[ozmidwifery] Intro

[Jennifairy]

Hi all, just a short (hopefully!) intro. Ive been away from the list for 
the last 2 or 3 years whilst doing my BMid here in SA - study tended to 
take over my life & keeping up with the volume of mail from here was 
just too much!
Anyways, Im finished/registered/the 'real deal' now, a RM of the first 
cohort of 'direct entry' midwives in Australia, now apprenticing with a 
MIPP on my way to fulfilling 'the dream' and *really* enjoying my 
life now that Im not under the study thumb!
Im madly trying to get my 'kit' together, & in the market for a 
waterproof doppler. What Im asking for from you gals (& maybe guys) is 
what you use/would recommend brand-wise. Ive only ever used Huntleighs 
in the hospitals Ive done placements at, but there are some others out 
there & wondering if anybody can 'give me the goss' - the Huntleighs are 
currently around $900+ so I need to know Im making the right decision! I 
havent started earning 'real money' yet so this is a big buy for me. Ive 
managed to find forcep clamps & a fabulous digital fishing scale for 
baby weighing on EBay (yeah, Ive become an EBay groupie now that I have 
the time), but if anyone has ideas/contacts etc for other stuff Id 
be really happy to hear from you (for eg, where do I get wooden 
pinards?). I need everything!
cheers & thanx in advance
Jennifairy
RM!!
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Re: [ozmidwifery] waterbirth

[Jennifairy]

um, as a new graduate of the 3 year BMid who has had the opportunity to 
'apprentice' with an independant midwife, I guess the answer is 'well, 
yeah'. I must admit to some anxious feelings when I was considering this 
option, but I spoke to people like Nicky Leap, Shea Caplice, & some 
others who told me that thats what they had done & never regretted it. I 
feel that I still have enormous gaps in my knowledge & experience base, 
but I want those gaps to be filled by 'normal' birth experiences. I know 
that the current midwifery scope of practice includes things like 
setting up epidurals & synt infusions etc, & I am not going to be 
'consolidating my practice' in those areas while I practice 
independantly, but I can live with that for now. I have just done 3 
years of fulltime study as a sole parent, with no family or other 
reliable support structures, being student rep for over 2 years of that 
& having my 'fingers in a lot of pies', so full-time shift work, even in 
a grad program, only seemed like a valid option if I didnt mind the 
thought of being scraped up off the floor at the end of it (by my kids 
probably!)
Unfortunately, there are not very many MIPPs around now to mentor or 
apprentice new grads who want to work independantly, & even of those who 
are around, there is no identified 'process' for this to happen. In 
talking to midwives who have worked with more experienced mids before 
going 'out on their own', there is a lot of diversity in process. The 
midwife that I am working with is taking a few months long-service leave 
from her job as Community Midwife doing postnatal home visits, & is 
using this time to take on some private clients (she has worked as a 
MIPP for years before this), so my 'apprenticeship' will probably be 
shorter than I would like it to be. There are no other MIPPs here that I 
know of who are willing to take on an apprentice. Jan, the program you 
have mentioned from ASIM sounds absolutley wonderful & I only wish there 
were something like it here in SA. Northern Womens have taken on one 
grad this year, but as far as I know the Group Practice at WCH has not 
taken any, & these are the only midwifery-led practices that offer 
either continuity of care or carer in the metropolitan region. It seems 
to me that the pathway for a midwife who wants to work independantly is 
not easily identified, accessed or facilitated.
Happy to be wrong on any of this!
Jennifairy

jo wrote:
Hi all,
 
Once a student has completed the Bmid, is it feasible to go straight 
into Independant Practice without working in a hospital?
 
Cheers
 
Jo Hunter


*From:* [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] *On Behalf Of 
[EMAIL PROTECTED]
*Sent:* Monday, 14 March 2005 4:04 PM
*To:* ozmidwifery@acegraphics.com.au
*Subject:* Re: [ozmidwifery] waterbirth

In a message dated 3/14/2005 3:30:31 PM AUS Eastern Standard Time, 
[EMAIL PROTECTED] writes:


i applaude you for doing what u want to. but however in the current 
climate bieng a bach of mid grad we are still un accepted by some 
midwives who have years of expereince or rather indocrination of 
working in hospitals. one day hopefully we can be accepted more by 
our collegues as being their equal. shift work can be frustrating but 
at the hospital where i am they gave us the choice of what we wanted 
to do ie 3 days to 5 days per week and all the interim.
cheers  sharon

Hi Sharon thanks for your comments...the simple point I am trying to 
make is that the arguement I get from most midwives re: 
caseloadand their unwillingness to participate, is that its "too 
hard" "too demanding" "harder than shift work"having worked both 
ways myself now, caseload while it can be more unpredicible than shift 
work in terms of when you work and your availablity, I have found it 
FAR less tiring and a great deal more flexible in how I choose to 
organise my day (and my family) in partnership with the women in my 
care! When your rostered to work on shiftwell that's it your 
rostered on and gone for upto 10 hours a day.at least with 
caseload other than if I am with a birthing womanmy day is my own, 
negotiated with the women concerned...and if I only feel like working 
four hours today and 6 tomorrow.well, that's what I'll do! Much 
more woman and midwife friendly!

Cheers Tina P 
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Re: [ozmidwifery] big baby

[Jennifairy]

hmm, the difficulties of trusting ultrasound for baby weights...
I hear many midwives recount stories of the inaccuracies of this 
practice, & the less-than-ideal outcomes that follow. Everyone seems to 
have a story - mine is about the woman carrying twins, who at 37 weeks 
was told by her OB that she needed a US to 'check the babies'. US result 
came back saying that there was over a kilo discrepancy in the weights 
of the babies, twin-to-twin transfusion was diagnosed, so she was 
induced (at 37 weeks). Her beautiful babies were 7lb & 7lb 4oz, a 4oz 
difference.
Does anybody have evidence that US *is* a 'reliable' tool for 
diagnosing/estimating baby weights? Why are we using/trusting this tool 
if all we keep hearing about are stories like these? How many stories 
are out there regarding US weight diagnosis being accurate?
Jennifairy

Mary Murphy wrote:
I realise that some U/S weights are close, but recently had a tall, well
proportioned primip woman who was told her baby was 4.8kg.  when she was
induced later for PROM this image of the big baby certainly affected her.
she later had a c/s of a 3.6kg baby.  Now she has a scarred uterus and her
reproductive future is influenced by this as she is 41 & wants to have
another baby quickly.  Now she has to worry about the VBAC research which
says it would be safer to wait 2 yrs, which she can't.  One can never say
that she would not otherwise have had a C/S, but one has to wonder.  MM
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[ozmidwifery] test - ignore

[Jennifairy]

just testing my mail server. Ive had to change some settings...
jfairy
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[ozmidwifery] test - ignore

[Jennifairy]

Just me testing me server (again, *sigh*)...
jfairy
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Re: [ozmidwifery] Re: dopplers

[Jennifairy]

Got me server behaving again (WOOT!) so Im now back on the list...
We will be ordering them as soon as we can make a decsion about which 
ones to get (whether to get the ones with digital readout or the ones 
without - about an $80Au price difference), & when I can get all the $$ 
in one place so I can order thru my card...
Time is flying so if there are any more out there who want to be 
involved in this, let me know asap
Andrea, would you like me to include your email address in the "Doppler 
buyers" mail list Ive got going?
Jennifairy

ID & AC Quanchi wrote:
I have spoken to the MUM and Echuca Regional Health is in the market 
for a new one and is interested in getting in on the deal. Can you let 
me know when you will be ordering them
Andrea Quanchi

Judy Chapman writes:
I would like to be in with this ordering lot please. Cheers
Judy
--- Larissa Inns <[EMAIL PROTECTED]> wrote:
This is from Jennifairy - her email server is not behaving and
she can't post it herself!
For anyone wanting to purchase a doppler read on:
>Pamela  & I have managed to track down a company in the US
that will sell us Huntleigh dopplers (with waterproof probe) for 
$450 US
(around $583 Aust) each if I order >5. Postage on these will be around
$113 (not each, altogether, so around an extra $20+). These are 'on
special' so we need to get these now if we want them. I dont think 
we will
get a better deal at ICM or anywhere here in Australia. The site is 
here -
http://www.cascadedopplers.com/huntleigh_dopplers/huntleigh_fetal_dopplex_fd1/ 


I have been quoted a price from the distributor in Adelaide of
$1125 for this same doppler (& that was last year, may have gone up in
price by now), so $600 sounds like a good plan!
Alternatively, if you want to order your own, they are $475 US
+ postage (so probly an extra close to $100).
Please let me know ASAP if you are interested in doing a bulk
order.
cheers
jennifairy

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Re: [ozmidwifery] Contemporary midwifery critique

[Jennifairy]

um, thats a really broad reference list! What exactly are you needing - 
justification for caseload midwifery models (from 
economic/consumer/midwives points of view?); justification for 'direct 
entry' midwifery education?; medical dominance of midwifery from an 
historical/present point of view?; 'primary health care' / 'community' 
systems of maternity care? All of the above (how many words is this 
assignment?!)?
I can send you literally hundreds of references but I think to save you 
trawling through them all, it might be useful to be more specific re 
what you are looking for :)
jennifairy

Sue Cookson wrote:
Hi all,
Am in the midst of an assignment which includes a critical analysis of 
contemporary midwifery. I need some references to validate what I'm 
saying - fragmented care vs continuity of care, educational methods, 
medical dominance, socially constructed health care systems, 
mechanistic view vs humanistic etc etc.

I'm hoping there's lots of good references amongst all of you,
Many thanks,
Sue
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Re: [ozmidwifery] Contemporary midwifery critique

[Jennifairy]

and outcomes of one-to-one midwifery practice’, /Journal 
of Public Health Medicine,/ vol. 21, no. 3, pp 243-248.

Page, L. 2000, /The New Midwifery – Science and Sensitivity in Practice, 
/Churchill Livingstone, Edinburgh.

* *
Pairman, S. 1999, ‘Women-centred midwifery: partnerships or professional 
friendships?’ MIDIRS Midwifery Digest, vol.9, no. 3, p. 386.

Passant, L., Homer, C. & Wills, J., 2003, ‘From student to midwife: the 
experiences of newly graduated midwives working in an innovative model 
of midwifery care’, /Australian Midwifery,/ Dec. 2003, Vol. 16, No. 4, 
pp 18-21.

Rooks, J., 1999, ‘The midwifery model of care’, /Journal of 
Nurse-Midwifery/, vol. 44,

no. 4, July/August, p.370-374.
Rouf, K., 2003, ‘Child sexual abuse and pregnancy: a personal account’, 
in /Midwifery Best/ /Practice/ ed. S Wickham, Books for Midwives, 
Philadelphia, USA.

Rowley, M., Hensley, M., Brinsmead, M. & Wlodarczyk, J. 1995, 
‘Continuity of care by a midwife team versus routine care during 
pregnancy and birth: a randomised trial’, /Medical Journal of Australia, 
/vol. 163, Sept, pp. 289- 293.

Sandall, J., 1995, ‘Choice, continuity and control: changing midwifery 
towards a sociological perspective’, /Midwifery/, vol.11, pp. 201-207.

Sandall, J., 1996, ‘Moving towards caseload practice: what evidence do 
we have?’,

/ British Journal of Midwifery/, vol.4, no. 12, pp. 620-621.
Sandall, J. 1999, ‘Team midwifery and burnout in midwives in the UK: 
practical lessons from a national study, /MIDIRS Midwifery Digest/, 9, 
2:147-151.

Senate Community Affairs Reference Committee 1999, /Rocking the Cradle. 
A Report into Childbirth Practices/, Commonwealth of Australia, Canberra.

_ _
Shields, N., Holmes, A., Cheyne, H., McGinley, M., Young, D., Harper 
Gilmour, W., Turnbull, D. & Reid, M., 1999, ‘Knowing your midwife during 
labour’, /British Journal/ /of Midwifery/, vol. 7, no.8, pp 504-510.

South Australian Health Commission 1995/, Report of the South Australian 
Models of/ /Care Working Party/, Adelaide.

Spurgeon, P., Hicks, C. & Barwell, F., 2001, ‘Antenatal, deliver and 
postnatal comparisons of maternal satisfaction with two pilot Changing 
Childbirth schemes compared with a traditional model of care’, 
/Midwifery/, vol.17, pp 123-132.

Teate, A., 2000, ‘Community midwives programme in Adelaide’s Northern 
suburbs’,/Midwives Muse/, Spring, p.5

Tinkler, A. & Quinney, D., 1998, ‘Team midwifery: the influence of the 
midwife-woman relationship on women’s experiences and perceptions of 
maternity care’, Journal of /Advanced Nursing/, vol.28, no.1, pp 31-35._

_
Tracy, SK. & Tracy, MB., 2003, ‘Costing the cascade: estimating the cost 
of increased obstetric intervention in childbirth using population 
data’, /British Journal of Obstetrics/ /and/ /Gynaecology,/ vol. 110, pp 
717-724.

Tracy, S., Barclay, L.B. & Brodie, P., 2000, ‘Contemporary issues in 
workforce and education of Australian midwives’, /Australian Health 
Review,/ Vol. 23, No. 4, pp 78-88

Turnbull, D., McGinley, M., Fyvie, H., Johnstone, I., Holmes, A., 
Shields, N., Cheyne, H. & MacLennan, B., 1995, ‘Implementation and 
evaluation of a midwifery development unit’, /British Journal of 
Midwifery/, vol.3, no. 9, pp. 465-468.

Waldenstrom U. & Nilsson CA., 1997, ‘A randomized controlled study of 
birth centre versus standard maternity care: effects on women’s health’, 
/Birth/, vol. 24, no. 1, pp. 17-26.

Waldenstrom, U., 1998, ‘Continuity of carer and satisfaction’, 
/Midwifery/, vol.14, pp207-213.

Waldenstrom, U. & Turnbull, D., 1998, ‘A systematic review comparing 
continuity of midwifery care with standard maternity services’, /British 
Journal of Obstetrics and Gynaecology/, vol. 105, pp. 1160-70.

Walsh, D., 1996, ‘Evaluating new maternity services: some pointers and 
pitfalls’,/ British/ /Journal of Midwfery,/ vol.4, no. 11, pp 598-600.

* *Walsh D. 1999, ‘An ethnographic study of women’s experience of 
partnership caseload midwifery practice: the professional as friend’, 
/Midwifery,/ vol. 15, no. 3, Sept 1999

Warwick, C., 1995, ‘Small group practices: the manager’s perspective’, 
/Modern Midwife/, October, p 22-23.

Webber, A., 1998, ‘Mothers with Midwives – A South Australian Experience 
of Caseload Midwifery’, /New Models of Maternity Service Provision: 
Australian Midwifery Perspectives Conference,/ Adelaide, 5-6 November.

cheers
Jennifairy

Jackie Doolan wrote:
Would love your braod reference list. 
If you can send it would be very much appreciated to [EMAIL PROTECTED]
Jackie Doolan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy
Sent: Friday, April 15, 2005 11:48 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Contemporary midwifery critique
um, thats a really broad reference list! What exactly are you needing - 
justification for caseload midwifery models (from 
economic/consumer/midwives points of view?); justification 

[ozmidwifery] dopplers

[Jennifairy]

Just letting all know, last call for dopplers. I will be ordering 
sometime in the next week or so (when I get everybodies monies together) 
Huntleigh 920's - the ones without the digital readout - for $540 each 
if you are in Adelaide, $550 each for elsewhere in Aust.
If you are wanting to order one, please let me know asap!
jennifairy

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Re: [ozmidwifery] Independent midwife numbers

[Jennifairy]

Hmm, this has brought up some questions for me, the answers to which are 
probably obvious to many (except me..) - what is an independantly 
practicing midwife?
A midwife who only has private clients as major source of income?
A midwife who works within a hospital system and also has some private 
clients in her 'spare time' (whatever that is!)?
And then are numbers involved? How many women does one have to birth 
with per year to be considered an independantly practicing midwife?
Tania mentioned 7 here in SA but I know of at least 10 here who would 
fit into either category above (but most in 2nd category)
Jan, there is probably something in ASIM's charter (or Terms of 
reference, or whatever it is that you have for ASIM) that would answer this?
Jennifairy (being curious)

Jan Robinson wrote:
I'm down to fifty on the ASIM mailing list for our Communique, Sue
I'm sure there are more IPMs around who don't belong though.
As a rough estimate I'd say there are at least 70 practising full time 
and part time around the country.
Cheers
Jan

Jan Robinson Independent Midwife Practitioner
National Coordinator Australian Society of Independent Midwives
8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350
e-mail address: <[EMAIL PROTECTED]> website: 
www.midwiferyeducation.com.au

On 21 Apr, 2005, at 16:34, Andrea Quanchi wrote:
not enough but it would be hard to tell because some are not
admitting it and some not wanting to practice without insurance
Count me as 1 but the MIPP list is useful for Victoria
Andrea Quanchi
On 21/04/2005, at 1:28 PM, Sue Cookson wrote:
Hi all,
Just completeing my assignment - anyone know approximately how
many independently practising midwives there are across
Australia?
Thanks, Sue
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Re: [ozmidwifery] Mareeba Maternity

[Jennifairy]

How awful for the women who were intending to birth there, & for you & 
the other the staff working there for the PTB's at the Hospital to put 
out a media release & have a 'last minute' meeting as the only 
communication on this issue. Not 'professional', or caring in any way of 
the consequences of this decision to you & the other people who will 
suffer from it.
Was this a 'snap decision' by this Dr to go into private practice? Was 
there no dicussion beforehand that things were going to change & how to 
deal with it when it did?
So now the only women *allowed* to birth at Mareeba will be this Dr's 
private clients?
I so hope that you all as a community can use this opportunity to set up 
a fabulous midwifery-led service to provide an alternative to this Dr 
who seems to have no regard for those women who will not be his/her clients!
Hopefully there will be a great turn-out at this rally from all the 
women who have already had their babies with you & the other wonderful 
midwives there - its amazing what a bunch of angry women can acheive!
Please keep us posted on how it goes, & if I can offer anything in the 
way of support please let me know.
cheers
jennifairy

Maternity Ward Mareeba Hospital wrote:
We have put in a submission to operate as a freestanding birth centre 
but only God knows where that has gone.
I am on night shift and having a class out of town as soon as I was up 
I did not even see the news. It was left to a friend to tell me at 
2100 that I might not have a job!!!. Those staff that were phoned were 
given 25 minutes to get into work for a meeting and the announcment 
that we may not have births here.
Now that I am at work I see the print out of the media release. We 
will be able to do antenatal and postnatal care. Big deal. They keep 
talking about safety to the baby but seem to have no idea that 
birthing on the road to another place is not safe. Here is a sentence 
from the release "The priority is to ensure women experience a safe 
environment in which to give birth supported by appropriately 
qualified medical and nursing staff." They just don't get it! Cairns 
Base Hospital is having trouble managing the births from Cairns and 
the high risk from the whole of Cape York. Atherton Hospital has had 
its proper maternity unit closed because of lead in the paint. They 
now have a poky little spot at the end of a surgical ward. I believe 
they only have 4 or 5 postnatal beds. No bath, no pressure in the 
water from the shower. Terrible statistics. Apparently that is safer 
than here. Midwives don't want to stay there.
Here we have midwives who have worked hard for the last 12 years to 
make this place what it is, a good example of midwifery model of care. 
None of these have been consulted. The women have not been consulted. 
After all, they are obviously not qualified to make a choice for the 
safety of themselves and their babies.
They reckon it will only be for up to six mohths. I am not sure what 
will happen then, they have been unable to replace our very able Med 
Super when he retired early last year.
We have the Mayor and council supporting us and it seems the phones 
were running hot (as I and several other midwives remained blissfully 
unaware of our fate) to MP's etc. There is a rally in town on thursday.
Pardon my rambling, I am tired and very very upset.
Judy

>>> [EMAIL PROTECTED] 05/09/05 10:48pm >>>
Is this not the time for Qld to its first midwife led maternity 
service in Mareeba??
Denise Hynd
 
"Let us support one another, not just in philosophy but in action, for 
the sake of freedom for all women to choose exactly how and by whom, 
if by anyone, our bodies will be handled."
 
