwifery a tack on thing from
> nursing, as it has always been seen (that extra 'certificate' for you to
> hang your hat on...) and welcome nurses, Drs, dentists, florists, vets,
> chiropractors, and anyone else who wants to be a part of this sterling
> profession, with the same open arms.  That way, we can be Midwives, and
> choose to become nurses later if that turns us on too, but do the extra 
> time
> there to, to give that profession the respect it so rightfully deserves, 
> as
> a completely separate profession in it's own right too...
>
> Just my thoughts...
>
> Tania
> RM in private practice
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy
> Sent: Thursday, 13 April 2006 6:03 PM
> To: ozmidwifery@acegraphics.com.au
> Subject: Re: [ozmidwifery] de midwife course in wa
>
> sharon wrote:
>
>> thats right i have done three year mid and now doing one yar nursing
>> over 2 years while working as a reg midwife so i have a double degree.
>> i belive that it should be 4 years and finish with a double degree.
>> regards sharon
>>
> Yeah, personal preference again.
> I did the 3 year BMid in SA, & if Id *had* to do the extra year to add
> nursing I prolly would have looked elsewhere (or written even more
> letters to have it changed). The problem with a 'double degree' is that
> it serves to maintain the fallacy that midwifery is not a distinct
> profession, that nursing has to be in there somewhere. If we are going
> to have double degrees with midwifery involved then I would prefer the
> 'other' degree was political science, or business studies, or something
> that teaches one how to set up sustainable community structures.
> Something that moves midwifery out of the mindset of a sub-species of
> nursing, anyway.
> Just my thorts
> cheers
> -- 
>
> Jennifairy Gillett RM
>
> Midwife in Private Practice
>
> Women's 

RE: [ozmidwifery] de midwife course in wa

[Tania Smallwood]

With you all the way on this one Jennifairy...

If midwifery is EVER going to come out of the shadow of nursing, and stand
up and be counted as a profession in it's own right, we need to stop the one
year cross over from nursing to midwifery altogether.  No disrespect to all
my wonderful nurse/midwife friends and colleagues - I am one too!  I just
see that we need to move away from making midwifery a tack on thing from
nursing, as it has always been seen (that extra 'certificate' for you to
hang your hat on...) and welcome nurses, Drs, dentists, florists, vets,
chiropractors, and anyone else who wants to be a part of this sterling
profession, with the same open arms.  That way, we can be Midwives, and
choose to become nurses later if that turns us on too, but do the extra time
there to, to give that profession the respect it so rightfully deserves, as
a completely separate profession in it's own right too...

Just my thoughts...

Tania
RM in private practice

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy
Sent: Thursday, 13 April 2006 6:03 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] de midwife course in wa

sharon wrote:

> thats right i have done three year mid and now doing one yar nursing 
> over 2 years while working as a reg midwife so i have a double degree. 
> i belive that it should be 4 years and finish with a double degree.
> regards sharon
>
Yeah, personal preference again.
I did the 3 year BMid in SA, & if Id *had* to do the extra year to add
nursing I prolly would have looked elsewhere (or written even more
letters to have it changed). The problem with a 'double degree' is that
it serves to maintain the fallacy that midwifery is not a distinct
profession, that nursing has to be in there somewhere. If we are going
to have double degrees with midwifery involved then I would prefer the
'other' degree was political science, or business studies, or something
that teaches one how to set up sustainable community structures.
Something that moves midwifery out of the mindset of a sub-species of
nursing, anyway.
Just my thorts
cheers
-- 

Jennifairy Gillett RM

Midwife in Private Practice

Women's Health Teaching Associate

ITShare volunteer -- Santos Project Co-ordinator
ITShare SA Inc - http://itshare.org.au/
ITShare SA provides computer systems to individuals & groups, created
from donated hardware and opensource software



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RE: [ozmidwifery] Traditional birth practices

[Tania Smallwood]

You might like to get hold of Belinda Maier, she's on [EMAIL PROTECTED]


Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mike & Lindsay
Kennedy
Sent: Friday, 7 April 2006 12:02 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Traditional birth practices

Anyone have any articles re traditional birth in the Aboriginal
culture for an assignment i'm working on?

rgds mike
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RE: [ozmidwifery] Acupunture and induction

[Tania Smallwood]

*sigh*…how
very disheartening, why are we setting these women up for a fall?  What on
earth happened to a normal pregnancy, normal gestation, and normal birth? 
I’m sure the rates of stillbirth are even less at 37 weeks, why not just
induce everyone then?  Or perhaps, women should be told that getting
pregnant is really far too dangerous to consider in the first place…sorry,
but this stuff just makes me so sad…

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of The Johnsons
Sent: Thursday, 9 March 2006 8:47
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Acupunture
and induction



 

Looking for advice on using acupuncture to induce labour at
38 weeks for a VBAC with gestational diabetes complications. Ob
is supportive of VBAC as long as pregnancy doesn’t go beyond 38 weeks due
to possible stillbirth risks in 39th and 40th weeks of pregnancy.
Is acupuncture a viable induction alternative? Is it relatively safe for a VBAC
attempt or is risk of scar rupture too high? Obs preferred option beyond 38
weeks is elective cs. 

 

Thanks

 

Mindy








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RE: [ozmidwifery] Garlic for GBS?

[Tania Smallwood]

Judy Slome Cohain had an article published
in the Winter 2004 (number 72) edition of Midwifery Today, called “GBS,
Pregnancy and Garlic, be a part of the solution”.  Not sure if it’s
available online, or if it was published elsewhere, but she talks about the
research she’s been doing and protocols etc for trying the use of garlic
for treatment and prophylaxis.  Hope that helps

 

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of diane
Sent: Wednesday, 1 March 2006 6:21
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Garlic for
GBS?



 





Does anyone have any good references on the use of
garlic to treat GBS???  We have several women with previous GBS
approaching "swab time" who are interested in this.





Ta,





Di












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RE: [ozmidwifery] Re: University research.....

[Tania Smallwood]

Can I just add that the South Australian
Independent Midwives Association (SAIMA) also meet on a monthly basis for
information sharing and support. I also see the Ozmidwifery list as a means of
peer support and information sharing, albeit a bit less personal than face to
face meeting, but important nevertheless.

 

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Sally-Anne Brown
Sent: Friday, 24 February 2006
11:43 AM
To: ozmidwifery@acegraphics.com.au
Subject: Fw: [ozmidwifery] Re:
University research.



 



RESENDING





 





- Original Message - 



From: Sally-Anne
Brown 





To: ozmidwifery@acegraphics.com.au 





Sent: Friday, February
24, 2006 6:56 AM





Subject: Re: [ozmidwifery]
Re: University research.







 





Dear Donna and all,





The Australian Society of Independent Midwives (ASIM) meets
monthly (usually) in Sydney
and provides a supportive environment for debriefing for midwives in private
practice as well as an opportunity for peer review. ASIM has been operating for
abt 15 odd yrs. Jan Robinson is the convenor and can be contacted by email
[EMAIL PROTECTED]





 





In Victoria Midwives in Private Practice (MIPP) also meets
regularly on a similar basis.  You can reach Joy Johnston also by email on
[EMAIL PROTECTED]





 





In WA the CMWA provides this role for midwives and their
webpage can also be found on the net http://www.communitymidwives.org.au/





 





The ACMI have set up and email list for midwives with the
intention of enabling this type of debriefing to occur www.acmi.org.au





Under the section 'for midwives'.  Whilst the midwives
chat list appears to be aimed at a more general discussion there is also a rural
midwives list which does provide a more informal space for discussion and
debriefing/support.





 





I think you will find that most birth units also have a
process for staff to debrief with collaegues/management on either a formal or
informal basis.





 





The Independent Midwife organisations have provided a supportive role
for a number of years in Australia as one of the many services they have
pioneeered in this country - like 'one-to-one midwifery care' - which is a term
now used by many models of midwife care in this country, essentially aiming to
copy this model, but the Independent Midwife model actually remains the only
one that continues to provide this care.





 





Kind Regards





 





Sally-Anne







- Original Message - 





From: brendamanning 





To: ozmidwifery@acegraphics.com.au 





Sent: Thursday, February
23, 2006 5:18 PM





Subject: Re: [ozmidwifery]
Re: University research.





 





I have
found, by & large, that (perhaps because) we are a nurturing
& caring profession we tend to look after one another. 





We probably
do most of our debriefing with our partners, friends & colleagues, as Janet
says in 'an informal manner'. 





Our network
offers formal debriefing & counselling should it be required, through a
professional counselling service. 





I've never
felt the need to go elsewhere myself to deal with work related issues, but
I am speaking generally & don't profess to express the views of my peers.





 





With kind regards
Brenda Manning 
www.themidwife.com.au







- Original Message - 





From: Janet
Fraser 





To: ozmidwifery@acegraphics.com.au 





Sent: Thursday, February
23, 2006 4:30 PM





Subject: Re: [ozmidwifery]
Re: University research.





 





I've long
thought this should happen and I think some MWs have informal groups where they
debrief. My forums have a private CP section where great stuff happens and I'm
sure there are other places like that too. Is there are reason MWs haven't set
this up for themselves?





Needs to be
encouraged!!!