â Linda Hes

- Original Message -
*From:* Judy Chapman <mailto:[EMAIL PROTECTED]>
*To:* ozmidwifery@acegraphics.com.au
<mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Monday, May 09, 2005 7:51 PM
*Subject:* [ozmidwifery] Mareeba Maternity
Mareeba midwives are in mourning. With our most experienced Dr
going into private practice we have been told today that we may
not do any more births after friday. We can still do antenatal and
postnatal care.
I have not yet been to work today so I had to find out from the
local news!!!
We will keep you posted.
Judy

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Re: [ozmidwifery] Intro

[Jennifairy]

I just wanted to write to say "thank you" Gloria for these wise words. 
Your views on the 'inner need for a big story' really resonated with me 
& have made me think about how we (& I include myself in this!) either 
allow or encourage situations to play out to fulfill this need & yes 
birth is amazing & wonderful & exciting & awesome, & in some ways an 
'extreme' experience, but also just as much mundane, ordinary, 
common-place & just part of 'daily life' & you see this 
'ordinary-ness' much more at home than in hospital I think (well that is 
my experience anyway). its got me to wondering how much the 
perceptions women hold around birth are culturally defined, & how big a 
role TV & other 'entertainment media' has played in this 'drama of 
birth' thing for women, & midwives, & other health professionals 
involved in maternity care. definitely our expectations have 
changed, both as consumers & carers... & whether women experience birth 
in hospital as 'ordinary' to start with...
just thinking out loud...
jennifairy
independant midwife in south australia
(so good to finally write that!)

Gloria Lemay wrote:
I've just joined the list and live in Vancouver, BC Canada.  Some of 
you know me from articles I've written for Midwifery Today Magazine or 
just from being a generally uppity, brazen woman. 
 
Lieve told me you were discussing the "drama in birth" thread and I 
have read the posts with interest.  It's so elusive, isn't it, trying 
to describe what birth "is".  It's very paradoxical a rites of 
passage, yet an ordinary day
profound and spiritual yet down and dirty
complex yet so simple
intimate yet lonely and solitary
painful yet pleasurable
a huge accomplishment yet not of our doing
 
Just when I think I know something about birth, something proves I 
know nothing once again.  What a fun profession to be in.   I would 
hope that introducing the lens of "drama" to examining birth would 
lead not so much to pointing fingers of blame for what's wrong with 
birth but, rather, to each player owning their own need for drama and 
lightening up a bit about it.  When I had my last baby, I learned a 
technique for "disappearing" pain and used it all through the birth 
process.  I only had about 5 minutes when I thought "Gloria, you 
idiot, you knew it would feel like this, why are you here again?!"   
As soon as the baby was out, I had this huge wave of regret. . . . .I 
had had a painless birth and had no story to tell, oh dear.  I 
realized what an idiot I was, of course.  Who in their right mind 
would want a dramatic story over a smooth birth??  I share that story 
with other women so they can take a look at the inner need for a big 
story in their own lives.  When we get these things out of the closet 
and into the light of day, we become more powerful.  The only demons 
that control us are the ones within.
 
As a birth attendant, too, I can see that I have a need to be a 
"saviour" and a 'hero" instead of a fly on the wall.  Dramatic births 
are food for the insatiable ego.  Learning to love the simple, silent 
arrivals with only a flickering, fleeting glance of gratitude from the 
woman transformed into mother. . . that is the quest of our spirits. 
 
I look forward to getting to know you on this list.  Gloria Lemay, 
Vancouver, BC Canada
 


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Re: [ozmidwifery] FW: [C-Aware] Snippets from the weekend papers

[Jennifairy]

Found this at http://www.healthspan.co.uk/articles/list.aspx?authorid=7
Dr Thomas Stuttaford OBE
Dr Thomas Stuttaford is best known as medical columnist of The Times 
where he’s been writing for twenty one years. He also contributes 
regularly for many national magazines and is a frequent broadcaster. 
Trained in medicine at Oxford, he was a GP in Norfolk and served in the 
NHS as a genitourinary physician as well as in private practice.

Has a picture & a list of articles he has written:

   * Is red wine good for you?
 <http://www.healthspan.co.uk/articles/article.aspx?Id=163> /by Dr
 Thomas Stuttaford,/ May 2005 read article
 <http://www.healthspan.co.uk/articles/article.aspx?Id=163>
   * Healthy Hearts
 <http://www.healthspan.co.uk/articles/article.aspx?Id=148> /by Dr
 Thomas Stuttaford,/ Mar 2005 read article
 <http://www.healthspan.co.uk/articles/article.aspx?Id=148>
   * Look after your circulation
 <http://www.healthspan.co.uk/articles/article.aspx?Id=126> /by Dr
 Thomas Stuttaford,/ Nov 2004 read article
 <http://www.healthspan.co.uk/articles/article.aspx?Id=126>
   * Happiness
 <http://www.healthspan.co.uk/articles/article.aspx?Id=111> /by Dr
 Thomas Stuttaford,/ Jul 2004 read article
 <http://www.healthspan.co.uk/articles/article.aspx?Id=111>
   * Joints and Mobility
 <http://www.healthspan.co.uk/articles/article.aspx?Id=121> /by Dr
 Thomas Stuttaford,/ Mar 2004 read article
 <http://www.healthspan.co.uk/articles/article.aspx?Id=121>

& from here www.bath.ac.uk/health/ rcgp/docs/*stuttaford*-s-profile.doc

Dr Thomas Stuttaford is best known as The Times medical columnist. Born 
in 1931, he was brought up in rural Norfolk where his father and 
grandfather had been general practitioners. He joined the family 
practice in 1959 after national service with the Tenth Royal Hussars and 
medical training at Oxford and in London.


From 1970-1974 Dr Stuttaford was Conservative MP for Norwich South, 
during which time he continued to work as a doctor. Between 1974 and 
1995 he worked in the National Health Service as a genito urinary 
physician, and in private practice as medical advisor to several major 
companies.


Dr Stuttaford has been writing for The Times for twenty one years. He 
also writes regularly for various magazines, in the past was medical 
correspondent of Options and Elle, is the medical columnist of Oldie and 
is a frequent broadcaster.


Doesnt seem to be involved in maternity care (unless while a GP in the 
past?) - surprise surprise

curious, huh?
cheers
jennifairy


Denise Hynd wrote:

I trust others who saw these articles (below) wrote letters in protest 
of yet another unbalance uninformed piece of misinformation?

Who is this dr Thomas Stuttaford??
Denise Hynd

Forwarded fyi



*From:* Barbara Spadaro [mailto:[EMAIL PROTECTED]
*Sent:* Monday, 23 May 2005 3:48 PM
*To:* [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
*Subject:* [C-Aware] Snippets from the weekend papers

Hi,

There have been a couple of interesting articles in the weekend papers 
that you might like to read:


The Weekend Australian had a story in their health section on "It's 
not all plain sailing for water babies":
http://www.theaustralian.news.com.au/common/story_page/0,5744,15345601%255E23289,00.html 

This article comes from The Times so doesn't have a local angle and is 
quite one-sided. Though the phrase "fashions in obstetrics" amused me 
somewhat - I'll have a furry poncho and hold the superwoman shoulder 
pads!!!


The Courier Mail also had an article on hypnobirth called "Painless 
birth is all in the mind"
http://www.thecouriermail.news.com.au/common/story_page/0,5936,15339437%255E10369,00.html 



There was also a letter in today's Australian from Dr Sarah J Buckley 
which I've cut and pasted below as I don't think you can access them 
for long.


Happy reading
Barbara

***

Water birth at least as safe as land birth
23 May 2005
YOUR article ("It's not all plain sailing for water babies", Health, 
21-22/5) referred to a single baby who had difficulty breathing after 
being born under the water. The writer implies that water birth is 
unsafe for every baby and that epidurals (and other aspects of 
medicalised birth) are safer.


Firstly, international research involving thousands of babies born 
under water shows that, for healthy low-risk mothers and babies, water 
birth is at least as safe as land birth. Further, the article does not 
mention the risks associated with epidurals, which range from 
unexplained maternal fever in labou

Re: [ozmidwifery] Re: Pain relief resources

[Jennifairy]

I had my ears pierced at 12, I remember it was 'cold' - they must have 
used some kind of spray on local or something. Got a tattoo on my 
stomach 4 years ago, it kinda stung going on, (took about an hour or so 
to do), I kept having to 'unclench' my jaw every now & then while it was 
happening... but still find myself thinking about 'my next tattoo'. 
& had 2 wonderful girls pass through my vagina (not both at the same 
time), the last one just over 4kg, a waterbirth at home (& Im pretty 
small) & can honestly say that the sensations I experienced with birth 
are on a completely different scale! (& my tattoo is not now asking for 
new clothes, make-up & violin lessons)
The big difference I think between all these kind of things & childbirth 
is the lack of those lovely endorphins in 'normal' pain (ie not birth)! 
& in our western cultures I think we tend to avoid pain and/or 
discomfort at any opportunity, so we never really allow ourselves to 
learn the coping mechanisms/processes that would come in handy when we 
are faced with these kind of situations... watch animals in labour - 
they just seem to cope, even when in pain not labour-based (unless they 
are pet rabbits - they just tend to keel over in my experience!) We know 
theres a 'way out', & if you tend not to view labour pain/discomfort as 
'for a purpose', then you will take the way out.
Gloria I like your 'pay now plan' scenario, makes a lot of sense that it 
would be an effective way of helping women to see the long-term reality 
of their decisions to anaesthetise them selves or not. I'm really glad 
you have joined our Forum, your words are touching me deeply, & as a 
'beginner' in private practice Im thankful to have the many wise women 
on this list to guide me...

Anybody know of a good tattooist in Brisbane? :))
Jennifairy

Andrea Quanchi wrote:

Did anyone see Oprah getting her ears pierced on her show recently it 
was hysterical.  Just reinforced my lack of desire to have mine done 
and I gave birth to three big babies without much trouble at all.

Andrea Q
On 25/05/2005, at 4:10 PM, Lieve Huybrechts wrote:


I still have no ear piercings,will you come and hold my hand :-)))

Lieve

Lieve Huybrechts
vroedvrouw
0477/740853


-Oorspronkelijk bericht-
Van: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Namens G Lemay
Verzonden: dinsdag 24 mei 2005 18:00
Aan: ozmidwifery@acegraphics.com.au
Onderwerp: [ozmidwifery] Re: Pain relief resources





I think one reason why women fear the pain of childbirth so much is
that they know that no one is being straight with them about "Just how


bad is it?"  I think that being descriptive about what I felt ("like a
molten hot basket ball being pressed down into my crotch every 3 minutes
with just enough time to barely get myself together before the next big
press") AND also letting women know that I'm the world's biggest wimp
when it comes to pain (didn't have my ears pierced till I was 34 y.o.
and then had to lie in bed whimpering for 24 hrs after) and yet I've had
3 natural births, is empowering.  I also find that if a woman is friends
with other women who have done it she's more likely to go the distance.
I tell the women they can have the "pay now plan" or the "pay later
plan" with re to pain in birth.  The "pay now" route gets it done in one
day (natural birth), the "pay later" route means a low grade insidious
pain that can last beyond six weeks (epidural headache, backache,
stitches healing, or worse after c sec).  The biggest benefit of the
"pay now" route is that you have a child with all the brain cells Nature
intended for him/her.  That is a reward that you reap for your whole
life for just one day of courage.





Gloria Lemay, Vancouver, BC Canada









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Re: [ozmidwifery] Bugs in this system - email difficulties

[Jennifairy]

Actually, to go one step further, my advice is to either switch from 
Window$ to Linux or some other free, 'open source' but eminently better 
operating system, or if you *must* use Window$, use Netscape or Mozilla 
as your browser for mail & net most viruses are targetted to the 
programs that come bundled with Window$ - & Outlook  & Internet Explorer 
have been known for a long time now to be *the* most virus-prone 
programs on the planet
http://www.mozilla.org/ for either the entire kit, or d/load Thunderbird 
for email & Firefox for browsing separately...

http://browser.netscape.com/ns8/ for Netscape...
cheers
Jennifairy
(computer geek in a former life - but who hasnt had a virus - *any* 
virus - in over 3 years)
PS - Linux is free, you can d/load it off the net, the kernel is open to 
all who want to play with software design (so its continually being 
improved), & nobody is making squillions of $$ from it; can do 
everything Window$ can do, & is completely *virus-free* - no spyware, no 
'patches', just an unbreakable system. Worth a look 
http://www.linux.com/article.pl?sid=02/03/09/1727250


B & G wrote:


There is a huge Trojan virus at the present time. Despite all the
protection I have on this machine we were hit. Twice daily viral updates
and zone alarm firewall. 
Our account was hijacked with a sudden huge surge in usage beginning of

May which I reported to the Tech people for suggestions what to do, did
all they said but last Tuesday their 'abuse' department suspended our
account as our account was a conduit for spamming from a third party. 
Two days later our virus protection company -VET advised of a serious

attack affecting those that use Microsoft Outlook for their email
browser. We were instructed to download immediately the patch to deal
with this problem.
My advice is to update your viral and firewall supports.
Cheers Barb



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Re: [ozmidwifery] Hi

[Jennifairy]

Hi jeannine, Im a MW in Adelaide, have a good friend MW in Darwin atm 
(who has also done her Masters btw, & Ive inherited all her study notes 
& guides etc), contact me off-list for a longer chat.

Jennifairy

Jeannine Bradow wrote:


Hello list,
I'm Jeannine, wife, mum (2kids and 2 dogs) and midwife. I was on the 
list some years ago and have had a break away. I was wondering if 
there is anyone on the list currently working in Adelaide in Mid who 
can give me some inside info on services available, models of care, 
best places to work etc. I will be moving there from th NT at the end 
of the year.
I'm also doing my masters in midwifery at the moment so if anyone has 
information on access to library services, universities in adelaide, 
or any interesting mid articles or texts they'd like to share would be 
appreciated also.

If anyone out there just wants to chat and compare notes I'd love to.
Nean


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Re: [ozmidwifery] vulval varices

[Jennifairy]

Hi Lindsay, I worked with a woman throughout her pregnancy & birth who 
had a vulval varicosity (the size of half of one of my fingers). Came up 
about 30 weeks of pregnancy (after a long car trip interstate), & she 
was concerned that it would 'be a problem' during her birth. At the time 
(this was about a year ago) I looked everywhere for refs for her. What I 
found was not very helpful or numerous (sorry!). She had a great birth, 
but during the process of labour her vulva became so swollen that when 
the Dr. went to suture a 2nd deg tear, the stitches pulled right thru, & 
she had to be sutured the next day after the swelling had subsided. 
Antenatally she used witchhazel tincture on it for a while & it did 
subside slightly, but it only went away fairly completely postnatally. I 
believe that this oedema was directly related to the varicosity, as she 
didnt have a protracted labour or 2nd stage, or a lot of VE's etc... & 
this hadnt happened in her other birth. Theoretically I can see that the 
possibility of rupture during labour could exist, but Im not sure how 
'dangerous' this could be (ie 'fatal haemorrhage'), or how likely it 
would be to rupture.

Sorry Im not more helpful!
Jennifairy

Lindsay Kennedy wrote:


Hi

I am doing some research into varicose veins for an assignment.  
According to Foote (1960), it is possible that extensive vulval 
varices could rupture during birth and cause fatal hemorrhage.  Does 
anyone know anything about this subject?  It is the only bit of 
research I found that said this.  But there is very little info on 
vulval varices at all. 


Cheers

Lindsay

 




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[ozmidwifery] Re: (No subject header)

[Jennifairy]

Hi Jeannine, that would be Tere GW? Send her my love if so :))
So when are you making the move?
Would love to catch up when you land.
can ph me 08 83915542 / 0415915110
cheers
Jfairy

Jeannine Bradow wrote:


Hello Jennifairy,
I believe i may know the midwife u mentioned. I'm working with her. 
She mentioned u.

Jx


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Re: [ozmidwifery] Success!!!

[Jennifairy]

Oh you have done so well, BIG CONGRATS!!!
This has totally made my day...
I mean of course this was going to happen, you've gotta use that new 
doppler somewhere!
well done to all, hope you can break out the 
champagne/chocolate/indulgence of choice

cheers
jennifairy

Maternity Ward Mareeba Hospital wrote:

It is now official as it is in todays Cairns Post and no doubt it will 
be on the news sometime.
 
MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK 
FREESTANDING BIRTH CENTRE.
 
Thanks to the brilliant work done by the staff, the women, the 
community and MC, ACMI etc.
 
Apparantly we can start 1 July. Policies are being madly written and 
all sort of paperwork produced as we will be under a microscope for a 
long time.
 
Apart from that we have had 3 babies this week, multis who were in too 
good a labour to risk transferring, 3 very happy mums to birth in 
their own community.
 
Cheers

Judy


***
This email, including any attachments sent with it, is confidential 
and for the sole use of the intended recipient(s). This 
confidentiality is not waived or lost, if you receive it and you are 
not the intended recipient(s), or if it is transmitted/received in error.


Any unauthorised use, alteration, disclosure, distribution or review 
of this email is prohibited. It may be subject to a statutory duty of 
confidentiality if it relates to health service matters.


If you are not the intended recipient(s), or if you have received this 
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Re: [ozmidwifery] Problems With new Models

[Jennifairy]

Sorry Sally, I dont know what you mean by this... do you mean that the 
ANF specify this number as constituting a 'caseload', & anything under 
that is not?

cheers
jennifairy

sally williams wrote:


The ANF specifies 40-45 woman only for a 'caseload'.
 
Sally


- Original Message -
*From:* Jackie Doolan <mailto:[EMAIL PROTECTED]>
*To:* ozmidwifery@acegraphics.com.au
<mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Tuesday, June 14, 2005 10:54 AM
*Subject:* RE: [ozmidwifery] Problems With new Models

Carol,
I am wondering how feasible a caseload is 60 women? This seems
like a large number and may be one of the reasons why staff are
not feeling up to the task. Would 40 primary women and 40 shared
women not be a more doable workload? I know this has financial
implications but down-sizing the model may increase its
longevity. Additionally UK literature states that greater autonomy
leads to greater job satisfaction. So I agree with Andrea's
posting - which basically translates to midwives having greater
control over their practice and time allocation.
 
Warragul model has been a great motivator for many of us watching

and planning new model development. I hope this  works out for you.
Jackie Doolan

-Original Message-
*From:* [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] *On Behalf Of
*Carol Van Lochem
*Sent:* Sunday, June 12, 2005 5:39 PM
*To:* ozmidwifery@acegraphics.com.au
*Subject:* [ozmidwifery] Problems With new Models

Hi all, I have posted here from time to time, but mostly I'm a
lurker.
 I work in a team midwifery model at Warragul, where we have
lots of midwives who believe in continuity of care, support
the women as central to the whole prossess and have a
supportive obstetrician to back us up. Our problem is in
recruiting midwives to work in our model. Nobody wants to do
"all that on call".They "want to have a life". After all these
years of fighting for this type of thing it seems there are
not enough of us around to fill this role. Many support the
model in principal, but don't see how they can fit it into
their own lives.
 
Our team started just 12 months ago. It is a modified case

load, with 1 night per week on call, and 1 weekend a month. We
are "available" for our "own" women during the day. We provide
midwife led care for up to 60 low risk women per year, and
shared care for up to a further 60 "high risk" women who
benefit most from having a known midwife with them in labour.
We are meant to be 5, but have recently lost one, who would
have rather worked as a team only, with no case load.
 
To my knowledge there have been no applications for this

position from with in existing staff, nor has there been a
response to newspaper ads. It saddens me to think that this
type of model will not be sustainable in the long term. Here
we are in the position of having active finacial support from
DHS after many years of lobbying for it, only to risk losing
it all through lack of willing staff. This problem must be
coming up for others in Victoria as caseload models are put
forward in other regions.
 
Any thoughts, suggestions, simmilar experiences?  I am truely

at my wits end. Sigh :(
 
Thanks for listening

Carol
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Re: [ozmidwifery] International words for midwife

[Jennifairy]

try this site:
http://www.websters-dictionary-online.org/definition/midwife#Mtranslation
scroll down to 'translations'
an interesting site, huh?
cheers
jennifairy

midwives wrote:

Hi everyone, I was wondering if you would be able to help me. We are 
trying to compile a list of translations for the word midwife. If 
anyone and everyone who is multilingual could email me their 
translations that would be great. We are especially after indigenous 
translations. We would like to put the list on a Tshirt for ICM so 
would like to represent as many countries/groups as possible.


 


Renee Kludas

**NSW Midwives Association Inc**

PO Box 62 Glebe 2037

**P+** 02 9281 9522

**F+** 02 9281 0335

**E+** [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>

**W+** www.nswmidwives.com.au <http://www.nswmidwives.com.au>

 




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Re: [ozmidwifery] International words for midwife

[Jennifairy]

ok, I cant stop myself now, but check out the semaphore, braille, morse 
code, hexadecimal (for all those other geeks out there!), & the 
beautiful sign language animation on the site I just mentioned.. all 
for 'midwife' !!

cool!!
cheers
jennifairy

midwives wrote:

Hi everyone, I was wondering if you would be able to help me. We are 
trying to compile a list of translations for the word midwife. If 
anyone and everyone who is multilingual could email me their 
translations that would be great. We are especially after indigenous 
translations. We would like to put the list on a Tshirt for ICM so 
would like to represent as many countries/groups as possible.


 


Renee Kludas

**NSW Midwives Association Inc**

PO Box 62 Glebe 2037

**P+** 02 9281 9522

**F+** 02 9281 0335

**E+** [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>

**W+** www.nswmidwives.com.au <http://www.nswmidwives.com.au>

 




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Re: [ozmidwifery] info care packages for pregnant and birthing women - info from Joyous Birth

[Jennifairy]

Can you put a link to them on yr website, so that we can look at what 
you have? (Im presuming they are in electronic format?)

cheers
jennifairy

Janet Fraser wrote:


Hi all,
I've had such a huge response I'm going to list what I currently have 
and you can just tell me what you'd like.
Happy to help in any way with other topics if you need them. I have 
usually made them up for women asking specific questions.
 
Stuff I've written is about hb, natural birth and birth trauma.


Other delights... (and always growing)
birth plan ideas
breastfeeding myths x2
common labour drugs
dealing with labour - pain
doulas
episiotomy
hep b and vit k
homeopathic induction
Induction - risks
Is home birth for you?
miscarriage and still birth resources
polyhydramnios
postdates info
preventing PE
safe cosleeping
pregnancy/birth info for hospital birthing women
SPD
The midwifery model of care around the world
Why vaginal exams?
VBAC resources online
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



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[ozmidwifery] rates of pay

[Jennifairy]

I have a question about rates of pay for midwives working in 
caseload-type models of care.
I understand that each state has a different award rate (which I cant 
access as Im not a member of the ANF), but I also know that many 
institutions that have set up caseload models have got their own salary 
agreements, for midwives being on-call & for recognition of working in a 
more 'autonomous' way
so, for those working in these models, could you tell me what your 
hourly rate is?
& for those working in private practice, how have you decided what your 
fees for homebirths are?

feel free to email me off-list...
thanx in anticipation
Jennifairy


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Re: [ozmidwifery] info is on the JB forum now!

[Jennifairy]

You are a legend!!
Well done (wow that was fast)
cheers
Jennifairy

Janet Fraser wrote:


Dear all,
I have put the information on my forum. You don't need to be a member 
to access them or cut and paste from the site.
Bear in mind that we advertise midwives and birth 
attendants/doulas for free here so if you'd like us to advertise you, 
we recommend you join us! We love having students join too!

http://www.joyousbirth.info/forums/viewtopic.php?t=11
 
Package 1

http://www.joyousbirth.info/forums/viewtopic.php?t=200
 
Package 2

http://www.joyousbirth.info/forums/viewtopic.php?t=201
 
Package 3 - Janet's own documents

http://www.joyousbirth.info/forums/viewtopic.php?t=202
 
 
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



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Re: [ozmidwifery] info is on the JB forum now!

[Jennifairy]

Heya just a thort (& me being *extremely* cheeky now), canya hyperlink 
the lists at the top of each page to autoscroll down to the topic? (Cor, 
she dunt want much, duz she?!)

Youve got some great articles & links there - again, well done!!
cheers
jennifairy

Janet Fraser wrote:


Dear all,
I have put the information on my forum. You don't need to be a member 
to access them or cut and paste from the site.
Bear in mind that we advertise midwives and birth 
attendants/doulas for free here so if you'd like us to advertise you, 
we recommend you join us! We love having students join too!

http://www.joyousbirth.info/forums/viewtopic.php?t=11
 
Package 1

http://www.joyousbirth.info/forums/viewtopic.php?t=200
 
Package 2

http://www.joyousbirth.info/forums/viewtopic.php?t=201
 
Package 3 - Janet's own documents

http://www.joyousbirth.info/forums/viewtopic.php?t=202
 
 
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



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Re: [ozmidwifery] rates of pay

[Jennifairy]

Thanx for that, but I emailed the ANF & they replied they would not give 
me that info unless I was a member. I then called the Industrial 
Relations people, who were able to help me to a limited degree. I was 
told that a Level 3 Nurse award wage in the 1st year of practice is 
$44,645 per annum. By the 4th year it is $47,412. I then looked up the 
actual document that covers this award to get a formula for hourly rate 
- so $44,645 comes out to about $22.52 an hour - does that sound about 
right? I actually have no idea what level nurse you are when working as 
a midwife - anybody? As usual there is no mention anywhere that I can 
find about working as a 'midwife', instead of a 'nurse-midwife' - I 
guess it will take a while yet for the PTB's to catch up with the fact 
that there is now a growing number of midwives in the workforce who are 
not nurses. I suggested to the ANF that they think about changing their 
name to ANMF - I mean, theres no provision on their website even for 
joining up as a 'midwife' for gods sake! Whoever is in 'member 
recruitment' there has some work to do :))

cheers
Jennifairy

B & G wrote:


You do not have to be a member of the ANF to get the rates of pay. Each
state has a wageline or similar where people can access the rates. I
will try and get the Qld hyperlink addy for you 
Cheers Barb


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy
Sent: Wednesday, 22 June 2005 2:01 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] rates of pay

I have a question about rates of pay for midwives working in 
caseload-type models of care.
I understand that each state has a different award rate (which I cant 
access as Im not a member of the ANF), but I also know that many 
institutions that have set up caseload models have got their own salary 
agreements, for midwives being on-call & for recognition of working in a


more 'autonomous' way
so, for those working in these models, could you tell me what your 
hourly rate is?
& for those working in private practice, how have you decided what your 
fees for homebirths are?

feel free to email me off-list...
thanx in anticipation
Jennifairy


 




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[ozmidwifery] ICM lift

[Jennifairy]

Hey there all, Im wondering if theres anyone going to ICM on the Sunday 
before it kicks off from, or passing through, Byron Bay, that I could 
get a lift with?
I will be visiting friends in Bilinudgel (just outside Byron), & havent 
quite figured out how to get from there to Brisbane on a Sunday. Im very 
happy to share driving & petrol expenses...

cheers
Jennifairy


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Re: [ozmidwifery] pregnancy counselling

[Jennifairy]

Emily I sympathise, & I have 2 things to offer..
some years ago I was late with my period, was definite that if I was 
pregnant I would terminate, & went to a GP for a pregnancy test. The GP 
asked me some of those questions your examiner wanted you to ask - at 
the time I was living in a shed with no electricity, rainwater only, 
while I was building my house. The GP told me that 'babies dont care 
where they are', & actually refused to do the blood test. So I guess Im 
saying - what are you asking the questions for?
I dont see what this womans fathers religious inclination has to do with 
her decision-making process. Women in this situation are making what is 
*always* a very difficult decision, & I think our job is to help her (if 
she requires help) identify what the important (to her) issues are for 
her to make a decision she can live with.
Having said all that, & just recently graduating from BMid myself, I 
also have to say that there are some things you have to do as a student 
that you inherently believe is a complete crock. Sometimes you just have 
to 'talk the talk', & then go & walk it the way you believe it should be 
walked. One of the most important lessons I learnt at Uni was to 
distinguish what walls I could butt my head against that would make the 
most difference, & what walls would just leave me a blood-soaked wreck 
(this was obviously experience-based learning - & its such a pity that 
the 'science' of phrenology has become a thing of the past, as I could 
probably get a job as a teaching model :) ) (Im sure there was a Monty 
Python sketch about that..)
So, yeah, write the letter if you have the time, but dont let it get in 
the way of blitzing the exams!

cheers
Jennifairy

Emily wrote:


hi everyone
im very sorry if this is too off topic, just ignore if it is!!
i had an exam today with a pretend patient who came in for
pregnancy test results. it was positive and she was very upset
cying etc and probably wanted to have an abortion. i let her talk
and found out how she felt and enquired about her partner's views,
whether she was studying or working and what her main concerns
where etc etc. as well as giving her unbiased info about her options
the feedback i got from the examiner, i really disagree with. he
said that i should have found out about her living conditions, how
big her home was, who she lived with, whether her partner had a
job... etc etc even what her dad would think about her having a
baby and whether he was religious !
i feel that asking these questions of a distressed woman youre
seeing for the 1st time is just fulfilling your own cur! iosity.
it may help you make a value judgement of what you think she
should do but does asking her these things (that she already knows
the answers to) help her make the decision or just help you decide
your own opinion ?? also wouldnt you asking those sort of
questions express to her your opinion? ie if she answered she
lived in a one bedroom bedsitter and didnt have a partner or job,
then she may feel that youre saying these are reasons why she
shouldnt have the bub.
love to hear what your thoughts are because i might write a letter
to the faculty about it because i definately lost marks
thanks everyone - ahh exam stress hey?
emily


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Re: [ozmidwifery] gender prediction test over the internet?

[Jennifairy]

Phew, & at *only* $275US, wot a bargain for all those who 'just need to 
know'!
I notice that there are no testimonials included along the lines of "Its 
great to know the gender of our baby at 5 weeks, as now we can have an 
early termination if its not the sex we want" (yes Im being super 
cynical, but I have to wonder if its a big seller in China & India).

I quote from the site:
*I was able to surprise my husband with an early birthday gift this 
morning when I checked my e-mail and got the results. Surprise!*

Finding out the gender of yr baby via email - OMG!
I can just hear George Orwell saying smugly "I told you so"...
I have no idea whether the claims are true - "Here's how it works: Your 
baby releases its DNA into your blood plasma. Because DNA between 
different people is so similar, the only way to distinguish baby DNA 
from maternal DNA is if the baby is a boy and has a Y chromosome. If the 
Y chromosome DNA is present in your maternal blood sample, it's a boy; 
if the Y chromosome DNA is not present, you're having a girl. *200% 
Money-Back Guarantee!!"

*go figure!
jennifairy

Tania Smallwood wrote:


Hi all

Did anyone else see the article in today’s Adelaide Advertiser with 
information on this? What do you think about it?


http://www.pregnancystore.com/baby_gender_mentor.htm is the link to 
the test, and it claims to be 99.9% accurate as early as 5 weeks after 
conception, using a maternal blood sample which you collect yourself, 
and then send to a lab. They claim that the y chromosome can be found 
in the maternal blood if you are having a boy, wouldn’t that require 
some crossing of the maternal and foetal blood? Isn’t that what we 
don’t want? Hmmm, not convinced on this one, but someone, please explain!


Tania



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Re: [ozmidwifery] Re: accreta

[Jennifairy]

what are the implications re bleeding? Jan, are you talking about the 
whole placenta being left in, or just a part of it?

jennifairy

Larissa Inns wrote:

Yes - this was the case at the hospital I am doing placement at. The 
woman's placenta was removed as much as possible but a small bit was 
left behind (obviously). Around 3 months later the remaining bit came 
away on it's own - it had calcified and was like a small rock. I don't 
know if she had any breastfeeding issues - will ask when I go back. 
The body is just so much cleverer than we are!

Hugs, Larissa
(3rd year B Mid FUSA)

- Original Message -
*From:* Andrea Quanchi <mailto:[EMAIL PROTECTED]>
*To:* ozmidwifery@acegraphics.com.au
<mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Saturday, July 09, 2005 9:32 PM
*Subject:* Re: [ozmidwifery] accreta

Jan,
True accreta that is adhered to the uterine wall cannot be removed
and the only choice is to remove the placenta and uterus or leave
the placenta in situ. It will shrivel and be reabsorbed by the
body or calcify and stay there without a problem. The problem is
when it is only partly accreted and there is bleeding behind the
seperated part. I have never heard of it copming away three months
later but I guess part of it could.

Andrea Q
On 09/07/2005, at 1:35 PM, Janet Ireland wrote:

Love when i have never heard of this
has anyone had experience with accreta where the placenta is
left to come away itself ie in this case 3 mths later , jan



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Re: [ozmidwifery] Re: bathing babies

[Jennifairy]

um, did I miss something?
Janet are you replying about the placenta accreta? or the timing of the 
1st bath?

Im confused!
Can you please include more detail on yr posts so I know what you are 
talking about?

cheers
Jennifairy

Janet Ireland wrote:


the woman had 2 bouts of infection both treated with abs iv she is now
pregnant and looking forward to no complications jan
- Original Message - 
From: "sally" <[EMAIL PROTECTED]>

To: 
Sent: Thursday, May 26, 2005 3:56 PM
Subject: [ozmidwifery] Re: bathing babies


 


Pardon my ignorance, but what would be the risk of infection?
I think as long as the babe's temp is ok and it hasn't been compromised in
any way it doesn't really matter. As long as the parents are happy. I
certainly wouldn't be bathing the baby if the parents were unable to
participate, at any stage after the birth.
A bath is a bath, I don't think we need guidelines or a rationale, surely?
( I seem to remember posts about this subject earlier in the year, am I
right?)

Sally
- Original Message -
From: "Nicole Carver" <[EMAIL PROTECTED]>
To: "ozmid" 
Sent: Thursday, May 26, 2005 1:50 PM


   


Dear fellow list members,

What is your practice regarding the timing of the first bath, in a
 


hospital
   


setting? One of my colleagues is re-examining our current practice of
delaying the first bath until approx 24hrs, and after babe's temp is
confirmed to be normal. We are keen to know the rationale for other
midwives' practice, including it's impact on the infant's temperature
 


and
 


risk of infection.

Your input would be most appreciated.

Nicole Carver.


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Re: [ozmidwifery] laparoscopy

[Jennifairy]

Can I also suggest Francesca Naish's excellent book "The Natural way to 
Better babies" - offers really good info from an alternative 
practitioners view, & includes things on improving reproductive health 
using acupressure/puncture, herbal & naturopathic remedies & reflexology.

cheers
Jennifairy

brendamanning wrote:


Madelaine,
I'm sure you have already discussed that obesity is a primary cause of 
infertility.
It's amazing how successful weight loss is in achieving pregnancy when 
other more complex treatments & diagnoses have failed though.
 
Brenda
 
- Original Message -


*From:* Madelaine Akras <mailto:[EMAIL PROTECTED]>
*To:* ozmidwifery@acegraphics.com.au
<mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Friday, July 29, 2005 10:19 PM
*Subject:* [ozmidwifery] laparoscopy

I have a patient that I am treating for infertility. Her gyno has
recommended she have a laparoscopy to investigate possible causes.
She is feeling uncomfortable with this procedure due to the risks.
She has also been told that being overweight may also increase
these.  Can anyone advise or assist me please. Are there any other
safe procedures avaiable to determine the same??
 