J







- Original Message - 





From: Dleh71 





To: ozmidwifery@acegraphics.com.au 





Sent: Thursday, February
23, 2006 4:21 PM





Subject: [ozmidwifery] Re:
University research.





 



Hi,
I am a regiseterd nurse and a student midwife.
I am currently researching if there are any support services for midwives.
Because this is quite an emotionally draining area to work in, and currently
there seems very little support is available for midwives.
I have spoken with the NSW Nurses & Midwives Board, NSWNA, NSW Midwives
Association, ACMI, ANF, College
 of Nursing - all of these
had very little to no support services for midwives. I have also emailed the
Maternity Coalition, no reply as yet.
The support services could be e-based, phone, or in person.
I thought someone might be able to help.
Thankyou.
Donna Houghton.




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RE: [ozmidwifery] placental gardening

[Tania Smallwood]

Title: Re: [ozmidwifery] placental gardening








How about a grafted fruit tree
Justine?  Like a lemon/lime, or a lime/mandarine?  You get two
different fruits off the same tree, and fruit trees love the
organic stuff…

 

On this topic, I think I may hold the
current world record for keeping a placenta in the freezer, my second son is 5
this July, and due to moving house, and then doing some pretty major
earthworks, we have not yet grounded his placenta.  I’m thinking he’ll
be old enough to be not only mildly curious, but probably completely grossed
out by the whole thing.  We were actually talking about it at the dinner
table tonight, (good midwives children, talk about anything while they are
eating) and my oldest who has just turned 7 commented “so we’re
going to put a body part in the garden – cool!”.  It’s
going to go next to our lovely walnut tree eventually, which is 20 ft high, and
will not be affected like a new plant, I’m thinking.

 

Tania

Xx

 

(who actually has 2 placentae in her
freezer, but one is from a birth last week where the woman didn’t want
it, but wanted it to go to a good homeJ)

 

 








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RE: [ozmidwifery] A first for me

[Tania Smallwood]

Oh Andrea,

What a joy to wake up and be greeted by this message...

May your addiction never wane!

Tania
(fellow birth adictee)

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi
Sent: Monday, 13 February 2006 11:21 PM
To: ozmidwifery; Maternity Coalition; Sarah Grundy; Colleen Cross; Jenny
Johnstone; Tricia Klemm; Maggie Banks; Jan Johnson; Diana Stubbs; Coral
Eden; Tara George; Sharon McCarthy; Wendy Bootle
Subject: [ozmidwifery] A first for me

Today I had my first waterbirth.  It was so beautiful. All 4.8kg of  
him manipulated his way out all by himself. Mum was able to describe  
his movements to us in a running commentary even down to telling us  
that the shoulders were rotating after his head was born.

tears in Dads ( and the midwives) eyes and complete awe on the face  
of his 3 year old big sister ( who offered to put the slide into the  
pool for mum). its such a buzz attending births like this.

Planned second midwife was away and so we invited one who had not  
attended a homebirth ( or waterbirth) before and she is herself  
pregnant so I can only hope she was inspired to great things for  
herself.

I was glad that we had discussed  water birth at length in Maggie  
Banks workshop last week  because I was not surprised when this baby  
was so peaceful in the water that we actually had to remind him that  
he needed to join those of us who breathe air. he just lay there in  
his Mums arms looking around and didnt seem to get that idea for a  
while.

Addicted to birth

Andrea Q
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[ozmidwifery] Midwife near Lilydale?

[Tania Smallwood]

 

Is there an IPM out there near Lilydale?  Have a previous
client who has moved there, looking for a homebirth, not sure when…

 

Cheers

 

Tania

x








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[ozmidwifery] Midwife in Sydney (again)

[Tania Smallwood]

 

Sorry people, 

 

Can’t find the mail you sent me Janet, about listing
of midwives in Sydney…can
you send it again please?

 

Thanks

 

Tania








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RE: [ozmidwifery] RE: OP

[Tania Smallwood]

Just to add to this, after talking about this the other night, I've been
thinking a bit about it too.  Obviously an awareness of positioning of the
baby is beneficial, but I'm with you Jo, too much emphasis on this, and not
enough practical applications, or answers to the questions, and it becomes
an unhealthy obsession...

Having said that, I'd be keen to try the Rebozo technique next time a
persistent OP labour comes my way, (or should I say, a baby in a persistent
OP position), but how?  I understand the how of how to use the rebozo, but
what about how long?  And do I then need to keep checking by palp the
position of the baby, to determine whether it's been effective?  All sounds
like a lot of disruption to the normal birthing process, and I'm not sure
under what circumstances I'd be happy to instigate all this intervention...

Any ideas from those more experienced?

Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dean & Jo
Sent: Thursday, 19 January 2006 5:28 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] RE: OP

Thanks Nancy, 
Having had 2 stubborn OP babies myself I lived and breathed the Optimal
Fetal Positioning for the second child.  Interestingly I didn’t get so
hung up on it the third time and that was the only babe who was OA.
Must say that there is a danger sometimes in being too obsessed with
doing the 'right' thing.

What I am interested in though, is rationale for stubborn OP babies and
the premature pushing urge.  How does a woman who has laboured in a bath
upright during all her labour overcome this problem?  I have had an
experience where one woman whose baby was LOA during the last weeks of
pregnancy, turned OP during an active upright drug free labour and then
after 22 hours turned only to have the fetal heart rate plummet
resulting in CS.  During the last 4 hours the urge to push was
overwhelming and she was 6cm...lots of swelling and molding of baby
head.  Would this be why it took so long to turn?  How do you avoid
this?  Is this common or is it indicative to a type of pelvis??

Need to dig deeper than just optimizing positions.  I know babies can
and do birth fully OP but the links with premature pushing urge is of
interest to me.

Thanks 
Jo 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nancy San
Martin
Sent: Thursday, January 19, 2006 12:56 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] RE: OP


Hi Jo,
Have you read any of Jean Sutton's work? She wrote a book called
"Optimal Fetal Positioning" in which she describes all about OP causes
and prevention. She also designed a Pregnancy Rocker to aid in the
prevention of OP from 34 weeks onward. 
Any more info about the Pregnancy rocker ...email me at
[EMAIL PROTECTED] Regards, Nancy

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dean & Jo
Sent: Monday, 16 January 2006 3:39 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] References required

Could someone point me in the direction on further information about
stubborn OP presentations and the links with premature pushing urges?
Much appreciated Jo

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RE: [ozmidwifery] Anaemia remedies

[Tania Smallwood]

Bloom’s Iron Tonic for me, tastes
heaps better than the Floradix, and our vegetarian and vegan women accept it
much more than the others available.  Some women use stinging nettle tea, and
parsley is supposedly good too..

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Helen and Graham
Sent: Thursday, 12 January 2006
10:11 AM
To: ozmidwifery
Subject: [ozmidwifery] Anaemia
remedies



 



We are having a discussion about remedies for anaemia in
pregnancy at work at the moment.  One of the midwives has been
recommending parsley and pineapple juice but one of the doctors is saying it
causes a build up of uric acid?!





 





I recall hearing about floradix being recommended by some
midwives and Elevit by others.  





 





Apart from FGF, I would be interested in what people are
recommending in their practices.





 





Thanks





 





Helen










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RE: [ozmidwifery] belly dancing midwives:)

[Tania Smallwood]

Oh, that, and an ipod just filled with the
gorgeous Mr William’s crooning voice…march march march (it’s
my little pressie from Father Christmas!)

 

Tania  J

 



 








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RE: [ozmidwifery] belly dancing midwives:)

[Tania Smallwood]

Yoga and chiropractic, (let me know if you
need a referral, have birthed with a few) definitely the things for me!  There
is a lovely belly dancing studio in Littlehampton, and a popular Pilates place
in a little mall off the main st in Stirling.

 

Tania

xx

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Julie Garratt
Sent: Wednesday, 4 January 2006
10:29 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] belly
dancing midwives:)



 



Hi all,





I've just started work as a midwife and I think I need some
exercise to strengthen my back, feeling a bit stiff after catching babies in
the shower, bath, floor, birth stool ect. I think it is a sustainability issue
of practice, a good strong back. I don't ever want my physical ability to
dictate how a woman wants to birth. Anyone tried pilates or belly dancing? Any
other good suggestions?





Ta Julie:)










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RE: [ozmidwifery] Breech Birth Conference in Vancouver March 2006

[Tania Smallwood]

Hi Gloria,

 

Can you resend the link please, this one
doesn’t seem to be taking me anywhere!

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Gloria Lemay
Sent: Monday, 2 January 2006 6:02
PM
To:
Undisclosed-Recipient:;@uniserve.com
Subject: [ozmidwifery] Breech
Birth Conference in Vancouver
March 2006



 





Breech birth conference coming up in Vancouver, B. C. Canada





Hope you can make it.  Details on the link below. 






Gloria Lemay, Vancouver,
 BC Canada







http://bbc.resist.ca/ 





 





please pass info on to your groups














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[ozmidwifery] Midwife in Sydney...