Madelaine Akras

Naturopath



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[ozmidwifery] fyi

[Jennifairy]

To see this story with its related links on the Guardian Unlimited site, go to 
http://www.guardian.co.uk

Further pregnancy less likely after caesarean
James Meikle, health correspondent
Tuesday August 02 2005
The Guardian


Women who have their baby by caesarean section are less likely to have another 
pregnancy, a 17-year study following 25,370 women revealed yesterday.

Researchers also found that the average amount of time between births was 
greater for those who had undergone caesareans than those who gave birth 
naturally.

More than one in five women in England have caesareans and the rate is rising, 
provoking concern over risks to women and babies.

The latest study, based on the Aberdeen maternity hospital between 1980 and 
1997 and published in the British Journal of Obstetrics and Gynaecology, was 
not able to determine whether the women's fertility was being compromised by 
having a caesarean, by suffering tubal damage for instance, or whether women 
who had undergone the experience just did not want to do so again.

However, lead researcher Jill Mollison, of Aberdeen University's medical school, 
highlighted the importance of the findings against the background of rising caesarean 
rates. "Future studies should focus on exploring whether failure to conceive is due 
to voluntary or involuntary factors and compare this across different modes of 
delivery."

Peter Bowen-Simpson, from the Royal College of Obstetricians and Gynaecologists, said: 
"Those involved in the delivery of obstetric care should be aware of the association 
and consider its implications when making a decision to perform a caesarean section."

The study found 66.9% of women who had a caesarean went on to have another 
pregnancy, against 71.6% who had instrumental vaginal delivery and 73.9% who 
had a spontaneous vaginal birth.

The average length of time between pregnancies in the three groups was 36.3 
months, 31.8 months and 30.4 months.

Women who had a caesarean were also more likely to have an ectopic pregnancy 
the next time, a dangerous complication where the fertilised egg becomes 
implanted outside the womb.

Copyright Guardian Newspapers Limited

cheers
jennifairy



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Re: [ozmidwifery] VBAC's and Midwifery led birth centres

[Jennifairy]

My local hospital is currently 'rewriting' thier MIPP protocol. I know 
this as my last client birthed there (which I knew in advance), so I 
went in to speak to the CMC a week or so before she birthed re. their 
protocols & was told that I was not to do *any* documentation apart from 
my own notes (as I am not an employee there). Half an hour after the 
baby was born I was called in to the acting DON's office to explain why 
I hadnt done any documentation! Obviously messy communication going on 
there between the PTB's, the other PTB's & staff (& not my problem), but 
when I asked to see the protocols covering this (a few days later) they 
were not to be found & I was told they are being redrafted..
I actually think this is a really important issue - because we cannot 
secure insurance, we cannot get 'practicing' rights (at least thats what 
Im being told here), so any woman I work with becomes the hospitals 
client upon admission, even though I have contracted with the woman to 
midwife her I become 'support person/doula' at the discretion of the 
midwife on duty at the time so I guess that legally, my 
responsibility is diminished as soon as that happens. I will of course 
do what I can do to maximise the experience for the woman & family 
(within often limited parameters), but Im guessing that if things go 
pear-shaped & litigation ensues, then it is the hospital & not me that 
will be bearing it
I heard someone say the other day (cannot verify, can you?) that not all 
doctors choose to pay the insurance premiums (ie work without it) do 
hospitals have written protocols requiring doctors accessing the 
hospital to have insurance? I dont know how your hospital works there, 
but here the GP's & the OB that cover 'obstetrics' are private 
practitioners (not employed by the hospital) whose clients go to the 
public hospital to birth. They obviously have the praticing rights that 
we MIPPs wish we had too.
Andrea, I think you may find that any hospitals that did have protocols 
covering MIPPs & accreditation have either withdrawn or updated them 
after the loss of PI insurance for midwives.
As has been pointed out, who actually receives the baby is really the 
least significant part of the process (as far as hospital legals are 
concerned) - & until midwives are seen as an 'as good if not better' 
option for women by women, (& midwives believe that too!) we'll have to 
keep dealing with this shite. Im very sorry that you are having to now 
though, & as soon as I can track down these 'redrafted' protocols I'll 
forward them on to you.

cheers
jennifairy

Andrea Quanchi wrote:


Brenda,
Do you work at Rosebud if so could you tell me do they have a policy 
for MIPP who come to the hospital with women in labour. Someone led me 
to believe that they do.


 In fact does anybody know of anywhere that does that could get me a 
copy. I have been summonsed by the CEO to please explain why I acted 
as an accoucher for a woman when I was not there as a hospital 
employee.  They seem to have decided that only hospital employees are 
to be 'allowed' to catch babies when in this establishement and I  
need to be able to demonstrate that there can be an agreement that non 
hospital employed persons such as MIPP can and should be able to do 
this. I know it is happening in lots of places but is it all 
undetected and hidden by false ( or not quite the truth) documentation 
as is my experience. The trouble with this is that it will eventually 
come back to bite you in the bum.



Any help would be greatly appreciated.

Andrea Quanchi


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[ozmidwifery] nepalese women... fyi

[Jennifairy]

apologies for x-posting...

http://news.bbc.co.uk/go/em/fr/-/2/hi/south_asia/4250506.stm

Women hail menstruation ruling
By Sushil Sharma
BBC News, Kathmandu


Nepalese women
The women are kept in the cow sheds for four days

*Women's rights activists in Nepal have hailed a Supreme Court order to 
end discrimination against women during their menstrual cycle.*


There is a tradition in parts of Nepal of keeping women in cow-sheds 
during their period.


The practice is common in far western districts of the country.

The Supreme Court has ordered the government to declare the practice as 
evil and given it one month to begin stamping the practice out.


The court reached its decision on Wednesday.

*'Not enough'*

Women's rights activists say the court has upheld their right to equality.

Pushpa Bhusal, a leading lawyer, said it was a positive move in removing 
the traditional discrimination against women.


She warned however, that a change in the law alone would not be enough.

She said people needed to be educated against such a scourge of society.

Women in poor villages in much of western Nepal are forced to stay in 
dirty cow-sheds outside the home for four days during their monthly period.


They are often given unhygienic food and suffer verbal abuse.


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[ozmidwifery] another fyi...

[Jennifairy]

http://news.bbc.co.uk/2/hi/health/4248244.stm

Delaying babies 'defies nature'
*Women who wait until their late 30s to have children are defying nature 
and risking heartbreak, leading obstetricians have warned. *


Over the last 20 years pregnancies in women over 35 have risen markedly 
and the average age of mothers has gone up.


Writing in the British Medical Journal, the London-based fertility 
specialists say they are "saddened" by the number of women they see who 
have problems.


They say the best age for pregnancy remains 20 to 35.

Over the last 20 years the average age for a woman to have their first 
baby has risen from 26 to 29.



* The message that needs to go out is 'don't leave it too late' *
Peter Bowen-Simpkins, Royal College of Obstetricians and Gynaecologists

The specialists, led by Dr Susan Bewley, who treats women with high-risk 
pregnancies at Guy's and St Thomas' Hospital, warned age-related 
fertility problems increase after 35 and dramatically after 40.


Other experts said it was right to remind women not to leave it too late.

* 'Having it all' *

In the BMJ, the specialists write: "Paradoxically, the availability of 
IVF may lull women into infertility while they wait for a suitable 
partner and concentrate on their careers and achieving security and a 
comfortable living standard."


But they warn IVF treatment carries no guarantees - with a high failure 
rate and extra risks of multiple pregnancies where it is successful.


For men, there are also risks in waiting until they are older to father 
children as semen counts deteriorate with age, they say.


Once an older woman does become pregnant, she runs a greater risk of 
miscarriage, foetal and chromosomal abnormalities, and pregnancy-related 
diseases.


They add: "Women want to 'have it all' but biology is unchanged.

"Their delays may reflect disincentives to earlier pregnancy or maybe an 
underlying resistance to childbearing as, despite the advantages brought 
about by feminism and equal opportunities legislation, women still bear 
full domestic burdens as well as work and financial responsibilities."



	* The best time to have a baby is up to 35. It always was, and always 
will be *

Dr Susan Bewley

Dr Bewley told the BBC News website: "We are saddened because we are 
dealing with people who can't get pregnant or are having complications.


"Most women playing 'Russian Roulette' get away with it, most people are 
fine. But I see the casualties.


"The best time to have a baby is up to 35. It always was, and always 
will be.


She added: "I don't want to blame women, or make them feel anxious or 
frightened.


"The reasons for these difficulties lie not with women but with a 
distorted an uninformed view from society, employers, and health planners.


"Doctors and healthcare planners need to grasp this threat to public 
health and support women to achieve biologically optimal childbirth.


"Where we can, we should be helping women to have children earlier."



HAVE YOUR SAY
*The choice is still clear, have a career or have children late. I would 
advise other women to leave it and take the gamble *

Victoria Finney, Brighton

Clare Brown, Chief Executive of Infertility Network UK, said "Delaying 
having children until you are in your thirties is a choice many people 
make but they need to be aware of the added problems when trying to 
conceive, particularly over the age of 35 when a woman's natural 
fertility declines.


"When this is exacerbated by a further complication such as blocked 
tubes or low sperm count the chances of a successful pregnancy even 
using IVF are much less."


Peter Bowen-Simpkins, of the Royal College of Obstetricians and 
Gynaecologists, said: "The biological clock is one thing we cannot 
reverse or change.


"The message that needs to go out is 'don't leave it too late'."

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/4248244.stm

Published: 2005/09/15 23:08:39 GMT



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[ozmidwifery] latest article - the australian

[Jennifairy]

*Elizabeth Meryment: Unnecessary birth pain*
Elizabeth Meryment
17 September 2005

ANYONE who has given birth or who has witnessed the birth of a baby 
knows that it is one of life's most frightening experiences. After a 
cousin of mine had her baby, a cheery nurse commented: "Dear, you had a 
good birth." "A good birth?" my cousin replied incredulously. "But that 
was the worst experience of my life!"


Pregnant women are usually, and understandably, obsessed with how and 
where they are going to deliver their babies. Indeed, women face 
overwhelming choices as they approach their due date: to use private or 
public care, to book a private obstetrician or to seek out a midwife, to 
stay at home for the birth, use a birthing centre, have a water birth, a 
pain-free birth, a planned caesarean, an epidural, a birth partner, a 
birth plan and so on.


To confuse matters further, especially for first-time mothers, whose 
pregnancy is often their first crucial experience in the healthcare 
system, a row has broken out again between obstetric and midwife groups, 
with both camps arguing their form of care is best. Midwives believe 
many obstetricians employ unnecessary medical intervention in a natural 
process. Some obstetricians have argued that to choose a midwife-led 
birth is to invite a higher than usual risk of death for mother and baby.


National Association of Specialist Obstetricians and Gynaecologists 
secretary Andrew Pesce produced figures arguing that babies born in 
home-birth-like settings had an 85 per cent greater chance of dying 
during childbirth than babies born in large hospitals. Midwives were 
furious, claiming the study from which Pesce drew his findings was 
flawed and that otherstudies showed midwife-led care produced better 
outcomes, meaning less use of pain relief, lessintervention 
(episiotomies, caesareans, epidurals and the like) and better success 
for the mother with breastfeeding.


Patients observing this debate may be led to believe that obstetricians 
and midwives work independently of each other, which they do not. 
First-time expectant mothers should know that in large maternity 
hospitals most of their labour will be monitored by midwives, with 
obstetricians called in for the delivery. So women who want to have 
midwives involved in their deliveries should be assured that this occurs 
even if they have an obstetrician.


No matter what type of care a woman chooses for her pregnancy, unhappily 
there remains a great deal of pressure asserted about how one should 
give birth, mainly by other mothers and pregnant women.


Politically correct group-think has it that so-called intervention is 
bad and that pain relief during childbirth is also somehow bad; ergo, 
midwife-led care must be good. Many birth books seriously advise 
expectant mothers to try stoically to make it through each contraction 
during labour without crying out for drugs. Some books go so far as to 
encourage women to tell their birth partners to prevent nurses 
responding to their screams for pain relief during each contraction. It 
is common for birth announcements to be accompanied by a message that a 
baby was born "drug-free" or "without help". Well, if it was, so what?


Mothers are also often made to feel like failures if they have 
caesareans or forceps deliveries. One woman I know who had an emergency 
caesarean after a very dangerous attempt at a vaginal birth said glumly 
later, "Oh well, next time I'll do a better job", as though it was 
something she could have controlled had she been braver and stronger (of 
course she could not). Another who gave birth by caesarean because her 
baby was in the breach position was likewise glum and made her husband 
tell people not only that the baby had been born but the reason for the 
caesarean. "I just feel like something has been taken from me," she said 
sadly.


While these women recognised that the safe arrival of their babies was 
the most important thing, there was still a lingering sense of their own 
failure. They felt they had not done as well as other women and this was 
reinforced by the superiority of those who had given birth vaginally, 
especially those who crowed about doing it drug-free. (And let's not 
even begin on the breastfeeding nazis, who make those who struggle with 
breastfeeding feel like criminals.) Talk about women knocking each other 
down.


Both of these "failed" mothers, however, were lucky to have been in 
expert hospital care in the circumstances instead of, for example, 
trying to deliver their babies at home with perhaps only a midwife to 
assist.


While there's no doubt that midwives are wonderful people who do a 
tremendous job, they usually do not have the surgical expertise of 
obstetricians. Indeed, the hospital system is there to help people give 
birth successfully, whether that involves drugs and scalpels or not. 
Midwife-led birth centres away from hospital sites, nice and 
touchy-feely as they may be, can 

Re: [ozmidwifery] Contacts for Midwives

[Jennifairy]

this email youve sent actually has the links for both sally T & jan r in 
it just right click on them to add them to yr address book.

um, who else do you need?
jfairy

Denise Hynd wrote:


Dear All
I recently made a wrong delete and lost all my midwife emails 
including that of Jan R and Sally T

Can some one please help me re-enter their email addresses??
Denise Hynd
"Let us support one another, not just in philosophy but in action, for 
the sake of freedom for all women to choose exactly how and by whom, 
if by anyone, our bodies will be handled."

— Linda Hes
- Original Message -
*From:* sally tracy 
*To:* ozmidwifery@acegraphics.com.au 


*Sent:* Friday, September 16, 2005 8:36 AM
*Subject:* Re: [ozmidwifery] perinatal stats

Dear all
Jan has summed it up in a nutshell - both the discrepancies and the 
reasons why many home births go unreported.. we did a 'run' with 
the national data a couple of months ago - and we were suprised to 
find an even geater difference than this one you report Jan. The most 
difficult thing is to reconcile the BD&M data with the perinatal data 
- because there is such a long lead time between when the baby is born 
and when parents have to register the birth (ie five years)

Sally T.

Jan Robinson wrote:


Hi Andrea
Yes it is a huge discrepancy but the law only relates to births 
attended by registered doctors or midwives. Registered health 
professionals have an obligation to report the details of each birth 
they attend whether they occur at home or in a hospital. They have to 
provide the NOTIFICATION OF BIRTH to BD&M and submit the perinatal 
data to the appropriate department of their Dept of Health. It is the 
parents responsibility to register the birth of their child.



I assume that MOST of the unreported home births are that way because 
lay people would be unaware of their state laws.
Individuals who are aware of the laws also understand that if they DO 
report any births that they attend also run the risk of "holding 
themselves out to be a midwife" and that is PUNISHABLE by law.


It would be interesting for midwives to approach their own 
state/territory Dept of BD&M as to the number of babies registered as 
being born at their home address and then get the figures from the 
perinatal data collections to compare.
Anyone want to get cracking in their state? I'd love to get data from 
around the country. I have some Tasmanian figures and I have some 
from Victoria but they are not as easy to interpret as the NSW data.


At the moment we are using the NSW figures to try and convince the 
Health Minister to publicly fund the home births and therefore 
provide a legitimate choice of skilled home birth practitioner for 
ALL women wanting a home birth.


Cheers
Jan


Jan Robinson Independent Midwife Practitioner
National Coordinator Australian Society of Independent Midwives
8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350
e-mail address: <[EMAIL PROTECTED]> website: 
www.midwiferyeducation.com.au


On 15 Sep, 2005, at 08:23, Andrea Quanchi wrote:

Jan that is a huge discrepancy, How many of these ones not
reported to Data Collection are attended by registered midwives
do you think? Surely the data collection could approach these
people not reporting, through the births deaths and marriages,
through the families that they are attending to cover the privacy
issues, informing them of their duty to report and where they can
access the data collection material. You wont get all of them but
you might get some more. Are they scared of being identified if
they are not registered? Maybe it needs to be free from this
issue if you want the data

Andrea
On 15/09/2005, at 7:58 AM, Jan Robinson wrote:

Hi Andrea, Denise et al

I have just been in touch with our Dept of Births Deaths and
Marriages again for an update on babies registered as being
born at home. The numbers change each year as there are some
people who don't register their child until they need to go
to school so I get updates for each year.
So far what we have in NSW is
actual number of home births registered number of PLANNED
HOME BIRTHS reported to perinatal data collection (NSW
Midwives Data Collection)
1999 493 139
2000 394 108
2001 388 144
2002 322 99
2003 383 109
2004 359 don't have the 2004 figures from NSWMD collection
yet - hope to have them soon - the BD&M are much more
organised with data collection but I guess that is because
they have motivated providers of their data (the parents).
Even though there has been a law since the 1990s that states
all doctors and midwives who attend home births must submit
their data - the NSWMD knows a lot of health professionals
fail to repo

[ozmidwifery] Midwifery-led units - warning, a bit of a rave!

[Jennifairy]

ok, bear with me while I think out loud in your general
direction
well we have the 'baby friendly hospital initiative', so how
about the 'woman friendly birth centre'? I mean, better
still, 'the community' (representatives of) should really be
heavily involved in this kind of primary care health
structure (physical as well as intellectual), then it could
be 'community-led birth centre'. I think (right now this
minute, subject to change without notice) that as long as we
are identifying the structure (ie the physical space, not
the governing body) with the politics of care provision (ie,
who is the 'primary carer') then we are going to have
confusion. I had a bit of a look at what constitutes
'midwifery-led care' & 'continuity of carer' etc, for an
assignment at uni, & these terms encompass a whole range of
different models of care - its not as clear cut as it seems!
The definitions would seem to be consistent, but how it
works out in practice 'on the coalface' (now theres a term
that seriously needs an overhaul!) varies enormously.
As I said, Im guessing that what we'd mostly like to see is
the idea of a 'woman-led' birthing culture actually
happening & that requires a shift in perception not only
for Mr & Mrs Joe Average (boy, Im just piling up the dodgy
metaphors arent I?) but for the PTB's within the 'health
culture' . because that means moving away from the whole
'doctor as God' thing that goes with relinquishing
responsibility = litigation etc, to actually believing that
'ordinary people' can take responsibility for thier
health/care... as long as the 'ordinary people' wont or cant
do that, there will be others who do, & where there is
responsibility there is power, & where there is power there
are  invariably individuals who are drawn to it.
Starhawk in her book Truth or Dare identifies 3 kinds of
power in society - power-over ( backed by force or some
other kind of control, deeply embedded in heirarchical
structures, enables one individual to make decisions that
affect others..); power-within ('empowerment', a sense of
personal control & 'mindfullness'..); & power-with
(influence, the power not to command, but to suggest & be
listened to or not, to work with others for a common
goal..)
& Im bringing this up because what I see is a clash of
cultures, where midwives are 'traditionally' allied with
women & their self-identified needs (power-with) rather than
that of the institution which is all about heirarchy &
control (power-over) because it was spawned from a
militaristic culture
So really we are talking different languages - the language
of 'power-over' is  very different to that of
'power-with' & to come back circuitously to my point
(its there somewhere!), the terms that keep being used
('midwifery-led care', 'medical-based model', even
'free-standing birthing unit') come from the language of
'power-over' because they all identify who is 'in
control', who is in the 'power-over' position...
um, Ive just looked at the time & Ive gotta run, thanx for
bearing with me while I ramble incontinently, & I will leave
you with one of my favorite definitions - madness is when
you froth at the mouth; insanity is when you froth at the
brain (sorry, has absolutely no bearing on this
conversation, completely irrelevant, but for some reason I
remembered it now - Im just a sharing kinda gal)
jennifairy


> As I watched the 7.30 Report last night, that dreadful
> term "midwifery led  unit" kept springing up. I have a
> real problem with this term, as you can  read on My Diary:
>
> http://www.birthinternational.com/diary/index.html
>
> Can't we do better than this?
>
> Thinking caps on please!
>
> Andrea
>
> -
> Andrea Robertson
> Birth International * ACE Graphics * Associates in
> Childbirth Education
>
> e-mail: [EMAIL PROTECTED]
> web: www.birthinternational.com
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[ozmidwifery] repost without attachment!

[Jennifairy]

sorry, this time Ive cut'n'pasted...
cheers
jfairy

Ethiopian health and community project 2005-06
I am a student of midwifery in my final year at the Flinders University 
of South Australia. Over the summer period December 2004 – February 
2005, I was involved in the initiation and development of a health post 
and education centre in the northern desert area of Ethiopia known as 
the Afar Region. Three friends and I initiated the project alongside a 
local Non-Government Organisation (NGO) called EMRDA (Ethiopian Muslim 
Relief & Development Assn.), and completed it with the help of financial 
support through private donations and other small-scale fundraising 
activities.
The Afar is a place of extreme need in all aspects of health and 
education. It was our hope to provide a place from where a women’s 
extension worker (WEW), and/or community health worker (CHW) could 
provide basic health care and education to the nomadic communities who 
live in the region. The health of Afar women is especially fragile. 
Female genital cutting (FGC) is performed on almost every young girl, 
causing her to suffer multifaceted implications for the rest of her 
life. The maternal and infant morbidity and mortality is devastating, 
with each woman facing an exceptionally high risk of dying in 
childbirth. These women predominantly birth in their villages 
accompanied by traditional birth attendants (TBAs) or relatives, and 
receive no or very little maternity care before and after the birth.
An Australian midwife, Valerie Browning, has been working to improve the 
well-being of Afar women for many years. She has founded an NGO called 
Afar Pastoralist Development Assn. (APDA), which is instrumental in the 
development of health and education strategies for the Afar people, 
particularly through their work with women as a central aspect of 
functional and healthy communities.
One important aspect of APDA’s work is the training of WEWs and TBAs 
from the community to enable them to take skills and travel with their 
nomadic families. In order to provide the birth attendants with an 
understanding of the birth processes, we would like to take 15-20 model 
foetal dolls and pelvises to Ethiopia to give to APDA for the purpose of 
enhancing their training programs. At present they have little if any 
educational tools with which to work. We will personally take this 
educational equipment with us, and work with APDA in its implementation. 
Using our skills as midwife, nurse and student nurse, we will work 
closely with the people and their communities in health and education.
Our aim is to raise the money needed to purchase these dolls. Birth 
International have kindly provided us with a 25% discount for model 
pelvis & foetal doll sets for the purpose of this cause. Each set will 
now cost AUS$130.
If you feel inclined and able to offer any financial assistance to this 
project it would be appreciated widely. The educators of birth 
attendants, the attendants themselves, and birthing women of the Afar 
Region of Ethiopia will subsequently enjoy improved education, care and 
birthing outcomes as a result of these educational tools and opportunity.
Donations on cheque can be made out to The Afar Project, or given by 
direct transfer to: The Afar Project Account # 5201531 BSB: 805-005
We are a small independent group and are presently unregistered under 
any governing body. Money donated to us for the purpose of this work 
will be used solely for the outlined project. Periodic reports, 
photographs and information about presentations of our work in the Afar 
will be sent out to email addresses provided.

Kind Regards,
Zeshi Fisher
Project Coordinator
0413 405 051
[EMAIL PROTECTED]
Yooren Cutukta Health Post, Afar Ethiopia
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[ozmidwifery] age story today

[Jennifairy]

http://theage.com.au/news/national/women-to-face-wait-for-late-abortions/2005/10/12/1128796587848.html
cheers
jennifairy
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[ozmidwifery] [Fwd: Caesarean delivery for half hospitals' babies (http://theadvertiser.com.au report)]

[Jennifairy]

fyi
jennifairy
--- Begin Message ---






romana ([EMAIL PROTECTED]) suggested you might be interested in this http://theadvertiser.com.au report.










	

	


Caesarean delivery for half hospitals' babies

By LAURA ANDERSON

13 October 2005
ABOUT half of babies delivered at two of the state's largest private hospitals are by caesarean section.
Documents from the hospitals' owner, the Adelaide Community Healthcare Alliance, obtained by The Advertiser, detail birth rates.

At Flinders Private Hospital last year, 452 of 797 births were delivered by caesarean - a rate of 56.7 per cent. Of those, 240 were elective caesarean births. At Ashford Hospital, 595 of 1200 births in 2004 were caesareans - a rate of 49.6 per cent. Of those, 286 were elective.

The two rates are significantly higher than the statewide caesarean rate for 2003, which was 30 per cent.

SA Democrats Leader Sandra Kanck, a staunch supporter of midwives delivering babies, said the rate was unacceptably high and needed to be reduced.

She said World Health Organisation guidelines stated a caesarean rate higher than 15 per cent "indicates over-utilisation". "I think it is very sad that obstetricians are able to convince so many women that a caesarean section is an easy option," she said. "Because it is not an easy option.

"The more emphasis we have on midwifery the better it will be in terms of satisfaction and health outcomes."

ACHA chief executive Alan Lane, however, said the two hospitals "neither promote nor judge caesarean section birth". "Ultimately, it is the woman's choice, in consultation with her obstetrician. A lot of women today feel a caesarean section birth is safer," he said.

"What we do is provide at Ashford and Flinders Private the safest childbirth environment in the state's private health system."

Ms Kanck called for greater education for expectant mothers on options.



Click here to signup for daily headlines 



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[ozmidwifery] fyi

[Jennifairy]

 Cooling blankets may reduce newborn brain damage

BY RONI RABIN
STAFF WRITER

October 12, 2005, 8:22 PM EDT

Lowering a newborn's body temperature after birth reduces risk of brain 
damage and death for babies who are deprived of oxygen before or during 
delivery, a new study has found.


Within hours of being born, newborns in the study were placed on cooling 
blankets that lowered their body temperature to about 92 degrees. The 
blankets, which had water circulating through them, were set at 41 
degrees. After three days, the babies were gradually warmed to a normal 
body temperature, which usually ranges from 99.7 degrees to 99.3 degrees.


The study of 208 infants at 15 medical centers was reported by 
researchers in the Neonatal Research Network of the National Institute 
of Child Health and Human Development, and appears today in the New 
England Journal of Medicine.


"This is a very exciting, landmark study," said lead author Dr. Seetha 
Shankaran, head of the division of neonatal-perinatal medicine at Wayne 
State University School of Medicine in Detroit.


But the sponsors also urged caution, saying further research is 
necessary and warning that most hospitals should not attempt to the 
technique without training of personnel.


The babies must be closely monitored and strict protocols must be 
followed because temperature fluctuations could be harmful, the study 
authors said.


One in every 1,000 to 2,000 babies born suffers from hypoxic ischemic 
encephalopathy, which occurs when the brain doesn't get enough oxygen or 
blood in the hours before birth or during labor and delivery. These 
babies are at markedly increased risk of disability, including blindness 
and cerebral palsy, as well as death.


Babies who received the cooling treatment fared better than babies 
provided with standard treatment. Of the 208 babies in the study, 102 
infants were randomly assigned to undergo the experimental cooling while 
106 received standard care.


When the babies were examined at 18 to 22 months, 62 percent of the 
babies who received the standard treatment had died or developed a mild 
or severe disability, compared to 44 percent of those who had the 
cooling treatment. When all three outcomes -- death, moderate disability 
and severe disability -- were pooled, findings were statistically 
significant.


Among those who were cooled, 24 died, compared with 38 deaths in the 
control group.


Fifteen infants who had the experimental treatment developed cerebral 
palsy and five went blind, compared with 19 and nine, respectively, of 
thosee who had standard care.


Infants who received the cooling treatment also scored better on mental 
and physical development measures, the authors said. The children will 
be followed until they are 6 or 7 years old.


Several other studies investigating the benefits of cooling treatment 
are under way. Researchers at Schneider Children's Hospital in New Hyde 
Park have participated in a study that used a cooling "cap" to mitigate 
brain damage in newborns similarly afflicted by oxygen deprivation, and 
other studies are under way in Australia and England.


"They key thing is that the cooling, whether by blanket or by cap, helps 
some babies," said Dr. Andrew Steele, a neonatologist at Schneider 
Children's Hospital involved in the cooling cap study.


Shankaran explained that when the brain is deprived of oxygen and blood, 
a cascade of abnormal events occurs, including formation of toxins and 
amino acids that damage brain cells. Cooling appears to work by reducing 
the energy of the brain itself, she said, thereby decreasing the 
abnormal toxins and actually reducing the swelling of brain cells.


"It is a very promising, evolving therapy, but there's a lot more work 
to be done, alot of questions still to be answered," said Dr. Ann Stark, 
chair of the American Academy of Pediatrics Committee on the Fetus and 
Newborn Health.


Copyright 2005 Newsday Inc.

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Re: [ozmidwifery] article FYI

[Jennifairy]

I have an older friend who is iodine deficient & seeing a naturopath who 
is prescribing iodine which is absorbed thru the skin - kind of like all 
those nicotine & HRT patches apparently if it is absorbed within a 
12 hour timeframe, her body needs it, if its still sitting on the skin 
after that time, she obviously doesnt!

Anybody else heard of this kind of thing?
Jennifairy

leanne wynne wrote:


Iodine: the clever mineral

October 25, 2005

When we think of iodine, we think of that fluorescent yellow liquid 
that was painted viciously on our cuts and grazes as kids. But 
according to recent studies, this mineral has a far more important 
role in our health, particularly for pregnant women and their 
developing babies’ brains.
Iodine is essential for a healthy thyroid which produces the thyroid 
hormone or ‘brain juice’ for developing babies and children.


A prolonged lack of iodine in your diet may lead to a condition known 
as Iodine Deficiency Disorder or IDD. This deficiency is the single 
most important cause of preventable intellectual deficit in the world. 
Preventable intellectual deficit refers to conditions such as goitre, 
cretinism and mental retardation.


It is important to ensure adequate iodine intake during pregnancy, as 
this is the time when the brain does the most developing. Iodine 
deficiency, particularly in children, may lead to lower intelligence 
levels and learning disorders. It has also been noted that an iodine 
deficiency can mean development problems for the baby and may even 
lead to miscarriage.


The recommended daily intake for pregnant women is 120 –150 micrograms 
with a maximum of 1.1 milligrams per day.


Sydney endocrinologist, Professor Creswell Eastman coordinated a study 
which measured iodine levels in eight-to-ten year old children. The 
results were expected to trigger the mandatory addition of iodine to 
salt. This move has already been agreed to, in principle, by state 
health ministers.


“It’s going to be years before mandatory fortification takes place, 
and in the meantime it would be intolerable, almost criminal, to let 
[pregnant] women be at risk of iodine deficiency,” Professor Eastman 
said.


Where to find rich sources of iodine:

Seafood – fish, mussels.
Vegetables – in particular, beets, celery, lettuce, mushrooms.
Fruits – grapes, oranges in particular
So, if you’re lucky enough to be pregnant, reach for a salad sandwich 
instead of that second helping of cake and your baby will thank you 
for it when they’re graduating with their master’s degree.



REFERENCES
First National Iodine Study Western Sydney Area Health Services Media 
Release 20.09.03
Hetzel BS. Iodine deficiency disorders and their eradication. Lancet 
1983; 2: 1226-1229.
First National Iodine Study Western Sydney Area Health Services Media 
Release 20.09.03

Iodine - http://www.birth.com.au/class.asp?class=6510&page=15
Rouse Rada Extra Iodine Recommended in Pregnancy – Medical Observer 
September 2005 :

Rich Sources of Nutrients -
http://www.gmhc.org/health/nutrition/factsheets/nutrients.html









Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service Mob 0418 371862


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[ozmidwifery] todays advertsier

[Jennifairy]

fyi
latest from the advertiser...
I wonder if the reference to 'anti-natal' classes was a freudian slip
& goddess forbid that women might seek a "midwife" when looking into 
choices of maternity care!

jfairy

*More help for pain relief births*
By KARA PHILLIPS
31 October 2005

PREGNANT women who opt for epidurals are much more likely to need 
medical intervention during the birth, research shows.


Those who have the pain-relieving injections have a 40 per cent higher 
risk of instruments such as forceps being used, the new international 
survey says.


They also are more likely to have a longer second stage of labour, 
require drugs to stimulate contractions, experience dangerously low 
blood pressure and be unable to move for a time after birth.


The findings come from the Cochrane Review, an independent database, 
based on 21 studies into the use of epidurals in labour, involving 6664 
women worldwide.


The study found epidurals relieve pain better than other types of 
medication but there is a 40 per cent higher risk of needing instruments 
to assist birth.


There is no difference in Caesarean delivery rates, long-term backache 
or effects on the baby soon after birth compared with other forms of 
pain relief.


Adelaide experts say pregnant women should be made aware choosing an 
epidural can put them at greater risk of such complications during labour.


Anaesthetist Kym Osborn, at the Women's and Children's Hospital, 
however, says those risks are "very small".


He says 41 per cent of women giving birth at the Women's and Children's 
hospital choose an epidural, compared with 39 per cent a decade ago. "It 
has always been the most popular method," Dr Osborn says. "What is 
important is women know their choices - attending anti-natal classes and 
speaking with your GP should arm you with the knowledge to make the 
choice right for you."



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Re: [ozmidwifery] question from Year 10 student

[Jennifairy]

how about the fact that fetal circulatory system very different to 
mature (ie born already) system? & fetal haemoglobin also very different?

but yeah, I go with the 'upside down in water' theory!
jennifairy

wump fish wrote:

This made me laugh. It is just the kind of question my son (year 9) 
would come up with.


I haven't even thought about it! I would go with the fluid and equal 
pressure theory. Being upside down in water at an adult (try it) does 
not result in the same pressure as being upside down outside water. 
However, if we go with this theory - what happens when women rupture 
their membranes. We know it has a variety of effects on labour and the 
baby. But, does it also make it less comfortable for baby due to being 
upside down? Just thinking aloud.


I would love someone to find some evidence on this.

Rachel



From: "Bowman Family" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: 
Subject: [ozmidwifery] question from Year 10 student
Date: Mon, 7 Nov 2005 20:10:21 +1100

I am involved in the CoreOf Life Program for Year 10 students.  It is 
a fun and interactive program run over a double period and is about 
the journey through pregnancy, labour birth and parenting.
Last week when I was demonstrating positioning with doll & pelvis  
one of the boys asked  "how come the blood doesn't rush to the baby's 
head like it does for us if we are upside down"

I didn't know the correct answer and said I would get back to him.
It possibly is obvious but I have asked a few peers and no-one is 
definite they have the correct answer.  I thought I would throw it 
open to OzMidwifery for discussion.


Linda



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[ozmidwifery] insurance question

[Jennifairy]

Hi there, looking for some info re. provision of insurance for midwives 
*just* doing postnatal community care.

Does it exist? Who would I contact  insurance co. wise?
Ive been offered some work doing postnatal follow-ups for women that 
have availed themselves of 'early discharge', & Im thinking that if Im 
looking for PI insurance that doesnt include birth, it might be gettable?

Any ideas?
cheers
jennfairy

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[ozmidwifery] fyi formula

[Jennifairy]

 BBC NEWS
Baby milk scare widens in Europe
*Swiss-based food giant Nestle has ordered the recall of baby milk from 
France, Spain, Portugal and Italy after tests suggested chemical 
contamination. *


Police in Italy, the largest market of the four, have begun seizing 30m 
litres of the baby milk from shops and depots.


The alarm was raised after traces of a chemical involved in the printing 
process were found in samples in Italy.


Nestle denies the chemical poses a risk to health but has recalled the 
cartons, with an expiry date of September 2006.


The scare began in June when a sample of liquid baby milk produced by 
Nestle showed traces of isopropyl thioxanthone, a photographic chemical 
known by the initials ITX.



	* This decision was taken as an extreme precautionary measure to 
reassure consumers *

Nestle statement

The chemical is used in the printing process of the milk cartons, but 
appears to have made it into the baby milk itself.


The Italian authorities have said the chemical may be toxic.

A Nestle statement on the recall said: "This decision was taken as an 
extreme precautionary measure to reassure consumers.


"Nestle believes that the level of ITX measured in the tested produce 
does not represent a health risk."


Nestle spokesman Francois-Xavier Perroud said only 2m litres had been 
recalled in Italy, less than the 30m ordered to be seized by the 
authorities.


A company spokesman in Switzerland said a new packaging process had been 
put in place to prevent contamination.


* Negative light *

The BBC's Imogen Foulkes in Geneva says contaminated baby milk is a food 
producer's worst nightmare and perhaps most of all for Nestle, which has 
attracted controversy over its baby milk in the past.