[Tania Smallwood]

 

Hi everyone,

 

Just wondering if there are any IPM’s working in
either the Abbotsford or Cronulla areas in Sydney.  I have a friend who is
pregnant, probably due around early August, and wanting to employ someone to attend
to her antenatal care, but will be moving over to SA to birth at home here
(family etc are here).  She’s really keen to have good continuity of
antenatal care, and have her partner really involved with the pregnancy. 
I’ll make a couple of trips over to Sydney to see her in the next few
months so she feels like she has had continuity all the way through (she’s
asked me to be at the birth – what an honour!).  

 

Hope there is someone out there who can help out, she’s
an absolute dynamo of a woman, thrilled to be having a baby, but in need of
great positive care to prepare her for a wonderful birth.

 

Cheers

 

Tania   








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[ozmidwifery] Midwife in Sth Florida?

[Tania Smallwood]

 

Anyone know of a midwife in the States in this region? 
Birthed with a woman a year ago who has gone back there to live, and due in
August.

 

Thanks, and merry Christmas to all 

 

Tania








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RE: [ozmidwifery] Whilst we are on the topic of early screening....

[Tania Smallwood]

I've been thinking along these lines too... I think there is generally
speaking a low level of tolerance in our society, and in the medicalised
model of care that most women birth in, to anything other than the perfect
product.  I've been witness sadly to women and families being badgered and
attacked personally for either choosing to go no further with testing, or
declining testing despite a family history or an initial diagnosis.  It's
terrible to watch, and I can't imagine how those families must feel when
it's made clear to them that the 'system' feels that their baby would be
better off if it wasn't born...

I have a friend with a baby with Down's syndrome, and a midwife said to her
after the birth "what a pity you didn't have the testing".  The reality is
that she did have some testing, and made a very definite decision to go on
with the pregnancy, and to love her baby no matter what.  But the
implication was that it would have been so much better if she'd had some
tests and had an abortion. 

What a terrible shame

Tania (who thinks any, lots, or no testing is great, as long as the family
are ok with what the outcome might be, either way).

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Megan & Larry
Sent: Wednesday, 7 December 2005 5:32 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Whilst we are on the topic of early screening

I agree Jo (how are you),
To add to this I also wonder about the baby born healthy but along lifes
journey develops an illness or whatever for which there is no cure. Healthy
at birth is no guarantee for anything. 
My least favourite saying to pregnant women is " as long as its healthy..."
What a dumb thing to say ( I know good intentions)but what if its not
healthy? Will we love the child less or does your love stop when your child
develops brain damage from, say, a car accident? 
A family at our school are grieving for the loss of their 3 yr old daughter
who battled her short life with cancer, was she "healthy" at birth? 

There are so many possibilities, and I agree, tests are good if we
understand what can come from them, as long as we know their limitations
too.

Cheers
Megan (exhausted from present shopping)



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Wednesday, 7 December 2005 4:58 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Whilst we are on the topic of early screening

One of the things I keep thinking about with this and the other screening
tests that have been discussed is that not all birth defects have a genetic
origin. Couples that feel strongly that they would not continue a pregnancy
can do all these tests, feel reassured, and get to their 20 week ultrasound,
or the birth of their child only to find that something is anywhere from
slightly to very wrong with their baby. Getting an all clear on downs or CF
does not mean you won't find your baby has an extra finger, webbed fingers,
club foot, cleft palate or a radically malformed heart. I think the
education given to consumers about what tests there are, what is and is not
covered, what results will mean, what you might want to do about the results
etc, is woefully lacking and makes the shock of getting a bad result so much
worse.

I think the availability of testing is generally a good thing, but there
should be far better education about the tests and the conditions they are
for that allow people to make informed choices of their own about whether to
test in the first place and what to do if they do test and get a bad result.

 

At 8:22 AM +1100 7/12/05, Helen and Graham wrote:
>5/12/06/1133829597883.html>http://www.smh.com.au/news/national/babys-se
>x-test-offers-new-hope/2005/12/06/1133829597883.html
>
>Baby's sex test offers new hope
>
>By Julie Robotham Medical Editor
>December 7, 2005
>AUSTRALIAN doctors have identified the sex of 22 foetuses as early as five
weeks into pregnancy from cells taken from their mother's cervix, in a
"proof of concept" experiment they say could lead to improved tests for
conditions such as Down syndrome and cystic fibrosis.
>
>Gab Kovacs, professor of obstetrics and gynaecology at Melbourne's Box Hill
Hospital, said women would welcome the opportunity to know their foetus was
healthy as early as possible during pregnancy.
>
>Where an abnormality was detected and the woman chose termination, this
would involve fewer risks and medical complications if it could be done
earlier. At present, the earliest test that can determine definitively if a
foetus is affected by Down syndrome is chorionic villus sampling, in which
placental cells are cultured around 11 weeks of pregnancy. But the test is
invasive, and occasionally triggers miscarriage of healthy foetuses.
Amniocentesis, conducted later in pregnancy, has similar drawbacks.
>
>Professor Kovacs's initia

RE: [ozmidwifery] birth pool hire?

[Tania Smallwood]

Hi Janet,

 

There are 3 for hire with myself and the
midwife I work with, one with the homebirth Network here in SA, and 2 with a
new independent midwifery practice that’s just set up.  How do I get the
rest of the info to you?

 

Tania

SA Independent midwife

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Janet Fraser
Sent: Thursday, 1 December 2005
7:55 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] birth pool
hire?



 



We have a
growing list in JB of available pools for hb. If you're willing to share the
info, we'd love to have more listed. I know there are loads we don't have!





Best,





J





Joyous Birth 
Home Birth Forum - a world first!
http://www.joyousbirth.info/forums/





 





Accessing
Artemis 
Birth Trauma Recovery
http://health.groups.yahoo.com/group/accessingartemis

RE: [ozmidwifery] Litigation/Insurance issue

[Tania Smallwood]

Hear hear Jennifairy!  I've been keeping quiet and wondering if this is a
genuine poster, or if it's someone looking for contacts, money, etc.  I'm
also eager to hear any constructive input into this situation, but the
reality is that those of us who practice privately are armed to the gills
with horror stories, and also with information about how to protect
ourselves.  It is unfortunately our sisters in the system who are currently
under attack, and who although thinking they are covered vicariously, are
finding out the hard way that nothing that is water tight...

Fire away Rosetta, we're all ears!

Tania
x  

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy
Sent: Thursday, 1 December 2005 5:04 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Litigation/Insurance issue

Rosetta, to be perfectly honest with you, I would be very interested in 
hearing more about your offer, if it didnt sound like it was coming from 
a Danoz Direct marketing formula. As an independant midwife, I dont need 
to hear further stories about the issues we face litigation-wise - we 
midwives know the score & are doing it tough, taking the risk to 
practice the way we feel we can offer the most, knowing well what the 
risks are. Many midwives, whether in private practice or 'in the 
system', see all the time the 'horror stories' you want us to know 
about. Most of us know somebody who has been the subject of these kind 
of litigation situations, again not all in the 'private' sector. Its not 
us that needs to 'get the picture'!
Most independant midwives know how to protect thier family home & assets 
- they put them into their partners name. There are very few of us that 
I know of that cant do that (for lack of partner eg, as in my case).
As a sole parent whose gross income last year was under $20,000 (a *lot* 
under), I dont need to know that help is out there for me, *if I can 
afford it*. As far as Im concerned the kind of protection midwives want 
& need should not be a matter of some being able to afford it (you, you, 
not you) - it should be available to *all* midwives irrespective of 
income or workplace. I understand that you may have a genuine desire to 
help out midwives - if so, can I ask that you join us to lobby the 
Federal Government to provide midwives not only with equitable & 
adequate insurance for practice, but also provider numbers to put us on 
the same footing as many other health care professionals. Please email 
Robyn Thompson at [EMAIL PROTECTED] for info on how you can help us.
Otherwise, thanx (I think) for your offer - but some *real* information 
would have been more helpful, instead of something that sounds like it 
came from a Nigerian widow/bank official/Dutch Sweepstakes/viagra supplier.
Jennifairy

Rosetta Timpano - Asset Protection Consultant wrote:

> Hi All,
>  
> Thanks Andrea and Brenda. Sorry for not replying earlier.
>  
> Obviuosly there is great concern about the Litigation/Insurance issues 
> that Midwives are currently facing. I do believe that it is an 
> epidemic that has caused a lot of heartache and ill health, preventing 
> people from doing what they love to do. Does anyone know of anyone 
> that has been through the litigation process "been sued", whether the 
> action was right or wrong?. I can tell you that it is years of 
> solicitors, courts, money, time, frustration, constant worries, 
> marriage breakups, and finaical ruin. Believe me it is horrible! I'm 
> sure you have heard all the horrifying and ridiculous litigation 
> stories and payouts in the media.
>  
> Im sure you get the picture.
>  
> How I can help is to give you information/the steps on how to simply 
> prevent the litigation process in the first place .
> I am an Asset Protection Consultant for this reason. What I do is show 
> you how you can simply protect your assets BEFORE you are sued for 
> something you may, or may not have even done. I can also show you how 
> to protect your number 1 asset - your family home, and thus allowing 
> you to further your property portfolio.
>  
> My aim is to make you "bulletproof" so that when a Litigation Attorney 
> looks into what you own, where it is, who owns it, how much you 
> owe...etc... he/she will decide that you and your assets are just too 
> hard to 'crack' and will advise thier client to drop the case. 
>  
> I'd love to help anyone interested, who has a concern for protecting 
> their assets.
>  
> Please email me and I can send you a report including news articles of 
> recent real life "horror stories".  I can post it to you or I can 
> email it (It is only 3-4 pages of text, with a few pictures of the 
> news articles.
>  
> Warm Wishes
>  
> Regards
>  
> Rosetta Timpano
>  
>  
>  
>  
>  
>
>
>
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RE: [ozmidwifery] birth chairs & stools

[Tania Smallwood]

 

http://www.birthrite.com.au/

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Robyn Dempsey
Sent: Tuesday, 29 November 2005
5:27 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] birth
chairs & stools



 



Try the birthright
birthing stool.many units use it. I use it and have found it wonderful.