For years Nestle has had a serious image problem because of its 
promotion of powdered baby milk over breast feeding in the developing 
world, where many new mothers have neither the money to buy the formula 
nor the clean water to prepare it, our correspondent says.


Contaminated milk is a different issue, she says, but it still puts one 
of Nestle's top products in a negative light once again.


Nestle has said it does not expect the recall to affect company-wide 
results - but with a product as sensitive as baby milk that is perhaps a 
little optimistic, our correspondent adds.


Italy's forestry police - which is responsible for agriculture - 
initially seized 2m litres of milk for infants on 9 November.


The wider seizure was ordered after subsequent tests showed all Nestle 
baby milk cartons with an expiry date of September 2006 were 
contaminated, the Italian news agency Ansa reports.


Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/europe/4459520.stm

Published: 2005/11/22 16:57:35 GMT

© BBC MMV
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Re: [ozmidwifery] Litigation/Insurance issue

[Jennifairy]

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] sonicaid

[Jennifairy]

best prices (from my experience - I put the call out about a year ago & 
ended up ordering about 10 of them, but still cheap if you only want 1) 
is Cascade in the US.

http://www.1cascade.com/
if you also need a currency converter, its here http://www.xe.com/ucc/
they were really helpful, great to deal with, I ended up getting 
huntleighs for about $600 per, that included the freight costs & 
importer fees (which you wont need to pay if you are only getting 1).
If you are bringing in >1 then its a bit of a minefield with customs but 
I negotiated it & happy to help you out
the sonicaid brand are cheaper I think than huntleighs but the retailer 
here in Oz (in Qld I think) still wanted way more than I could get the 
Huntleighs for from cascade.

email me off-list if you need any more info.
cheers
Jennifairy

Mary Murphy wrote:

Hi, I am looking for a contact or company who sells sonicaid hand held 
dopplers in any state of Australia or even the British home base.  
Thanks, MM




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Re: [ozmidwifery] Babies & Sleep Again...

[Jennifairy]

fyi
http://www.saveoursleep.com.au/termsofuse.asp
interesting read.

btw, 'after tertiary psych studies' only *infers* a completed degree - 
doesnt actually say she holds a degree, or any other qualification. 
'Tertiary studies' could mean that she once read a university textbook, 
or enrolled in a course she never completed, etc.
I could say I had gone into a field of unregulated self-employment (as 
this is) after 'tertiary (x) studies' - even if I had completed only one 
semester or topic!

just my 2c worth
jennifairy


Janet Fraser wrote:


OK I take that back : )
"Born and raised in Ireland, Tizzie started her Save Our Sleep (SOS)
business in the United Kingdom in 1996 after tertiary psychology studies and
a career in private childcare."
But even so, she's talking a crock on her site so obviously it was a wasted
education ; )
J
 

 


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Re: [ozmidwifery] brown sugar

[Jennifairy]

The Fairbairn Family wrote:

more than a week without a bowel movement is not unusual = fully 
breastfed - but if concerned about constipation - a small amount of 
orange juice (natural) would prove the point..


- Original Message -
*From:* Alan <mailto:[EMAIL PROTECTED]>
*To:* Ozmidwifery <mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Friday, March 31, 2006 5:00 PM
*Subject:* [ozmidwifery] brown sugar

Can anyone point me to some research re brown sugar use for
constipation?

I have just started work at a small country hospital. A baby,
after being born at 28 weeks has been returned to us. (now 36
weeks). This baby has not had a bowel motion for 7 days. After 3
days the doctor ordered ¼ tsp of brown sugar every second feed.
This baby is being fed by EBM only. I told the doctor that it is
not unusual for babies who are on breast milk often go for a week
without passing a stool and was told “that is rubbish. They should
go every couple of days”.



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This is interesting as I have seen a woman & baby just this week at home 
- fully formula fed at Day 3 when I first saw them (on paed's advice, 
for no apparent reason, but then also had a IOL at 38+2 because her 
obstetrician 'offered it', citing the story of his niece whose baby died 
in utero at 40+2), not interested in breast feeding (the mum of course), 
so of course by day 5 the babe had not had a bowel movement since mec at 
birth & mum had decided to chuck in a 1/4 teaspoon of brown sugar with 
each feed.
I too would like some references or at least some advice from an LC re 
what info to offer these mums!
For what its worth, on the fully breast fed bowel timing thread, my 
oldest daughter went for about 4 months with a weekly poo (yep, Fridays 
were 'be ready to catch the immense amount of shit' day). Constantly 
amazed me where it all came from. Fully breast fed, & by the end of that 
time she literally looked like "Michelin Girl" - more chins than a 
chinese phone book, as they say.

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] Birthing Music

[Jennifairy]

Ceri & Katrina wrote:


Hi everyone
I know this is going to be a very individual preference, but just 
wondering if any of you wonderful people out there can recommend some 
music for birthing. I have my Enya CD and a couple of others, but am 
wanting some more. If anyone has a CD or artist they can recommend 
from personal or other experience that would be fabulous.


thanks in advance
Katrina



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I have found that parents choose thier own music (& whether or not to 
have any). I remember a long time ago, one of the first births I was 
'doula' for (ie birth support for a friend, many years before my own 
'official' midwifery journey), I put on a tape that my friend had lying 
around next to the player. To this day (12 years later) she still 
remembers labouring to Ravi Shankar (& now cant stand it!). So yes its 
important. Some of the choices people make for thier birthing music 
really surprise me too - I wouldnt myself choose Robbie Williams or the 
Red Hot Chili Peppers but they have been choices I have worked with :)

I guess, like environment, the familiar is usually the most comforting
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] de midwife course in wa

[Jennifairy]

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] ques on spurious labour vs false labour

[Jennifairy]

Linda Corby wrote:

dear wise women, I am having trouble getting information on "spurious 
labour" for a Grad Dip midwifery assignment question. Any info and 
references helpful?? Also, is it the same as false labour, or 
different? thankyou, Linda Corby



Just love that language - not! My guess is that 'spurious labour' is the 
labour that gets the OB out of bed at 2 or 3am, to find a primip woman 
2-3 cm dilated who has not been given any idea antenatally what labour 
is going to be like, & really just needs some good support but gets a 
frustrated OB instead!
No offense meant to any OB's here, or you Linda for quoting a euphemism 
being used by our teaching establishments - but maybe you could add 
something in yr assignment about how this kind of language serves to 
belittle & demean *women's* experience of birth, by pointing the focus 
to someone elses experience - like, 'spurious' for whom? 'False' for 
whom? "Sorry madam, but your physical sensations are not actually real". 
Yeah, right!


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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] need some references

[Jennifairy]

 of Services Offered by Midwives/, Australian 
Government Printing Service, Canberra


Oakley, A., Hickey, D. & Rajan, L., 1996, ‘Social support in pregnancy: 
does it have long-term effects?’, /Journal of Reproductive and Infant 
Psychology/, vol.14, pp. 7-22.


Page, L., McCourt, C., Beake, S. & Hewison, J., 1999, ‘Clinical 
interventions and outcomes of one-to-one midwifery practice’, /Journal 
of Public Health Medicine,/ vol. 21, no. 3, pp. 243-248.


Page, L. 2000, /The New Midwifery – Science and Sensitivity in Practice, 
/Churchill Livingstone, Edinburgh.


* *

Passant, L., Homer, C. & Wills, J., 2003, ‘From student to midwife: the 
experiences of newly graduated midwives working in an innovative model 
of midwifery care’, /Australian Midwifery,/ Dec. 2003, Vol. 16, No. 4, 
pp. 18-21.


Rooks, J., 1999, ‘The midwifery model of care’, /Journal of 
Nurse-Midwifery/, vol. 44,


no. 4, July/August, p. 370-374.

Rowley, M., Hensley, M., Brinsmead, M. & Wlodarczyk, J. 1995, 
‘Continuity of care by a midwife team versus routine care during 
pregnancy and birth: a randomised trial’, /Medical Journal of Australia, 
/vol. 163, Sept, pp. 289- 293.


Sandall, J., 1995, ‘Choice, continuity and control: changing midwifery 
towards a sociological perspective’, /Midwifery/, vol.11, pp. 201-207.


Sandall, J., 1996, ‘Moving towards caseload practice: what evidence do 
we have?’,


/ British Journal of Midwifery/, vol.4, no. 12, pp. 620-621.

Sandall, J. 1999, ‘Team midwifery and burnout in midwives in the UK: 
practical lessons from a national study, /MIDIRS Midwifery Digest/, vol. 
9, no. 2, pp. 147-151.


Senate Community Affairs Reference Committee 1999, /Rocking the Cradle. 
A Report into Childbirth Practices/, Commonwealth of Australia, Canberra.


South Australian Health Commission 1995/, Report of the South Australian 
Models of/ /Care Working Party/, Adelaide.


Spurgeon, P., Hicks, C. & Barwell, F., 2001, ‘Antenatal, delivery and 
postnatal comparisons of maternal satisfaction with two pilot Changing 
Childbirth schemes compared with a traditional model of care’, 
/Midwifery/, vol. 17, pp. 123-132.


_ _

Teate, A., 2000, ‘Community midwives programme in Adelaide’s Northern 
suburbs’,


/Midwives Muse/, Spring, p. 5

_ _

Tinkler, A. & Quinney, D., 1998, ‘Team midwifery: the influence of the 
midwife-woman


relationship on women’s experiences and perceptions of maternity care’, 
/Journal of/


/Advanced Nursing/, vol.28, no.1, pp. 31-35.

_ _

Tracy, S.K. & Tracy, M.B., 2003, ‘Costing the cascade: estimating the 
cost of increased obstetric intervention in childbirth using population 
data’, /British Journal of Obstetrics/ /and/ /Gynaecology,/ vol. 110, 
pp. 717-724.


Tracy, S., Barclay, L.B. & Brodie, P., 2000, ‘Contemporary issues in 
workforce and education of Australian midwives’, /Australian Health 
Review,/ Vol. 23, No. 4, pp. 78-88


Turnbull, D., McGinley, M., Fyvie, H., Johnstone, I., Holmes, A., 
Shields, N.,


Cheyne, H. & MacLennan, B., 1995, ‘Implementation and evaluation of a 
midwifery development unit’, /British Journal of Midwifery/, vol.3, no. 
9, pp. 465-468.


Waldenstrom, U., 1998, ‘Continuity of carer and satisfaction’, 
/Midwifery/, vol.14,


pp. 207-213.

Walsh, D., 1996, ‘Evaluating new maternity services: some pointers and 
pitfalls’,/ British/ /Journal of Midwfery,/ vol..4, no. 11, pp. 598-600.


* *

Walsh D. 1999, ‘An ethnographic study of women’s experience of 
partnership caseload midwifery practice: the professional as friend’, 
/Midwifery,/ vol. 15, no. 3, pp. 165-175


Webber, A., 1998, ‘Mothers with Midwives – A South Australian Experience 
of Caseload Midwifery’, /New Models of Maternity Service Provision: 
Australian Midwifery Perspectives Conference,/ Adelaide, 5-6 November.




--

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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[ozmidwifery] Save the children report

[Jennifairy]

just another fyi...
the save the children fund have just released their report "The Stats of 
the Worlds Mothers" for mothers day.

you can d/load the report & watch a lovely slideshow (I recommend it) here:
http://www.savethechildren.org/#
A precis of the report is here at the bbc - 
http://news.bbc.co.uk/2/hi/africa/4752913.stm

interesting read...
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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[ozmidwifery] students & learning

[Jennifairy]

Justine Caines wrote:


Dear Liz

So nice to hear your honesty.

But what are you learning? None of this is about what women can do or
supporting them to achieve the best outcome, it is about protecting a system
and it's regular inhabitants.  It is production-line birth.

Why not ask an independent midwife if you could get to know a woman and
provide some support and see what birth can be?

I really despair that newer midwives are forced into such a system (even
most Bmidders!).  It must be really hard to keep the faith or believe in
fact that it can be different.

 

For fyi, student midwives here in SA are *forbidden* to seek experience 
of any kind with any independently practicing midwife, on threat of a 
fail grade for the clinical topic &/or expulsion from the course. The 
uni (s) then have the cheek to say things like this on their website 
advertising the course:


"Midwifery programs at *** reflect the philosophy of 'women-centred' 
midwifery practice. Midwives are therefore educated to provide safe, 
effective care that recognises the needs of individual women in relation 
to choice, control and continuity of care. *** has a strong commitment 
to excellence in midwifery education, practice and research. The School 
of Nursing and Midwifery has the expertise to support this commitment 
and has been in the forefront of midwifery innovation and development in 
Australia.
The aim is to prepare midwives to practise as competent, confident 
practitioners _in all settings_ (my underline) according to the full 
role and sphere of practice described in the international Definition of 
a Midwife (World Health Organisation, 1992)."


After lobbying for years to get the BMid off the ground (& then doing it 
myself), with the intention that 'changing the face of midwifery' needed 
to start at the education level, I'm feeling thoroughly disillusioned 
that significant change will happen *in my lifetime*! Midwives here on 
the list often allude to the glacial (as in very slow) rate of change in 
institutions ie hospitals, well universities are institutions too & the 
changes the PTBs at that level promised are still a very long way away. 
Independent midwives are made to feel that we are not 'responsible 
people', the fact that we are practicing without insurance (as if this 
is a choice!) completely devalues what we offer to women, and those 
students who have done 3 years hard slog to become a midwife who can 
work in *any setting* are denied any chance to actually experience one 
of a very few work options that allows midwives to work within the full 
scope of practice. In short, the blurb like the one above to advertise a 
course of study is an outright lie. They are good at 'talking the talk', 
but they want someone else to do the walking for them!

--

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] students & learning

[Jennifairy]

Kirsten Dobbs wrote:


I can back up Kate, (as we attend the same uni!)

I have only ever been encouraged and supported to attend births with
independent midwives by our uni.

Kirsten


 

My apologies to all for casting aspersions on both uni's when it is one 
that is forbidding students to work with MIPPs. I am very happy to hear 
that Unisa are encouraging their students to experience midwifery in all 
its forms. Lets hope the insurance issues can be sorted so that this is 
no longer a question of which uni one attends.

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] consent to formula feed?

[Jennifairy]

Steph Arthur wrote:

Were this bubs in the SCN?? If so being of a lower birth weight with 
BSL that are not great, formula comp-ing would not be a bad idea.. 


With all due respect - but not as good an idea as being offered the 
breast, surely?


Esp considering these bubs are most likely going to drop some weight 
post birth. That could mean twin 2 could reaslistically drop to below 
2kg.
Also, I am under the impression that due to the increased risk of 
these bubs' sugars dropping further (being LBW and premature) then 
requiring IVT, 4/24 BSL etc one or two comp feeds to allow mum to get 
her head around breastfeeding two bubs and recovering from the labour 
etc sounds reasonable.


Yes but does it sound reasonable to the mother? Surely whether it 
'sounds reasonable' to any of us is a moot point - nothing in the 
original story tells me that this woman had any reason *not* to make 
'reasonable' decisions of her own about her babies - just another sane 
mother committed to the wellbeing of her offspring. Or was there a 
reference to psych illness or drug use that I missed?

What she needs to 'get her head around' any experience is surely up to her?

I do understand both sides- one being the desire of the mother to BF 
versus the well-being of her babies. Just because these bubs were 
offered a comp feed does not mean she cannot BF..


Um.
At the risk of jumping down a throat here (sorry, nothing personal in 
this!), this makes it sound like this woman's desire to breastfeed her 
babies is somehow putting them 'at risk' - like, how is there 2 sides to 
this, with on 1 side this woman who doesnt sound like she wants anything 
more than healthy breastfed babies, & on the other side the 'well-being' 
of her babies How has the desire to breastfeed put this woman on the 
other side of the fence to the health of her babies
Maybe there are 2 sides to this debate, but in my book the mother is on 
the same side as her babies! Which leaves the 'other side'.?


--

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] PPH levels soar

[Jennifairy]

Sue Cookson wrote:


Hi,
This article appeared in last week's Sydney Morning Herald.
I think it's amazing and it appears that some of the information is 
incorrect in that the article states that NSW Health implemented 
active thrid stage and early cord clamping in 2002. Surely 
syntometrine and syntocinon have been used for many more years than 
just the last four, in which case this study is a real eye-opener if 
you believe we are stopping women from bleeding by using drugs in 
third stage.


What do you think?

Sue


I wonder how many of these women had inductions (for eg)?
Ive also seen (during my student experiences, & so have other current 
students) some midwives & doctors apply CCT without giving synt, & 
describing this as 'physiological' 3rd stage. There are lots of 'mixed 
managements' of 3rd stage out there with no real evidence base, IMHO 
once you do anything like pull on the cord its active management, but on 
the 'coal face' there sometimes doesnt seem to be much consensus around 
'reasonable' evidence-based 3rd stage management.
What Im pointing out is there is sometimes a gap bewteen what we think 
we mean by a term ('active 3rd stage', for eg) & what actually happens, 
ie, how that is interpreted by the person doing the job, & the term may 
imply consistency but that doesnt fit reality

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] ctg stuff

[Jennifairy]

Susan Cudlipp wrote:


Choice is an interesting concept: if we truly support choice then
surely even 'bad' choices should be respected?

Yeah see this is where a persons rights as a medical consumer gets 
tricky. How do we define 'bad' choices whilst being 
culturally/theologically/spiritually/ etc sensitive? Look I think that 
the woman who wanted to be induced before the 6/6/06 has just seen too 
many Exorcist movies, but who are we to deny her the right to hold a 
totally different world view? Yes we could argue that her choices can 
potentially cause harm to herself & her baby, we can attempt to 'inform' 
her of her rights and responsibilities as we see them, but at the end of 
the day if she is willing to make that decision then it is hers to make. 
If we are going to be 'real' about supporting womens rights to choose, 
then we also have to be real about where the responsibility ultimately 
lies, & until this is sorted in a cultural, political & legal sense, its 
going to keep going around in these same circles.
The bottom line is that we are arguing about the choices human beings 
have in our culture around birthing, when we cant even choose the way we 
die, that also is a choice that is proscribed (by law even). In the 
situation of dying, one has to consider that you can do it yourself 
quietly (or not) at home (ie 'commit' suicide - notice the allusion to a 
criminal activity in that statement), but you cant expect the help of 
the medical establishment to do so (ie euthanasia). That is one very 
obvious 'boundary' to what medical science can 'ethically' provide. 
Maybe if more women understood that the same boundaries exist in the 
birthing scene, we may see some changes take place! Because of the fear 
of litigation (ie, where the ultimate responsibility lies), you cannot 
expect the medical establishment to sanction or support any behaviour 
that it defines as 'life-threatening'. The fact that the information the 
establishments use to create those definitions is not always evidence 
based just adds to the frustration!
With all due respect to those who work in hospitals, please can we all 
just admit that as soon as you become a 'patient', your choices (and 
therefore your responsibilities) are potentially (depending on what you 
want) over-ridden by hospital policy (ie, there are boundaries to the 
support you can expect)? We can argue that 'it is her body, her baby', 
but if she cant (is not allowed or supported to) make choices that the 
institution sees as inherently 'dangerous' (by thier definition) to 
herself or her baby, then its all just bullshit.

Call me naive (go on, I dont mind), but -
What we want as consumers is to be able to access medical help *on our 
terms*.
What we want as midwives is to know we are working with people (women 
mostly but not only women) that are willing & able to take 
responsibility for their choices & decisions.


--

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] 24th HBA conf - Tickets nearly sold !

[Jennifairy]

Susan Cudlipp wrote:

Should we wear red carnations or something ?- would be great to put 
faces to names - I am going along with a colleague and a 
soon-to-be-midwife friend.

Looking forward to it - sounds like a great conference
Sue


Im coming over in a car of 6, comprising 2 midwives & 2 proto-midwives 
(midwives in all but paperwork!), driving from Adelaide, will be a 
girlie road trip to tell my children about (except they are coming too!).
As to the ID issue, at the ICM we had name badges that we were able to 
attach "Ozmid" stickers to, that you could pick up from Andrea's stall - 
will you be there Andrea?

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] List working properly???

[Jennifairy]

Lisa Barrett wrote:

I am aware that not all my mails make it onto the list . I have felt 
that maybe they are not getting through because of the content and a 
whole section with mails from Justin Caines Jennifairy and myself 
didn't make it into my email box. I read them on the yahoo site as I 
was checking to see if my own mail was there.


This puts me off replying because it just seems that maybe all points 
of view are not wanted.


Lisa Barrett
Independent Midwife.

I know enough about the vagaries of computers (yes Im a closet nerd) to 
trust that there is no conspiracy by the Ozmid webmistress to censor 
certain emails. Realistically it would be a full time job to read every 
post to this list & 'cull' the ones that dont fit the mold.
Like childbirth & midwifery, computer technology is not an exact 
science, there will always be 'glitches in the system', ghosts in the 
machine... & yes I have had confused moments especially in the last 6 
months or so on this list when I come across a reply to a post I never 
got as an original, etc. It does seem to be happening more than it used 
to (Ive been on & off, but mostly on, the list now for about 5 years), & 
it can be hard to track down where the problem is - users computer /mail 
settings, ISP settings, server settings, etc. For some reason 
KellyBelly's emails *always* used to end up in my Trash folder until I 
created a filter specifically for her posts to the list, to send them to 
my Ozmid folder (?!) go figure
If it works 90% of the time then Im happy with that, we of all people 
should understand there are no guarantees of perfection, & anyway the 
archive is there for reference if needed.
Please dont refrain from posting Lisa, I for one appreciate your posts 
very much, you have a very valuable perspective to offer.

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: Fw: [ozmidwifery] Blood pressure...

[Jennifairy]

Stephen & Felicity wrote:

Sending this to the list for the second time as it mysteriously 
disappeared. >:o(
- Original Message - From: "Stephen & Felicity" 
<[EMAIL PROTECTED]>

To: 
Sent: Wednesday, July 05, 2006 1:17 PM
Subject: Re: [ozmidwifery] Blood pressure...



"A little bit of knowledge can be a dangerous thing."

I got this one the first time, so maybe its a bit more hit n miss than 
we think ?

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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Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

[ozmidwifery] brisbane homebirth

[Jennifairy]

Ive had an enquiry from a friend in Brissy for a homebirth midwife - 
anybody know of anyone who can help?

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


--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

Re: [ozmidwifery] Married to the Midwife

[Jennifairy]

Andrea Robertson wrote:


Hi,

This story was sent to me by a midwife friend in Israel, who does home 
births. Might be worth sharing with your partners


Enjoy,

Andrea


Married to the Midwife
by Tom Smith
Web Exclusive


Wow.
Yeah, I want one of those thanks! (Unlike the other sort that I lucked 
out on, who convinced my children that every time I went out the door I 
was putting them 'second' - I'm such a bad mother!)
Thanx for that Andrea - when I finally get up the courage to go 
partner-hunting again, I'll just get prospective blokes to read this as 
a bench test :))


--

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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Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

Re: [ozmidwifery] Private Health Funds

[Jennifairy]

Ping Bullock wrote:



>TEACHERS FEDERATION HEALTH: An SA midwife has just had a client with
>this company who is expecting to receive $1500 from them to cover her
>homebirth. The midwife had to give her an invoice with her ABN on it,
>setting out how much she
>had been charged for antenatal, birth/labour & postnatal, as they were
>specific about how much they would reimburse for each 'part'.


Yeah that was me, last year. They did eventually pay $1500 after we both 
(me & new mum) jumped through some hoops to satisfy criteria they were 
probably making up on the spot.
Im birthing with the same woman again (due any day now), so Im hoping it 
will be more straight forward this time seeing as they've now dealt with 
this before (with the same client even!). The problem seems to be that 
they just dont deal with this situation often enough to really know what 
to do with it, ie have identified procedures etc. I agree with Justine, 
the more women ask about it & then ask "Why the hell not?", the more its 
in their faces & they then have to create policy. I think its worth 
while to add that 'other' insurance companies *do* offer 
homebirth/midwifery reimbursement - health insurance is a very 
competitive business, a few of them make a big deal about offering 
'alternative therapies' cover to attract a wider client base - if they 
want to trot out the 'numbers' argument (ie the number of women wanting 
homebirths is very small so why should they offer 'specialised' 
insurance to such a minority), just remind them that it wasnt very long 
ago that NO insurance companies offered rebates for homeopathy & 
acupuncture etc - these therapies were only accessed by 'hippies', 
werent they?

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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Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

Re: [ozmidwifery] privacy issues

[Jennifairy]

Sazz Eaton wrote:

I was wondering if there was anyway to make these emails private. I 
googled myself (to see google rating for my webiste and blog) and 
discovered that all my emails on the oz midwifery list are available 
to all, and this is distressing given in one I provided so much 
personal information (my intro I think).
I'm very uncomfortable with the idea of anyone anywhere having the 
power to read my emails.


Thanks,
Sazz


Short answer = No.
Its a 'public' mailing list - Im sure Andrea or the current webmistress 
can answer this in some more detail, but the answer is still no.
Dont post anything to this list that you wouldnt mind stating verbally 
on "A Current Affair"!
Email readers only have 'power' if you give it to them, & if they choose 
to use it, I guess.
For eg, posting personal details of clients or even friends without 
their permission is like posting it on any blog site - freely available 
to just about anybody on the planet.
Just for a heads up, in my experience even emails sent to an individual 
are not necessarily 'private'.

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] Vaginal examinations

[Jennifairy]

Sally @ home wrote:


Exactly, Shelley.

In practice I do very few VE's as well, relying on all the external 
signs we, as midwives, use everyday. However, having one's knowledge 
and experienced completely disregarded is extremely disheartening.


We are organising a forum to try and alter the policy/guideline, but 
have very little time to prepare...hence the plea for help :o)


Thanks
Sally


The thing about being tuned in to the subtle signals and processes that 
women invariably go through during labour and birth, is that you have to 
actually *be there*, spend the time (& I include antenatal 'time' in 
this too) watching, listening, feeling, smelling, hearing - not 
something you can do by watching the ctg at the mid station, or by 
walking into a room to observe a woman for 3 minutes to make decisions 
about what is happening for her & her further care.

Prolonged observation beats textbook definitions of 'normality' any day.
I get really pissed off when I consider that these obstetric definitions 
( & hence protocols) have been created largely by people who have 
*never* provided labour and birth care for women who they have a 
pregnancy-long relationship with, and who attend for the *whole labour* 
- if that was the case we may have much broader definitions of what is 
'normal'.
I personally think its a huge violation of women to even have a protocol 
which legitimises time-based (ie 4 hourly) vaginal examinations, purely 
because it is 'quicker and easier' to determine progress of labour.
Sally I would be asking your obstetricians - if they had a choice 
between assessing labour progress by observation alone, or assessing 
labour progress by inserting their fingers into a womans vagina, what 
would they choose? I would also be inviting them to 'witness' an entire 
labour where VE's were not routine, & were not done at all unless there 
was some valid evidence-based reason to do so. Its not good enough for 
the 'medical establishment' (of which we as midwives are a part) to 
dismiss knowledge that comes from experiences they will not put 
themselves in the way of.

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] Fw: Notes from meeting with Contracting Advantage

[Jennifairy]

Thanx Andrea, the forward I sent on this to the Ozmid list (only a half 
hour before you sent this) never got through (or at least it dint end up 
in my inbox via Ozmid). I figure that about half of my posts to this 
list actually get through.
Maybe I'll just send the stuff I want to get onto this list to someone 
else to send for me :))

Well done.
cheers
jennifairy

Andrea Bilcliff wrote:

To help keep everyone in the loop, here are Joy's notes from the 
Melbourne meeting yesterday.

Andrea Bilcliff
- Original Message -
*From:* Joy Johnston <mailto:[EMAIL PROTECTED]>
*Sent:* Wednesday, September 06, 2006 9:19 AM
*Subject:* [Midwives_Insurance] Notes from meeting with Contracting 
Advantage


Meeting for midwives with Anne O’Connor of Contracting Advantage (CA)

Tuesday 5/9/06 3-5pm

At Sunshine Hospital

Midwives present: Robyn Thompson, Helen Sandner, Andrea Bilcliff, 
Michelle Popple, Bronwyn Harris, Clare Lane, Kayleen Scuderi, Veronica 
Zeinstra, Joy Johnston


Purpose of meeting: to discuss CA’s offer to provide Professional 
Indemnity (PI) insurance for self-employed midwives.


For information on CA, go to www.contractingadvantage.com/ 
<http://www.contractingadvantage.com/>


CA is a private company, and they have already negotiated a plan for 
$10 Million cover with their broker, Jardine Lloyd Thomas in Perth.


A midwife who signs up with CA would be charged an annual fee of $500, 
plus approx 6% of all invoices we create.


The system that they offer provides an accounting system whereby a 
midwife would give an invoice to a client for her services, and the 
client would deposit the money into an account belonging to CA. (If 
cash is paid, the midwife can transfer the money). CA processes the 
money into Tax 20%, agency management fee 5%, and insurances approx 
1%, and anything else that the midwife wants to have taken out such as 
superannuation, or income protection. The remainder is sent the next 
day to the midwife’s account, and the midwife receives a statement of 
earnings. CA’s agency fee provides bookkeeping services for members, 
including preparation of BAS.


CA has no interest in the fee charged, or the number of births, or any 
details of how the midwife practises. They need to be sure that a 
person is a midwife, and this can be checked via the public register 
at the Board. (they do the same for tradesmen &c)


CA charges a $2,500 excess on every claim. There are some technical 
questions that Robyn put, and these need to be answered formally. I 
felt satisfied from my perspective that the plan would provide PI 
insurance, which is the big need, and the first priority.


There are 2 systems operated by CA. The first is what I have described 
above, which would provide for independent midwives such as those of 
us who are practising now.


The other system is called ODCO, which is a self employed contractor 
who does most of her/his work for one employer. CA has an arrangement 
with the employer, and the employer pays the money earned by the 
independent contractors in the same way that nurse agencies get paid 
for supplying staff. The possibilities here are very big, in that 
hospitals could use this system for midwives who want to be self 
employed but want to provide the acute/ birth care in the hospital. 
Also this system could replace nurses agencies that are already in 
operation, if it had an enterprising business person to run it. This 
idea has a lot of possibilities.


The next step is to get 200 midwives. The list that Barb Vernon has 
generated has 90 names, and we know others who have not yet put their 
names on the list. There may not be 200 who are currently earning 
enough to make the $500 seem reasonable. Those who are working 
primarily in hospital jobs, but are willing to attend homebirths 
occasionally may fee it’s too much. If you spread it over even 10 
births in a year it’s not much, and can be passed on to the client, 
but if you only have 2 births in the year, that’s a big burden. 
However I think once the insurance becomes available the pressure will 
quickly mount on all midwives to get it, so it won’t be an option any 
longer. This possible shortfall in numbers may be something that needs 
attention – perhaps pressure on health ministers to provide support to 
get it started initially.


I hope this gives you useful information. I do think it will open the 
possibilities of hospital visiting access for independent midwives.


If you know any midwife who is interested but is not on one of these 
yahoo groups, please forward this message to her/him and ask them to 
request an invitation to the list.


many thanks

Joy Johnston



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[ozmidwifery] If this doesnt get to the list I will know theres a conspiracy :))

[Jennifairy]

(top posting in the name of conformity)
Thought about ignoring this one, but then thought what the hey, Im a Leo 
& just cant turn my back on a good stoush :)
thoughts on this (in order - yes this is how my mind works, welcome 
to my world...)

a) Gak.
b) think you've misunderstood the issues that Lisa has raised (or I 
have, coz thats not what I got out of it)
c) but hey, a great example of what can happen when you 'personalise' a 
debate! (but we were warned, thanx for the heads up)


I too have reservations about what this insurance will mean for me/for 
us/for the profession.
I want to have the 'security' of not putting my home on the line every 
time I go out my door with my kit.

I want women to have the option of affordable birth wherever they choose.
I want my clients to be financially covered if something does go 
pear-shaped.
I want to be able to trust that any insurance that I secure actually 
does what it says it will without holding me over a barrel, & I mean 
this in terms of financially, & regarding my scope of practice.


The problem with this offer is that it is the only offer on the table, 
which makes it not only very attractive, but also means they have a 
monopoly on insurance provision, they can spell out the conditions 
because theres no competition.
Im not saying I dont like the offer - I dont yet know enough about it to 
judge.
I too want more info on how it will affect my practice, and the 
practices of other MIPPs - as Sue said, how will it affect us if we 
provide care to women who are outside the 'guidelines' of referral etc? 
How will it affect us if we are only providing postnatal (for eg) care 
as an independant provider? What happens if we are doing both homebirths 
and contracting out to agencies etc?
I dont want to sign up for something that will then change - we know 
that here in SA the 'benchmark' charge for homebirths is significantly 
lower than the eastern states - which means that CA will receive more 
money per woman from midwives there than here - so how will they deal 
with that? Will they eventually require a higher premium from those 
providing 'cheaper' care?
And why would they charge us for a service that we could choose not to 
use - the accounting system?
If this insurance is adopted by the majority, where does that leave me 
if I choose not to join up, for whatever reason?


Im with Lisa - just because Im raising questions does not mean I do not 
value the energy people have put into securing this offer; it does not 
mean I wont have anything to do with it; & it shouldnt mean that my 
professionalism or quality of practice are called into question.
I agree that this offer of insurance could be really wonderful, leading 
to many new options of practice for midwives. Whatever happens with it, 
whether its a go-er or not, it will be seen as significant to the 
profession. I just want to be really clear about the 'rules' before I 
support it!
We encourage women to ask their care providers questions about the 
quality of service provided, about what they can expect from their 
health providers - surely we have that right too, without being seen as 
'boat-rockers', or any other kind of divisive branding?

cheers
(sig below where it should be)


B & G wrote:


Lisa,
There is a word that describes those who are not members of an 
organisation/collective that declines to financially contribute to 
collective funds or provide input or energies yet expect to benefit or 
be rewarded by the wins such as pay rises negotiated by a collective 
group such as by a union. I will not say the word in such polite 
company but others will know a festering sore heals ever so slowly 
when constantly rubbed. I get rubbed by this all the time!
However I would suggest Lisa /*you*/ seriously consider why membership 
to */your/ *professional college would benefit you and especially to 
the woman you claim to 'care' for. We cannot take a Robinson Crusoe 
view and think midwives are on their own island when we have so many 
financial, political, professional, ethical and various codes of 
practice we are all expected to be accountable to.
At the present time the College does not have the resources or funds 
to be able to provide legal or financial officers. They leave the 
industrial framework many midwives work in to the various unions in 
each state, however unfortunately named, the ANF. However some states 
with active midwives are working on the name change to be more 
inclusive of midwives. I can assure you the ANF and Jill Iliffe are 
taking notice of midwives.
Collectively we are strong and we can do */anything /*in a way that 
respects all views. Can I urge you to get involved.

Cheers Barb




--

Jennifairy Gillett RM

Midwife in Private Practice

Women’s Health Teaching Associate

ITShare volunteer – Santos Project Co-ordinator
ITShare SA Inc - http://itshare

Re: [ozmidwifery] FYI news article

[Jennifairy]

Megan & Larry wrote:


*Bliss at the 5-star maternity hotel*
MICHAEL OWEN
September 19, 2006 12:15am
Article from: _http://www.theadvertiser.news.com.au/?from=ni_storyhttp_

*THE state's first maternity ward in a luxury hotel will open early 
next month.*
The Hilton Adelaide has finalised a deal with Ashford Private Hospital 
to provide up to eight "deluxe-plus" rooms for new mothers recovering 
from childbirth.


Called "Baby Bliss", the maternity hotel service program will start 
from October 3, with final Health Department approval expected within 
the next week.


Ashford Hospital and the Hilton say public interest in the scheme has 
been "amazing" since it was first floated in July.,


The program, already in operation in two private hospitals in 
Melbourne, aims to cut costs and free up hospital beds. It has won the 
backing of private health fund Mutual Community and national mother 
advocacy group Mother Inc.


Midwives will stay in a wing of the Hilton dedicated to new mums and 
provide around-the-clock care and advice, while obstetricians will 
continue to oversee care during hotel stays. Partners and siblings of 
new mums will be able to stay at the hotel free. Alan Lane, chief 
executive of hospital operations for the Adelaide Community Healthcare 
Alliance, which owns Ashford Hospital, said the option would only be 
available to women who had a normal vaginal delivery at the hospital.


Mother and baby would be transferred to the Hilton two days after 
giving birth.
"Mother and baby remain patients of Ashford Hospital and the 
responsibility of its medical and nursing teams," Mr Lane said.


The option to stay at the hotel for two nights is included in the 
obstetrics cover provided by the patient's private health fund.


Insurance broker Jenny Lynch, 33, is due to give birth to her first 
child in February. "I really like the idea of not being in that 
sterile hospital environment after I've had my baby - a luxury hotel 
room and a bit of pampering sounds like a pretty good way to relax 
after childbirth," Ms Lynch said yesterday.


Instead of calling it "Baby Bliss", it should be called "Bread and 
Circuses".