Monika Boenigk
sells them.





The only contact
address I have is PO Box 27 Hamilton NSW 2303





 





R. Dempsey







- Original
Message - 





From: Jennifer Price 





To: ozmidwifery@acegraphics.com.au 





Sent: 29
November, 2005 3:32 PM





Subject:
[ozmidwifery] birth chairs & stools





 



hi am looking for
inspiration from wise and experienced women about birthing stools/chairs as we
are looking at getting some for our unit and you cannot trial some of these
items so any ideas/prices/australian distributors would be great.. thanks for
your help in advance. Jenni

*
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RE: [ozmidwifery] Mother friendly hospitals

[Tania Smallwood]

I think instead of becoming defensive about a programme that has obviously
improved some of our outcomes such as breastfeeding etc, we need to step
back and take a look at the broader picture here.  From what I've been
reading, and correct me if I'm wrong, I think that some of the posts about
this subject have been a comment on the failure of the system to be 'woman
friendly' in it's overall approach to pregnancy, labour, birth, and early
parenting.  I don't think there is any denying that rooming in, and
encouraging all the BFHI guidelines have been positive for many mothers and
have been responsible for all kinds of better outcomes.  But in the broader
context, there are still many things going on in hospitals that are not
woman friendly, and therefore, as the woman and the baby do present as a
single entity at first, and are inextricably entwined from that point on,
not particularly baby friendly either.

Having recently birthed with a woman who was told that her baby was in grave
danger if she went 'more overdue' but that the hospital was too busy on that
day to induce her, and that she would have to ring back the following
morning, I'd have to say that this kind of treatment is just the tip of the
iceberg when we're talking about non woman/mother/baby friendly treatment.

Just my sleep deprived thoughts

Tania
x  

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Anne Clarke
Sent: Wednesday, 23 November 2005 10:46 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Mother friendly hospitals

Dear All,

BFHI hospitals are NOT unfriendly to mothers EVER. BFHI accredited hospitals

are by definition also mother friendly.

If a hospital is BFHI accredited all mothers are assured of the information 
that mothers need.  No mother is coerced into a decision otherwise.  Mother 
'unfriendliness' has never been the credo of BFHI and never will.  Mothers 
informed choices in feeding their baby are and always will be supported 
through BFHI accredited facilities.

Regards
Anne Clarke
Chair - BFHI Queensland

- Original Message - 
From: "Barbara Glare & Chris Bright" <[EMAIL PROTECTED]>
To: 
Sent: Wednesday, November 23, 2005 5:03 AM
Subject: Re: [ozmidwifery] Mother friendly hospitals


> Hi,
>
> I really disagree that baby friendly hospitals are OK for the baby but 
> tough on the mother.  And if your baby friendly hospital is tough on the 
> mother, then you should be looking at why - because it shouldn't be that 
> way.  The newborn mother and baby are a unit.  They both surely need to be

> cared for as though they were one.  I think it's part of the problem of 
> society that mothers and babies are pitted against each other almost from 
> birth.
>
> Mothers and babies are both usually happier and calmer when together.  If 
> a mother is of the believe that she needs the baby away from her to rest, 
> a common enough belief in our society, maybe all that needs to happen is a

> little empathy and good explanations from the staff "I know you are tired,

> but what we find is that mothers and babies actually rest better when they

> rest together." Just like you would explain to a mum that she doesn't need

> to rush off straight away and have a shower - there'll be time for that 
> later.  Her baby needs to smell her familiar smell and get to know his mum

> (and breastfeed)
> Surely hospitals can be flexible enough for staff to take the baby for a 
> while if needed - carrying in a sling is great modelling for the mum and 
> keeps baby calm, or dad or grandma can help out.
>
> For every mother I hear when I'm assessing baby friendly hopitals who say 
> they would have liked a nursery, I hear many, many more whom the staff 
> told that they must be tired and they would take the baby so the mother 
> could rest - the mothers lay unsleeping and rigid in their beds, worrying 
> if that baby they could hear crying was their baby.
>
> Barb
> - Original Message - 
> From: <[EMAIL PROTECTED]>
> To: 
> Sent: Wednesday, November 23, 2005 12:27 AM
> Subject: Re: [ozmidwifery] Mother friendly hospitals
>
>
>> Wouldn't it ?
>> I always say baby - friendly is OK for the baby but often it's really 
>> tough on the mothers.
>> We ought to be able to do service to both, compromise being the operative

>> word.
>> The old days of 'lying in & convalescing' were good for mothers & babies,

>> I agree with the previous post about too much being expected of new 
>> mothers. Especially after a C/S which after all is major surgery.
>> Yes, birth is a natural process but never the less it's exhausting, hard,

>> manual & mental labour. Women need to recover & recuperate to cope with 
>> the demands of mothering, feeding & running a household.
>> The old 'lying in hospitals ' were not such a bad idea were they ? In 
>> fact I've often thought of the need for a private facility offering those

>> services nowadays. Like an extended stay unit where women go post birth

RE: [ozmidwifery] Absolutely horrified!

[Tania Smallwood]

Oh my goodness…

 

Can you refer this woman to a midwife,
doula, midwifery student, birthing centre, anyone out there who might be able
to support her?  She certainly has every right to rock up to a public
hospital in labour, but if she’s going to do that unannounced, she might
feel more comfortable doing it with some support nearby…

 

Hope she finds the strength to make
changes this late on in the piece, which might ensure she gets the support, and
the birth she deserves…

 

Tania

 









From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Kelly @ BellyBelly
Sent: Sunday, 20 November 2005
3:15 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Absolutely
horrified!



 

One of the girls in my forums here in Melbourne just posted this – no wonder
she seemed upset when I saw her yesterday – I had no idea at the time:

 

“I have just had the worst night
of my life, and its taken me 3 hours to stop crying uncontrollably. 

My Dr, who I've been seeing throughout my pg is on leave
(bereavement), and since I'm at 41 weeks, the midwives I'm seeing sent me to
see the OB who's filling in for him. 

So I go for my appt. 

First, he does a stretch & sweep without asking me or
any prior warning. 

Then he says he's booking me in to be induced tomorrow,
which when I questioned it he tells me I'm going to kill my baby cos I'm past
41 weeks. 

The he goes on to say 'I'm not into any of that airy
fairy [EMAIL PROTECTED] You'll deliver on the bed, on your back. I'm not a vet.' 

So I said I was planning an active birth, (which is what
my Dr prefers) 
and he says I'll have to see someone else and good luck
getting in to see anyone else at this stage of the game. 

So now I have no obstetrician, no doctor and I don't know
what I'm going to do. I'm seriously thinkg about fronting up tomorrow at the
Royal Womens to see if I can have my baby there instead of the hospital I'm
booked in at - can they turn you away if its a public hospital?”

 

This is appalling – beyond
belief… my blood is boiling it really is…. 

 

Best
Regards,

Kelly Zantey
Director, www.bellybelly.com.au & www.toys4tikes.com.au
Gentle Solutions For Conception, Pregnancy, Birth & Baby
Australian Little Tikes Specialists 

 

RE: [ozmidwifery] question

[Tania Smallwood]

My goodness me –“not wait for
restitution”, strikes me as someone trying to redefine the mechanism of
normal birth to suit their own fears and prejudices - Wow!  So if in fact a
baby needs to restitute to birth the shoulders comfortably and in the best
position, and we’re going to cut that part of the birth out, are we not
going to see a marked increase in the incidence of shoulder dystocia?   Might
be one to look out for with these hasty practitioners. 

 

I can only imagine how they would cope at
the majority of water births I’ve been at, where the head is fully
crowned, and it’s usually a matter of minutes, sometimes up to 5 or 6
before the body follows.  And then there’s that tricky little stop at the
hips that those water babies tend to do too…sigh, why is there so much
fear and ignorance surrounding what has been happening for so many years?  Is
it just an insane need to control everything, or am I just naïve in my belief
that mother nature knows what she’s doing?  

 

Tania

 

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Susan Cudlipp
Sent: Thursday, 17 November 2005
3:33 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
question



 



Good point Anne!





 





I did quite a thorough search last night and have printed
off some good articles which I will pass on.  However I could not find the
answer to why EXACTLY babies die in shoulder dystocia.  If it is asphyxia,
then (obs point of view) this proves that the cord is not sustaining
them. The ob said to me that if the cord WERE sustaining them there would
be no urgency to deliver the body, also quoted from the ALSO course that the
fetal Ph drops 0.04 (?)  per minute after delivery of head therefor we
should not be waiting for restitution but delivering body ASAP.  (I didn't
even go there!!)





My feeling is that it is more to do with probable cord
compression, (although I cannot picture why this should necessarily be so as
the body and hence, presumably, the cord, would still be above the pelvic
brim) and trauma to the neck usually caused by mis-management (panic) in trying
to deliver the shoulders than asphyxia, but it is true that they become
asphyxiated within a short time if truly stuck.  Any answers on that one?





Thanks





Sue





 





"The only thing necessary for the triumph of evil is for good men
to do nothing"
Edmund Burke







- Original Message - 





From: Anne Clarke 





To: ozmidwifery@acegraphics.com.au 





Sent: Thursday, November
17, 2005 5:54 AM





Subject: Re: [ozmidwifery]
question





 





Dear Susan,





 





You could say to them if this is so why do they rely so much
on cord ph's ?  One would think when the baby was born and the
pulsating cord was still not supplying the baby effectively the cord blood
(venous and arterial) was null and void to provide an estimation of
oxygenation for the babe.





 





Regards
Anne Clarke
Queensland







- Original Message - 





From: Susan
Cudlipp 





To: midwifery list 





Sent: Wednesday,
November 16, 2005 9:30 PM





Subject: [ozmidwifery]
question





 





I have a question for you wise ozmidders.





I was having a discussion today with one of our
obstetricians regarding cord clamping, and the benefits to the baby of delaying
this until pulsations cease.  When I mentioned the benefit of the baby
recieving oxygenated blood via the pulsating cord which could assist it's
transition to independent respiration particularly if it was compromised (etc
etc)  the obs was of the view that the pulsations could NOT be providing
oxygenated blood because the uterus would have contracted down and the placenta
could no longer be getting oxygen from mother's circulation.





Now I know that I have read reams on this and this is stated
to be one of the benefits, but I could not answer that particular question
physiologically and convincingly.





The point was also raised that in shoulder dystocia, babies
die of asphyxiation, which (obs opinion) would not happen if they were
recieving oxygen via the cord. 





I did print off George Morley's excellent papers for this Dr
to read but would very much welcome anything that can show that the baby would
still be receiving oxygenated blood post birth.





 





TIA





Sue





 





 





"The only thing necessary for the triumph of evil is
for good men to do nothing"
Edmund Burke





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RE: [ozmidwifery] emergency skills

[Tania Smallwood]

I've booked in to the course in Adelaide next year, and know a couple of
students who did it last year, they couldn't stop raving about it, in fact,
one of them is thinking of doing it again!  Must be good...

Having heard Maggie speak several times before as a part of different
programmes, I can't wait to have her for a whole weekend, she speaks the
truth about how amazing women are, and what we can do as true midwives to
facilitate them...roll on March!

Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines
Sent: Monday, 14 November 2005 8:17 PM
To: OzMid List
Subject: Re: [ozmidwifery] emergency skills

Hi everyone,

I was just wanting to know if anyone had been to Midwifery Skills for
Emergencies run by Birth International with Maggie Banks as the facilitator.
It's just that it is quite expensive ($1095) , which is dearer than the ALSO
course.  
Thanks,

Joan

Dear All

Just a comment here, isn't ALSO a bit of a waste for IPM's or midwives in
models without on-site medical?  As I understood it is a multidisciplinary
approach within a medical model type training.

I must say if that's the case then it is ridiculous that so many midwifery
models demand it.  Bring on the Maggie Banks type of training and the Jan
Robinson shoulder dystocia workshops etc.

But hey I'm only a consumer


JC


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RE: [ozmidwifery] Re: [hbo] Check out Hudson Valley Lactivism

[Tania Smallwood]

Hi Emily

 

The midwife I work with has a nearly 5
month old baby, he’s been to about 8 births so far, the first one when he
was only 10 days old!  The women who have booked with us have known from
the start that there will be a baby coming along, there has only been one that
thought that wouldn’t be appropriate for her circumstances.  He’s
slung by either Wendy or myself, breastfed on demand ( only by Wendy J) , and sleeps a lot on
people’s floors/couches/beds.

 

He’s never been a problem at a
birth, and because there are 2 of us working together, it’s easy to take
him away if he’s a bit unsettled etc (not that this has happened yet, but
I’m sure the time will come J)

 

So although I had my own doubts about
continuing working if I was to have another baby, Wendy and her little one have
proven to me that it can work!

 

Cheers

 

Tania

 

  

 









From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Emily
Sent: Thursday, 10 November 2005
9:30 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re: [hbo]
Check out Hudson Valley Lactivism



 





hi everyone





anyone know of any similar groups in australia? i liked their idea of
handing out information at public places re breastfeeding laws and rights to
increase awareness and acceptance. going in to workplaces to educate workers
about rights for breastfeeding/expressing breaks and providing legal support
for discrimination sounds great too.. how many australian employers would hire
someone known to be breastfeeding who needed breaks every few hours? probably
few and i think people would be too scared to ask . ideally i think we need to
move towards more baby friendly workplaces where bubs go along with mum to
work, like in most places in the world. but it sounds too extreme to even bring
up in our current cultural climate of children and work life being so separate





do many of you have experience of working with a baby in tow? do
the hb mw's take their babies to births at all?





love emily

jenndoula
<[EMAIL PROTECTED]> wrote:





Run by a homebirthing Momma!!

Hi everyone! Below you'll find the complete text
of
our letter announcing our fundraiser and arrival
of
our new website www.hvlactivism.org. Even if you
don't
consider yourself a "Lactivist" I would
encourage you
to take a look at the artwork we have available.
There
are some beautiful mom, baby and grandparent
pictures
that you certainly don't have to be breastfeeding
to
love. And I know I want one for Christmas, you
could
also point your husbands our way for an excellent
gift
idea. If you have any questions and want to ask me
feel free to e-mail me directly.
[EMAIL PROTECTED]
Thanks!
Kim

Hudson Valley Lactivism was founded a mere two
weeks
before the July 13th Nurse-In at the Poughkeepsie
Journal Building. Since then we have been continuing
on with our mission of breastfeeding ad! vocacy
and
education by distributing the laws regarding
nursing
in public, and information about the benefits of
breastfeeding. Now we want to move ahead with
projects
such as breastfeeding friendly gift bags for local
hospitals, a breastfeeding friendly business
directory, and supporting breastfeeding friendly
legislation. All of these plans to improve our
community will take support, and that is where you
come in. We are proud to announce the arrival of
our
new website, HVLactivism.org as a first step to
the
many exciting projects we have coming.
Hudson Valley Lactivism is now offering select
prints
by internationally known artist Shawn Dell Joyce.
Her
work, included in the Georges
Pompidou Center
in Paris
and the Museum
of Modern Art in New York, is available
signed with all proceeds going to promote
breastfeeding throughout our area. This offer is
only
available until December 1st, and all orders will
be
received by Chri! stmas. A signed print would make
a
wonderful gift for the mothers, grandmothers,
midwifes
and doulas in your life! For questions, pricing,
ordering information and how to make a donation,
please visit our website: www.hvlactivism.org and
click on the scrolling fundraiser banner.












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RE: [ozmidwifery] Abby's Birth Announcement

[Tania Smallwood]

Blessings galore to you all, now go and get some sleep wonderwoman!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Abby and Toby
Sent: Friday, 4 November 2005 9:08 PM
To: [EMAIL PROTECTED]; ozmidwifery@acegraphics.com.au;
[EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: [ozmidwifery] Abby's Birth Announcement

HI,

Sorry for the x-post, but thought I would share that thismorning at 3:46am I
gave birth to a beautiful little girl, Runah. After a couple of days of
crazy prelabour and 5 hours of active labour she was birthed in warm water,
in my own home, into my friends hands with just her daddy, mummy and two
friends there.
After having a very traumatic c-section with my first daughter, this was
truly amazing!!
I am sore, tired and truly EMPOWERED!!

Love Abby

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RE: [ozmidwifery] Strep B screening

[Tania Smallwood]

I was actually witness to a midwife (and I
do use the term loosely in this instance) calling a young woman a ‘selfish
bitch’ for refusing to have antibiotics in labour, when she was of
unknown GBS status…this was 6 years ago at one of our centres of
excellence…shame…

 

Tania

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
Sent: Friday, 4 November 2005 8:49
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Strep B
screening



 

Thanks Sadie, It is interesting that these
procedures are being done when the woman is of unknown status because the
guidelines from the Health dept say that Gastric aspirate and swabs only tell
us about surface colonization. The majority of babies who are born to those
women who are colonized are mostly not sick babies- 50-75% of babies are
colonized but only 2% are infected.  That is a lot of non symptomatic
babies getting IMI antibiotics when they don’t need them. 
Threatening to hurt their babies is an unethical way to get women to have a
screening test. When will they learn to give accurate information to women so
they can decide what tests they want? MM

 











 



Hi Mary,





I have heard this said to women by some Dr's, however not all.
Usual practice is to do gastric aspirate & ear swab on baby and check temps
for 48 hours. And many women do refuse antibiotics for themselves and their
babies - with encouragement from their midwives :) Sadie





I have been told by a pregnant woman that she was reluctant
to have a strep B test at 35-37 weeks. She was informed by a doctor in the A/N
clinic of our public tertiary hospital, that if she went into labour with an
“unknown status” and attended the delivery suite , her baby would
have to be given IMI antibiotics until the baby’s screening swabs came
back 48hrs later.  She felt that to protect the baby, she had to consent
to A/N screening.  Those who recognize the description of this hospital,
is that true?  Or has this lady been unintentionally misled?  Does
this happen in any other hospitals?  Feel free to email me off line if you
don’t want to “speak” publicly. Thanks, MM 

RE: [ozmidwifery] re: hospital based midwife

[Tania Smallwood]

Absolutely Rachel, I am only too aware that I have chosen the 'easy way out'
by making the conscious decision not to practice in the hospital system, and
you are right, those women who enter into a system that is fragmented and
fear-based, definitely need woman centred midwives who are willing to put
themselves on the line for the rights of the women in their care.

I'm slightly disturbed by what appears a growing trend not to identify
ourselves if our opinions or ideas vary from that of the general feel of the
list at the time.  I've always felt safe here, despite the fact that I am in
the minority based on my place of work.  We don't need to always agree,
spirited conversation and debate is one of the ways I think we can all learn
and become more educated...none of us know it all, I'm the first to admit
that!  However, there is something slightly offputting, and I must say it's
hard to respond in a personal manner, when the poster won't even put a first
name to their post.  I'm happy to own my ideas and opinions, and to be
supported or otherwise as a result of sharing them publically...

Tania



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Thursday, 3 November 2005 2:25 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] re: hospital based midwife


It is sad to hear yet another hospital midwife feeling under attack. It can 
be argued that hospital midwives have an even greater role to play in 
changing the maternity service and catering for women's needs. I turned down

the chance of working as an independent in the UK because I believed that 
the women in hospital needed me more. They were birthing in a strange 
environment amongst strangers, many in vulnerable social situations. The 
statistics demonstrated the poor chances these women had of avoiding an 
instrumental birth or c-section.

It is because most women give birth in hospitals, and because the statistics

for physiological birth are shocking - that hospital midwives are so 
important. It is time we asked ourselves how we can improve these outcomes 
for women and increase satisfaction rates. Many of us are, and as I have 
said, I have come across far more motivated midwives in the Australian 
hospital system than the UK. Let's not kid ourselves that there is not a lot

to fight for if we do not want to end up as obstetric nurses. We are 
prevented in many ways from making our own clinical judgements by 
guidelines, policies etc. We are prevented from developing and maintaining 
midwifery skills such as waterbirth, suturing, full spectrum care - in some 
hospitals even catching the baby.

It is only by acknowledging our position and refusing to accept that over 
30% of women (fit and healthly by global comparison) are unable to give 
birth without an operation. By looking at our own contribution to individual

care and to the midwifery profession. By standing together as midwives 
regardless of where we practise that we can start to change things for 
ourselves and the women we care for.

We need to stop taking discussion and debate personally and take a leaf out 
of the drs book. Discuss, question, debate and learn. I am pleased that 
this debate has drawn some lurkers out to provide us with their valuable 
perspective we would otherwise have been ignorant of.

Rachel - another hospital midwife




>From: "mariet" <[EMAIL PROTECTED]>
>Reply-To: ozmidwifery@acegraphics.com.au
>To: 
>Subject: [ozmidwifery] re:  hospital based midwife
>Date: Fri, 4 Nov 2005 10:30:49 +1100

>I wanted to respond to this because it touches something I've felt for a 
>while. I've been a lurker on this list for ages but not a contributor 
>because, despite many years as a midwife (and I use the term advisedly, I 
>don't consider myself an obstetric nurse) I've had the impression from the 
>language used on this forum that the work I do and even the women I look 
>after is somehow not as valuable or important as community based midwifery 
>or birth centre care. I don't for a moment think that this is the stated 
>position of most of the contributors to this list. But to a hospital based 
>midwife it certainly can come across that way. I've never been accused of 
>being a shrinking violet but I haven't cared to expose myself here, to 
>dismissive comments about the place I choose to work or the people I work 
>with. Not all hospital midwives do their 8 or 10 hour shift and ignore it 
>for the rest of the day.
>
>People are people. I have had atrocious handovers of care from the midwife 
>on the shift before me. I have also had atrocious handovers of care, or 
>refusal to share antenatal findings, from homebirth midwives bringing women

>into hospital.
>
>Women who come to the place where I work come from a wide cross section of 
>the community. Many come from countries where English is not the first 
>language. Some are highly educated, some are illiterate. There are early 
>attenders and wo

RE: [ozmidwifery] The Advertiser today...

[Tania Smallwood]

wer of medicine and technology encourages and enforces their beliefs and 
>practices. in saying this however once again I must encourage us all not to

>pity or dismiss hospital based midwives because firstly that is where most 
>women birth and secondly many struggle day to day circumventing, 
>manipulating or challenging the system, doctors other midwives,  policies 
>or procedures so they can care for women well (as i am sure Rachel is 
>experiencing). it is often a lonely position to be in where you can be 
>actively discriminated against and  harrased . I do not lack confidence in 
>my skills as a homebirth or hospital based midiwfe, the reality is there 
>are significant differences in being able to use them.
>Belinda
>
>
>wump fish wrote:
>
>>I think any midwife who has spent their career in a hospital setting would

>>need 're-wiring' to attend homebirths. Hospital birth is so different to 
>>homebirth, and the danger is that midwives bring the hospital and it's 
>>guidelines to the home. I don't think it is a case of 'upskilling', just a

>>totally different way of working and hospital midwives have been oppressed

>>and socialised into a particular way of practising. They often lack 
>>confidence in their own midwifery skills and women's ability to birth.
>>
>>Rachel - trapped in a hospital with pinging machines and missing homebirth

>>and midwifery.
>>
>>
>>>From: "Tania Smallwood" <[EMAIL PROTECTED]>
>>>Reply-To: ozmidwifery@acegraphics.com.au
>>>To: 
>>>Subject: RE: [ozmidwifery] The Advertiser today...
>>>Date: Sat, 29 Oct 2005 21:06:12 +0930
>>>
>>>Love that term, Macdonaldisation!  I also get concerned when I hear of
>>>midwives needing to be "upskilled" to attend 'normal' births, or to give
>>>women care in water, etc.  I think as a midwife we should all be able to
>>>handle the 'normal'.  I personally would need upskilling to work in a
>>>tertiary institution with all those machines that go 'ping'!
>>>
>>>
>>>Tania
>>>
>>>
>>>-Original Message-
>>>From: [EMAIL PROTECTED]
>>>[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
>>>Sent: Sunday, 30 October 2005 1:57 PM
>>>To: ozmidwifery@acegraphics.com.au
>>>Subject: Re: [ozmidwifery] The Advertiser today...
>>>
>>>a big part of it is the multi skilling crap which is just a way of
>>>getting constant work out an individual which i think is why so many
>>>places are against direct mid entry midwives, they cant be used like
>>>slaves to work everywhere anywhere anytime. it is an evolving problem
>>>and much to do with globalisation and utilising the human resources to
>>>the best benefit of corporation which hospitals are fast becoming. The
>>>macdonaldisation of society!!! It really worries me
>>>Belinda
>>>
>>>Tania Smallwood wrote:
>>>
>>> > Not just a question for Barb, but anyone who knows about it, I'm
>>> > curious to know about the Midwife/nurse practitioner that you refer to
>>> > in Qld. What exactly do they do? How is this different to working
>>> > within the scope of a registered midwife? I'm aware that the college
>>> > is not supportive of the notion of midwives becoming NP's, but I'm
>>> > actually interested in what role they play in maternity care over and
>>> > above the general run of the mill midwife?
>>> >
>>> > Cheers,
>>> >
>>> > Tania
>>> >
>>>--
>>>This mailing list is sponsored by ACE Graphics.
>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>>
>>>
>>>
>>>
>>>--
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>>
>>
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>>
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RE: [ozmidwifery] The Advertiser today...

[Tania Smallwood]

Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all.  What I feel is sad is that what you are talking about
is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway.  They seem to hide behind this notion of needing
to be upskilled rather than acknowledging that for many of them, the system
they work in has resulted in them becoming deskilled and desensitized to the
realities of birth.  I like the idea of rewiring!  I think I'd need a total
motherboard overhaul to work just one shift in a labour and delivery suite.
Well done for being able to deliver care to the women who really need it in
the system, hats off to you!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...

I think any midwife who has spent their career in a hospital setting would 
need 're-wiring' to attend homebirths. Hospital birth is so different to 
homebirth, and the danger is that midwives bring the hospital and it's 
guidelines to the home. I don't think it is a case of 'upskilling', just a 
totally different way of working and hospital midwives have been oppressed 
and socialised into a particular way of practising. They often lack 
confidence in their own midwifery skills and women's ability to birth.

Rachel - trapped in a hospital with pinging machines and missing homebirth 
and midwifery.


>From: "Tania Smallwood" <[EMAIL PROTECTED]>
>Reply-To: ozmidwifery@acegraphics.com.au
>To: 
>Subject: RE: [ozmidwifery] The Advertiser today...
>Date: Sat, 29 Oct 2005 21:06:12 +0930
>
>Love that term, Macdonaldisation!  I also get concerned when I hear of
>midwives needing to be "upskilled" to attend 'normal' births, or to give
>women care in water, etc.  I think as a midwife we should all be able to
>handle the 'normal'.  I personally would need upskilling to work in a
>tertiary institution with all those machines that go 'ping'!
>
>
>Tania
>
>
>-Original Message-
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
>Sent: Sunday, 30 October 2005 1:57 PM
>To: ozmidwifery@acegraphics.com.au
>Subject: Re: [ozmidwifery] The Advertiser today...
>
>a big part of it is the multi skilling crap which is just a way of
>getting constant work out an individual which i think is why so many
>places are against direct mid entry midwives, they cant be used like
>slaves to work everywhere anywhere anytime. it is an evolving problem
>and much to do with globalisation and utilising the human resources to
>the best benefit of corporation which hospitals are fast becoming. The
>macdonaldisation of society!!! It really worries me
>Belinda
>
>Tania Smallwood wrote:
>
> > Not just a question for Barb, but anyone who knows about it, I'm
> > curious to know about the Midwife/nurse practitioner that you refer to
> > in Qld. What exactly do they do? How is this different to working
> > within the scope of a registered midwife? I'm aware that the college
> > is not supportive of the notion of midwives becoming NP's, but I'm
> > actually interested in what role they play in maternity care over and
> > above the general run of the mill midwife?
> >
> > Cheers,
> >
> > Tania
> >
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>
>
>
>
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RE: [ozmidwifery] The Advertiser today...

[Tania Smallwood]

Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be "upskilled" to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania
 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi skilling crap which is just a way of 
getting constant work out an individual which i think is why so many 
places are against direct mid entry midwives, they cant be used like 
slaves to work everywhere anywhere anytime. it is an evolving problem 
and much to do with globalisation and utilising the human resources to 
the best benefit of corporation which hospitals are fast becoming. The 
macdonaldisation of society!!! It really worries me
Belinda

Tania Smallwood wrote:

> Not just a question for Barb, but anyone who knows about it, I'm 
> curious to know about the Midwife/nurse practitioner that you refer to 
> in Qld. What exactly do they do? How is this different to working 
> within the scope of a registered midwife? I'm aware that the college 
> is not supportive of the notion of midwives becoming NP's, but I'm 
> actually interested in what role they play in maternity care over and 
> above the general run of the mill midwife?
>
> Cheers,
>
> Tania
>
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RE: [ozmidwifery] The Advertiser today...

[Tania Smallwood]

Title: Message








 

Not just a question for Barb, but anyone
who knows about it, I’m curious to know about the Midwife/nurse
practitioner that you refer to in Qld.  What exactly do they do?  How
is this different to working within the scope of a registered midwife?  I’m
aware that the college is not supportive of the notion of midwives becoming NP’s,
but I’m actually interested in what role they play in maternity care over
and above the general run of the mill midwife?

 

Cheers, 

 

Tania

RE: [ozmidwifery] waterbirth

[Tania Smallwood]

Hi Brenda,

 

Not sure if you are aware, but SA is in
the throes of releasing a government directed waterbirth policy for all public
hospitals, it might be a great time for you to approach the maternity heads and
offer to do some education along those lines, now that there is (nearly) an official
policy on it.  Just thought I’d give you the heads up if no-one else had,
your workshop sounds great, I’d love to attend myself!

 

Tania

 

PS what are the costs involved?  

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of brendamanning
Sent: Saturday, 29 October 2005
5:15 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
waterbirth



 





Hi Sharon,





 





Yes, we will do a workshop in Adelaide on:
"Waterbirths minus the Mystery", a 'how to' for you !







 I'm happy to respond, this is my
area of speciality. I assume you aren't just after general knowledge as
there is plenty of that available by googling on the net.





 





You are in Adelaide & if you'd like to get together
a group of students or colleagues I could run a workshop for you on waterbirth.




Perhaps if you do some homework re nice
venues (ie roomy & good energy) & get an idea of numbers of your
colleagues/peers interested ( 8 - 10 minimum) we could then fix a definite
date. Some suggestions: Community house, approach local hospital, local clinic,
your own or a friends home, you just need a roomy lounge.





 







They are good fun & we do a lot
of hands on role play which is a great & very effective way to learn . We
do tend to remember things we've seen acted out as well as retain the info.
Plus it gives you a chance to trouble-shoot regarding your particular
situation. Also we find it helps to visualise problems & how to overcome
them re tools, props, scenes, settings, emergencies etc.





 







Look forward to hearing from you.





 







With kind regards
Brenda Manning 
www.themidwife.com.au







- Original Message - 





From: sharon






To: ozmidwifery@acegraphics.com.au 





Sent: Saturday, October
29, 2005 1:26 PM





Subject: [ozmidwifery]
waterbirth





 





can anyone direct me where i can attend a class which
teaches midwives about waterbirth. iam interested to offer women who i care for
this service but i feel that i need to attend a study day or seminar so i can
be more proficient in the care of women who want a waterbirth.





thankyou





sharon 





p.s. preferably in adelaide.

RE: [ozmidwifery] waterbirth

[Tania Smallwood]

You could always come along to a homebirth
network meeting, there are always lots of women who have laboured and birthed
in water there, and believe me, you’ll learn more from them than you will
from any class or seminar!  There are usually a couple of homebirth midwives
there too, Wendy and I make it a date not to miss unless we’re at a
birth.  Next meeting is next Fri, 10-12 at the Eastwood community centre…contact
me if you need any further info

 

Tania

xx

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of sharon
Sent: Saturday, 29 October 2005
12:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] waterbirth



 



can anyone direct me where i can attend a class which
teaches midwives about waterbirth. iam interested to offer women who i care for
this service but i feel that i need to attend a study day or seminar so i can
be more proficient in the care of women who want a waterbirth.





thankyou





sharon 





p.s. preferably in adelaide.

[ozmidwifery] The Advertiser today...

[Tania Smallwood]

 

Could this be the thin edge of the wedge…do they see
this as a way of banning independent midwifery too, or am I just being paranoid?

 

 

Tania

(who is aware that thankfully, we don’t have to train
as nurses any more to become a midwife, but the reality is that many of us are…)

 

http://www.theadvertiser.news.com.au/common/story_page/0,5936,17070060%255E2682,00.html

 

Nursing back-up under
attack
KARA PHILLIPS, Health Reporter
29oct05 

INDEPENDENT nurse practitioners, who are
not made to report to doctors, should not be able to work in South Australia, the Australian Medical
Association says.

AMA state president Chris Cain said
yesterday there was "growing concern" about nurse practitioners who
did not have the full back-up support of a medical team. 

The comments come just days after The Advertiser reported the chronic GP
shortage has reached crisis point in the city's outer suburbs, with doctors
claiming GP patient ratios at 1:5521 in the Woodcroft area in the south and
1:7596 around Williamstown in the north. 

Interstate, particularly in Queensland where
doctor shortages are severe, there has been extensive debate about whether to
introduce independent nurse practitioners allowed to treat some patients
without answering to a doctor or hospital medical team to ease the strain on
the system. 

"We would strongly oppose that move here in
SA," Dr Cain said. 


 
  
  
   
  
  
  
  
 
 
  
  
   
  
  
  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
  
  
  
  
  
   
  
 
 
  
  
   
  
 
 
  
  
   
  
 


"If there are doctor shortages, train more
doctors – don't put people with fewers skills into those positions."


Dr Cain stressed the state's existing nurse
practitioners, including the state's first paediatric palliative nurse
practitioner Sara Fleming – who started in her new role this week –
were not a problem. 

"There are doctors and audit processes to
protect the health of patients." 

Ms Fleming, a Women's and Children's Hospital
nurse, said her role would help cut treatment time and hospital stays for
seriously ill children. 

 

RE: [ozmidwifery] Older Children's Sleep

[Tania Smallwood]

Hi Kate,

I'd recommend Simon Kent, chiro at Victoria Park chiropractic, ad I've heard
that Andrea Wheatley at Nth Adelaide Osteopathic Clinic is a great osteopath
for children...

Tania
xxx



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[ozmidwifery] Homebirth Network SA coffee morning...

[Tania Smallwood]

Just a friendly reminder that the next Homebirth Network
coffee morning is on next Friday, the 4th November from 10-12 at the
Eastwood community centre, 95 Glen
  Osmond Rd, Eastwood. 

 

In preparation for the Stirling Christmas pageant, we will
be decorating t-shirts for the kids (and adults too if you like!)  Please
bring along a green/purple/white t-shirt, and if you have some fabric paints or
anything else you’d like to decorate with, bring that too.  We plan
on having a colourful and vibrant display of parents and children for the
pageant again this year, we were very well received and participants had a
great time last year, so please come along and support the network, and have
some fun! 

 

Looking forward to seeing you there,

 

Tania

x

RE: [ozmidwifery] FW: [accessingartemis] Midwife needs your help

[Tania Smallwood]

Title: Message








How tragic and scary for both the midwife
and the women she attends…let’s hope the madness doesn’t get that bad here…

 

Tania

x

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Dean & Jo
Sent: Tuesday, 25 October 2005
8:00 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] FW:
[accessingartemis] Midwife needs your help



 



 



I  know this has been discussed previously and I think there
was an inquiry as to the up date on this terrible situation.  Here is a
web site that is updating the situation about the Washington
Midwife being dragged through the courts for facilitating a home
breech birth.  The importance of this is the prosecution for the Washington state is
arguing breech should always be by cs, so despite people's opinion on breech at
home, this is more to do with vaginal breech.  

http://www.shaheedapierce.com/



  

 








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RE: [ozmidwifery] 'Breech birth woman wise'

[Tania Smallwood]

Hi Tina,

 

It’s 2 years ago today that I caught
my first baby as an RM, and it was that gorgeous baby girl with her two feet
firstl…reading your account of this magnificent birth took me back to
that day (a day I revisit often) and reaffirmed my strong faith in women and
their abilities to birth.  It is such an amazing moment, watching that
baby unfold, and ease out, with that absolute knowledge inside of you that this
woman and this baby know exactly how to do this…

 

Congratulations, take it with you and let
that wonderful experience give you strength and courage when times perhaps aren’t
so good…

 

Tania

xxx  

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Tina Pettigrew
Sent: Wednesday, 19 October 2005
5:46 PM
To:
[EMAIL PROTECTED]
Cc: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] 'Breech
birth woman wise'



 







Hi everyone,
tis me againjust wanted to share with you that last Friday while I was
working in our family birthing unit I had the most awesome of experiences..
being  midwife for a woman with an undiagnosed breech birthWoo Hoo!!!
Poor Janine and my fellow midwives at Geelong have had to put up with me
walking around with a smile too big for my facesimply one of the most
awesome births I have witnessed as this strong and powerful woman birthed her
breech baby in the standing position.The baby, a frank breech, just birthed
beautifully into my and the woman's third year B Mid follow thru students
handsIt was truly and all BMid affair, with the birthing woman herself a
3rd year BMid student!!!





 





What also adds to the splendor of this birth was that
unbeknown to the BMid student and I, the consultant obstetrican did make into
the birth but just kept quiet and stood at the back of the room and watched as
we facilitated the birth (well we did nothing really as 'hands off the breech'
came flooding back from my midwifery education) we just supported/reassured and
held the space for the woman who stood strong and powerful and breathed out her
baby daughter.I can't stop smiling as on reflection I can't believe that
this OB got to witness 'breech birth woman wise'a totally midwifery
approach to breech birth!!





 





The baby was born in good condition, Apgars of 6 at 1 and 9
at 5...a quick check over by the paed and she was straight back into her
mothers armsthe birth topped off with a wonderful physiological third
stage!! 





 





For those of you close to me, you know that I have had a
rough trot the past few months with my midwiferybut such experiences as
this help to restore one's faith in the 'power of woman' and reignite the spark
that fuels the flame of my passion for midwifery and woman's innate knowlege
and wisdom to birth. Trusting in the process of birth, women, and our skills as
midwives has always been at the core of my midwifery philosophy...to truly work
in partnership with women and trust in their innate abilities to birth safely
and joyously is a totally empowering experience...not just for the woman but
also for the midwife!!! Maggie Bank's book 'breech birth woman wise' has taken
on a whole new meaning for meI continue to be amazed at what woman teach us
if we are just humble enough to watch and listen.





 





Yours in reforming midwifery,
Tina Pettigrew.

RE: [ozmidwifery] Lotus Birth

[Tania Smallwood]

Here here Belinda!  This notion that anyone has the right to "allow" or
"disallow" women to do or not do anything when it comes to their birth, is
just not cricket!

Before we start debating the semantics of lotus birth, we need to all be
going in to bat for women and their right to birth the way they need and
want to.  If this means wearing a polka dotted clown suit, or singing Dixie
at the top of her voice, (or God forbid, not cutting the cord), and that's
what she truly needs to be able to birth in her own way, then we need to
respect that!  

Now that's enough from me for tonight...

Tania
Xx

PS  I have a copy of Shivam Rachana's Lotus Birth book, very interesting,
lots of gorgeous photos, and certainly made me think twice before cutting
the cord of my babies, we ended up leaving it for a few hours and then it
just seemed right for us to cut, but I can see how and why for some families
it just seems right to leave it.  A bit like birth, if all's well, leave
well alone...



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RE: [ozmidwifery] Infant Sleep

[Tania Smallwood]

Funny you should mention that Belinda, I was just writing a reply along
those lines...

I drank heaps of chamomile tea when we went on a long haul overseas trip
with our oldest son - he was 20 months old, and still a vigorous breast
feeder.  We also tried to get him to drink a bit, but no luck there.  I
think it helped, or maybe I was just so relaxed by it all that nothing
bothered me too much...

Tania
x

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Tuesday, 18 October 2005 10:42 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Infant Sleep

I wonder if you drink lots of camomile or peppermint tea throughout the 
evening?

Pinky McKay wrote:

> Hi Jo,
> I have read Aletha Solters book re stress release crying - I also 
> believe there is a big difference between leaving a baby to cry and 
> allowing a baby to cry to release stress BUT have a few buts!
>
> I know mothers who have tried to let their babies release through 
> crying -for a couple it seems right and for others not.
>
> Last week I had this discussion with a mum who expressed my own 
> concerns - is this just a form of sleep training but 'in arms'? I 
> guess it depends on the particular baby. As Vedrana says - listen hard 
> to what YOU feel is right - you know YOUR baby best!
>
> Pinky
>
>
> - Original Message - From: "Vedrana Valčić" 
> <[EMAIL PROTECTED]>
> To: 
> Sent: Monday, October 17, 2005 5:21 PM
> Subject: RE: [ozmidwifery] Infant Sleep
>
>
>> My advice - think hard about what is happening in his life, listen 
>> hard to what YOU feel is right and remember that things change with 
>> time. This will pass. Waking up often won't hurt him.
>>
>> Vedrana
>>
>> -Original Message-
>> From: [EMAIL PROTECTED] 
>> [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ 
>> BellyBelly
>> Sent: Monday, October 17, 2005 6:24 AM
>> To: ozmidwifery@acegraphics.com.au
>> Subject: RE: [ozmidwifery] Infant Sleep
>>
>> Jo,
>>
>> I hear you!!! My first born was a very wakeful sleeper and my second has
>> been waking often from four months - every time he is teething (i.e. 
>> now!)
>> he gets worse. I know lots of mums that have wakeful babies at four 
>> months
>> of age - so please don't feel alone!
>>
>> You've really got to follow what works for you and ignore all the
>> conflicting advice - adopt only the bits which work for you, because 
>> as you
>> will know, what works for one won't necessarily work for the other. A 
>> friend
>> of mine desperately wanted to co-sleep with her baby but to this day at
>> nearly four years of age, she still wants to sleep on her own, in her
>> bedroom, with the light off and door shut! Much to mums dismay!
>>
>> Pinky will no doubt have some great advice for you but I can 
>> recommend her
>> book, 100 Ways to Calm the Crying and also a fantastic book 
>> recommended to
>> me by my birth teacher, Rhea Dempsey, "The Wonder Weeks" by Frans X. 
>> Plooij
>> & Hetty Vanderijt - two paeds. Here is the book blurb:
>>
>> In The Wonder Weeks, you'll discover the specific dates during their 
>> first
>> 14 months when all babies take eight major developmental leaps. And 
>> you'll
>> learn how to help your baby through the eight great "fussy phases" 
>> that mark
>> these leaps within a week or two. Wonder week by wonder week, you'll 
>> see how
>> your baby's mind is developing. Now you will know which games and 
>> toys are
>> best for your baby during each key week and how to encourage each leap
>> forward. Calendars, charts, and checklists help you track your baby's
>> progress - and finally make sense of his fussy behavior. This is a 
>> baby book
>> like no other. It will be your indispensable guide to the crucial 
>> "wonder
>> weeks" of your baby's first year.
>>
>> Remember... this too will pass... :)
>>
>> Best Regards,
>>
>> Kelly Zantey
>> Director, www.bellybelly.com.au & www.toys4tikes.com.au
>> Gentle Solutions For Conception, Pregnancy, Birth & Baby
>> Australian Little Tikes Specialists
>>
>>
>> -Original Message-
>> From: [EMAIL PROTECTED]
>> [mailto:[EMAIL PROTECTED] On Behalf Of JoFromOz
>> Sent: Monday, 17 October 2005 1:57 PM
>> To: ozmidwifery@acegraphics.com.au
>> Subject: [ozmidwifery] Infant Sleep
>>
>> Hi All...
>>
>> Just wondering if any of you have any thoughts on this Q/A:
>> http://www.awareparenting.com/answer13.htm
>>
>> The question seems to relate strongly to our situation at the moment.
>> Will is waking VERY often over night.  He only seems to need feeding
>> twice, as the other times he just semi-wakes and cries, and needs
>> rewrapping, and dummy back in.  I counted 18 awakenings the other night,
>> and I think the number came close last night.  This happens whether
>> co-sleeping or puting him in his cot in our room.  He seems to go to
>> sleep quite easily, but doesn't stay asleep.
>>
>> The answer suggests not giving the dummy for sleep, but letting baby
>> cry-it-out, only in your arm