(http://en.wikipedia.org/wiki/Bread_and_circuses if you dont get it)
Just another attempt to move attention away from the high-cost/poor care 
paradigm.

A teaspoon of sugar makes the medicine go down.

--

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] Any ideas??

[Jennifairy]

lisa chalmers wrote:


*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


try the NZ college of midwives website - 
http://www.midwife.org.nz/index.cfm/women
I know there are issues with accessing the govt funded maternity care if 
you are not a citizen, so they'll prolly have to pay for it.

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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[ozmidwifery] Re: (No subject header)

[Jennifairy]

david tonkin wrote:


I have just been welcomed to the list what now


ok, I know logically that there must be many Dave Tonkins in the world, 
but I have to ask if this particular David Tonkin ever taught high school?

Welcome to the list anyways, hope you have fun
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] getting synto etc

[Jennifairy]

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



Had a client recently who I sent to her GP for a script for synt. She 
got the script, went to the chemist to fill it & found it was going to 
cost her around $80 to get it - they only sold it in the boxes of five 
vials. I ended up asking around my MIPP friends & managed to find some 
that way (dint need it anyway so its still in my fridge).
If you give me your postal address Im happy to post some to you - my 
understanding is that its ok to keep it out of the fridge for a time.

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] JAUNDICE & BREASTFEEDING

[Jennifairy]

nunyara wrote:


Hi all!

 

A query -- I saw a client today whose little boy is 4 months old.  The 
birth was at 36weeks, very quick labour (3 hours -- first baby).  The 
little fellow had jaundice but was otherwise well.  Went under the 
lights a couple of times and then came home but had appointments to go 
back and see the hospital paediatrician.  When I saw the Mum 
prenatally, she was very very keen to breastfeed, had even been to ABA 
meetings whilst pregnant.  However, she informed me today that she 
"had" to give up feeding.  Upon being asked why, the answer was that 
she was so stressed that her milk dried up.  The reason for the stress 
was that the jaundice kept recurring and her paediatrician told her 
that her "milk was not flushing it out of the baby's system".  Bub had 
to return to hospital twice to go under the lights again and the 
paediatrician also said that Mum had to supplement with artificial 
formula because baby was not getting enough to flush out.  Hence the 
stress.  She saw a lactation consultant who suggested that she go to a 
GP to get a tablet to increase her supply but she did not want to go 
that way.  Don't know why she didn't go back to ABA but think she was 
over it by then. (Also lost confidence in her ability to feed I think 
because of paediatrician's comments)   Anyway, can any of you 
enlighten me re the milk flushing the jaundice out of the system please?


 


Cheers

Ramona Lane

Herbalist/Naturopath



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

Re: [ozmidwifery] Bottle feeding hard poos and blood from belly button.

[Jennifairy]

Frances Sheean wrote:
 
Hi Philippa
 
Fruit juice adds little to a newborn's diet except fluid and this will stop the babe from drinking milk. The newborn's gut is not equipped to deal with fruit juice until around 6 months, as per the WHO guidelines  Despite apparent logic there is very little/no fibre in  fruit juice and it has high sugar levels compared to fresh fruit. Pureed fruit can be given after 6 months of age.
 
Brown (concentrated) sugar is an `old wives/old wise woman's' tale. It works by irritating the gut which is not advisable for all the reasons outlined by WHO 
 
So for the formula fed infant under 6 months check the formula is made up correctly, if so it may be worth looking for a formula that is less constipating (eg. one with Bifidus, or HA - partially hydrolysed). 


fran sheean



 




From: [EMAIL PROTECTED] on behalf of Philippa Scott
Sent: Fri 17/11/2006 6:39 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Bottle feeding hard poos and blood from belly button.



Two questions.

 


Have a mum who is formula feeding a 2.5week old and has found that bubs poos 
have turned hard but not terribly dry. Is this just normal or is it possible a 
different formula would be better. Also what is the research on things like 
adding Brown sugar and giving fruit juice? It does not sound evidenced based to 
me.

 


She has also noticed blood weeping from belly button (cord stump came off a 
week ago) and whilst there is no redness or temp and baby does not seem sore 
there she is wondering if this is normal?

 


Have you any answers for us?

Cheers

 


Philippa Scott
Birth Buddies - Doula
Assisting women and their families in the preparation towards childbirth and 
labour.
President of Friends of the Birth Centre Townsville

 
  

Yes Im bottom-posting again, blame it on the geeks I hang out with...
I have no evidence base for this but my LC mentor passed this bit of 
info to me if the formula is being microwaved to heat it, it can 
cause or increase risk of constipation... its ok to microwave the water, 
but not the formula something about the microwaves changing the 
structure of the protein? Maybe its an urban myth but I have used this 
in my practice & it does make a difference!

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] homebirth costs

[Jennifairy]

[EMAIL PROTECTED] wrote:

Hi Barb,

I think it's wonderful that you had such an amazing birth and wish for all 
women to have such an experience. From my understanding, many Sydney midwives 
ask their clients to come to them not vice versa. So a lot of their care is not 
midwifery care at home, rather it is out of their home until the final weeks. 
I'm not sure about all midwives, but this seems more common place now in Sydney.

  
And, you get paid $4000 to have a child these days.  Midwifery care at 
home?  It's a bargain.



I find it very interesting that people see you get paid to have a baby. I was 
under the impression that the baby bonus was given to help mums to be able to 
afford to stay home longer from work, or upgrade their car if they need more 
space, or buy car seats, slings, good food for nourishment while breastfeeding 
etc. The only women I know that can afford to spend that whole $4000 on 
midwifery care are the women that didn't need that money in the first place. 
The women that choose to spend the whole amount even though they can't afford 
it, because they have no other choice in Sydney, have no benefits from the baby 
bonus for living expenses with a newborn. There is no bargain if you can't 
afford it.

I understand the value of midwives and continuity of care and midwifery care at 
home, but why should women in Sydney and NSW be paying that much more?? Nobody 
has answered that question. I'm not questioning the value of midwifery care, 
more why Sydney midwifery care is so much more 'valuable' in the dollars and 
sense kind of way?

Love Abby xo
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The real question as far as Im concerned (& yes I have a 'vested 
interest' as a midwife, which I guess is slightly different to the 
vested interest I had when I was a consumer of homebirth midwifery 
services) is why are women being made to pay out of their own pockets at 
all just because they choose to birth at home? If women had to pay 
up-front for obstetric services, ie they were not provided 'free' by the 
public health system nor were rebatable by the majority of private 
health insurance companies, then this conversation might have some 
balance to it.
I think some of the answers to the question of differences in charges of 
homebirth midwifery services is more about supply and demand, cost of 
living in different geographical areas, the fact as Mary has stated that 
midwifery service is traditionally undervalued not just within the 
profession but by other health professionals and consumers alike.and 
we are meant to be seen as 'caring' and how caring can you be when you 
actually charge what your service is worth, when you want to provide 
care to women whether they can afford it or not, regardless of their 
financial situation, when the midwife in the next suburb or state 
charges significantly differently because she has different financial 
needs or different ways of practice or .
Please just take into account that every single independently practising 
midwife I know has worked for no or very little pay, sometimes by choice 
because we dont want to turn away a woman desperate for a homebirth, or 
because we've had a client who either didnt pay or didnt pay the agreed 
amount. Please also take into account that every single homebirth a 
midwife attends is a major financial risk in terms of the lack of PI 
insurance - we can be sued by anyone at any time with no recourse to any 
sort of support, and yes we all want to believe this doesnt happen but 
it does actually, enough that a significant number of midwives stopped 
practicing independantly after the PII was no longer available.
Rather than asking why are women in NSW paying more, the question should 
be why are women in other states paying less? And why are they being 
made to pay at all, when homebirth is provided free in some very 
specific areas and obstetric care is 'free' everywhere?


--

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

Re: [ozmidwifery] JAUNDICE & BREASTFEEDING

[Jennifairy]

suzi and brett wrote:
I thought there is an enzyme in breastmilk that inhibits conjugating 
process. Which is why we have physiological breastfeeding jaundice. I 
have heard of neonatologists/peads having the woman stop breastfeeding 
for 48hrs to determine if its pathological or breastfeeding jaundice ! 
totally unnecessary and disruptive. 
Suzi


- Original Message -
*From:* Tania Smallwood <mailto:[EMAIL PROTECTED]>
*To:* ozmidwifery@acegraphics.com.au
<mailto:ozmidwifery@acegraphics.com.au>
*Sent:* Friday, November 17, 2006 4:42 PM
*Subject:* RE: [ozmidwifery] JAUNDICE & BREASTFEEDING

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


Hi Suz!
Ive never heard of (nor can I find any reference to) breastmilk 
containing this enzyme that inhibits conjugation.
I thought that the whole 'physiological jaundice' thing was more about 
the determinations of 'normal' neonatal jaundice being made in a time of 
formula-fed babies being the norm - so that the scale of 'normal' is 
actually only normal for these AF babies of years ago?

Do you have any refs for this enzyme thingy?
cheers, & hope yr having an excellent time on the East coast :)
--

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

Re: [ozmidwifery] Haemorroids

[Jennifairy]

Michelle Windsor wrote:

Hi everyone,
Just needing some help for a friend who is 36/40 with very painful 
haemorroids. Is there anything that can be done apart from symptomatic 
relief and not becoming constipated? And in your experience how 
painful do women find them when they are pushing?

Thanks in advance
Michelle

Send instant messages to your online friends http://au.messenger.yahoo.com
Witch hazel tincture, applied on a cotton ball to the affected area when 
going to bed, leave it there all night - the wet cotton ball that is (or 
as long as it stays there), should see big results in 2-3 days.

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] frustrating

[Jennifairy]

Sue Cookson wrote:

Hi all,
My email obviously went out about the direction of the list as I have 
recieved a couple of personal replies but my own email and other 
replies to the list have not appeared for me!!


So frustrating.
Can someone please email me copies of the discussion so I can 
participate??


Thanks,
Sue


Heya Sue, firstly congrats on getting the piece of paper :))
On the tame list bizzo, I think too that one of the reasons is exactly 
what you have outlined here - not all the mails get thru to the list, at 
best its sporadic. I know that my motivation to post has reduced since I 
realised that only about a half to 2 thirds of my posts actually get 
read by someone other than me, & when they do the occasional lack of any 
kind of meaningful reply can just add to the feeling of wasted time.

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] Elective c-section article

[Jennifairy]

Janet Fraser wrote:

What irresponsible bullshit is this. Someone is telling a lot of lies to
women and articles like this are normalising them and spreading them
further. Choice schmoice. Is it just My Choice to drink till paralytic when
pregnant? To refuse to use a car seat? To lie down in the middle of the road
and hope cars don't hit me when I'm pregnant? To have no brakes on my car?
The reality is that this woman had unnecessary surgery which had three times
the likelihood of killing her or the baby, a massive risk of losing her
uterus, PND, being unable to establish a breastfeeding relationship, PTSD,
and the myriad of other wellknown risks from all the drugs and crap put into
her and her baby. She may have the dubious right to demand unnecessary
surgery in obstetrics but does she have the right to also inflict this on
her child? So if we want to call it choice, would that be her child's
choice?

We need to get back our outrage at the innately pathological act that is
cutting into perfectly healthy bodies for no reason. Endangering our lives
and that of our babies isn't just a "choice" or a "right" it's a supremely
selfdestructive act within a powerfully misogynist context that has left us
with the utterly appalling hospital system we have. Let's all have colostomy
bags fitted so we don't have to be so uncivilised as to defecate. Perhaps we
could be fed via tubes to avoid eating and swallowing?
This stuff is the very acme of disgusting.
J

  

Hear hear. Love your work Janet.

--

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: home support

[jennifairy]

um, Vaal what sort of experience/qualifications do the doulas need to be
a part of this program? and how are they paid (& how much?). you mention
6 months of training, who is doing the training (& where?) sorry for all
the questions but I am intrigued, & if I wasnt going to be doing the
BMid next year would be interested in joining.

Thrupps wrote:

> Hi allJust popping out of the closet to reply to ... sleep
> deprivation, going home early and support at home.I believe that
> women who birth in hospitals should be at home as soon as practical,
> but of course the lack of support is a problem.As a consequence of
> this, we have a new project underway at the Lyell McEwin Health
> Service in Adelaide whereby women will be able to go home within hours
> of birthing. The hospital will then supply them with a doula (we are
> seeking an aboriginal term for this person) or home help or whatever
> you wish to name them. They will help with household tasks, shopping,
> assist with caring for the other children and will also have an
> understanding of the postnatal woman and the newborn baby. The Home
> Visiting Midwives will remain the day to day midwifery care
> givers. It is the brain child of Prof Gus Dekker (from the
> Netherlands who is a very strong advocate for midwifery care) and Di
> Beveridge and is based on the Netherlands model. A Project Officer has
> just been appointed and it is planned to have this up and running by
> February 2002. A pretty short timeframe considering that the care
> workers will receive 6 months of training!! I thought that this
> might add to the volume of information that we all share via this
> list. CheersVaal Thrupp


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homebirth site

[jennifairy]

a homebirth site to check out, put out by ch. 7's answer to ninemsn...
not bad I thought, although I was incensed by the "do I need my
doctors'  permission question!

http://motherchild.com.au/MC_ExpertArticle/0,1202,30099-4,00.html



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Coalition for Improving Maternity Services site

[jennifairy]

check this out, its good & has an impressive list of members :))

http://www.birthpsychology.com/birthscene/initiative.html




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blessingway

[jennifairy]

& another one I couldnt resist sharing :))



Honoring Mother: A BlessingWay Ceremony

by Jeannine Parvati Baker

The BlessingWay Ceremony, ancient yet still practiced today, is an
organized tour through the mysteries of transition and of great
psychological import. It is the traditional Navajo way to honor a young
woman entering fertility, a pregnant woman about to give birth, or for
some other related celebration.

On October 10, 1998, I was inspired to conduct a modified BlessingWay
Ceremony to honor the oldest female relative in the family, my mother.
With the help of my sister, we gathered the extended family in Sherman
Oaks, California for a different kind of reunion, one in which we all
sat in a circle, joined by our stories of love and woven together as One
by a ball of yarn wrapped around each wrist. But I’m getting ahead of
myself. First I must recount where the inspiration came from. Before the
actual Ceremony could come to be, there had to be a shift, an opening
toward healing. Or as the natives say, whatever happens here on Earth
must first be dreamed.

I had been talking on the telephone with my sister about our mother. She
expressed her hope that something would shift as my sister was also
having physical problems and found it challenging to care for our
mother. As we spoke together, I had a vision. I saw our entire family
seated together with our caring ties made apparent. We were enveloped in
a circle of love, deep blood love and my mother was hearing those things
ordinarily saved for funerals. I thought, why wait to eulogize? Why not
hold a ceremony wherein the family could speak their accolades and
personal stories to my mother while she is still alive? My sister didn’t
know about the Navajo BlessingWay format but she could relate to the
intention of the Ceremony. So with her support, we invited family
members to gather at my cousin’s home in California one lovely Saturday
afternoon.

For the record, my mother was in stable, if infirm, health. She had
suffered heart attacks, a major stroke and has been in chronic pain with
bursitis, arthritis and a rheumatoid condition. Also, she is almost
blind with macular degeneration. So there was no urgency to have this
honoring ceremony; just my intuition that said better sooner than later.
As it turned out, everyone in the extended family came save one nephew
in a convalescent hospital and his mother, my mother’s youngest and only
living sister.

Four out of six of my wonderful children attended the BlessingWay for
their beloved Grandmother, and my Granddaughter came to celebrate her
Great Grandmother’s BlessingWay. Family came from as far away as Utah
and Texas. We wouldn’t have missed it for the world! For my youngest
three indeed, it >was the idea of honoring Grandma that would drive them
from their home after so much traveling this year. We had just returned
from Europe then back to the East Coast again a few days before the long
drive to California. Our motivation was BlessingWay; the fuel: love for
Grandma!
The Ceremony itself was introduced as having four parts: 1) Showing Up;
2) Focusing on What Has Heart & Meaning; 3) Telling the Truth; and 4)
Being Open Yet Unattached to the Outcome. This was actualized as 1)
Song; 2) Wrapping of Yarn/Ritual Grooming; 3) Introductions and Why We
Are Here with Gifts; and 4) More Song and Feasting (Potluck).

My mother wanted to sing the lullaby song she used to sing to her
babies. I sang it to mine and now her great grand daughter knows it. At
the end of the Ceremony, it was my mother who again burst into song,
this time show tunes with her brother and nephew, wearing the new
T-shirt with the photo of her with her daughters taken 30 years ago.

At the beginning of the Ceremony, many spoke of their love for my mother
and by the time it was her turn to wrap the "power object", the ball of
yarn around her wrist, she was already weeping in gratitude for all she
had heard and felt from our relations. Later my cousin said that this
was the most healing day of his life. Indeed, it was over the top with
love—all found that precious place of gratitude and a way to share it
with each other during and after the ceremony. BlessingWay has the
tendency to draw out the beauty in people.

My mother said it best: Though everyone brought gifts for her, each
one’s presence was "the true gift." It is the Give Away which unites us
with love, the ceremony of life.
Post Script:
My mother was called in by her doctor to receive the results of her
annual medical exam. This week she is 77 years old. Her doctor said that
it is rare that he can tell a patient such great news. The hole in her
mitral valve has sealed on its own! He is astounded, doesn’t know how it
happened.



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mothering

[jennifairy]

thought I'd send this one on..



A Parable on Mothering

Author Unknown

The young mother set her foot on the path of life.
"Is the way long?" she asked.
And her Guide said: "Yes. And the way is hard. And you will be old
before you reach the end of it. But the end will be better than the
beginning."
But the young Mother was happy, and she would not believe that anything
could be better than these years. So she played with her children, and
gathered flowers for them along the way, and bathed with them in the
clear streams; and the sun shone on them and life was good, and the
young Mother cried, "Nothing will ever be lovelier than this."
Then night came, and storm, and the path was dark, and the children
shook with fear and cold, and the Mother drew them close and covered
them with her mantle, and the children said, "Oh Mother, we are not
afraid, for you are near, and no harm can come," and the Mother said,
"This is better than the brightness of day, for I have taught my
children courage."
And the morning came, and there was a hill ahead, and the children
climbed and grew weary, and the Mother was weary, but at all times she
said to the children, "A little patience and we are there." So the
children, climbed, and when they reached the top, they said, "We could
not have done it without you, Mother." And the Mother, when she lay down

that night, looked at the stars and said: "This is a better day than the

last, for my children have learned fortitude in the face of hardness.
Yesterday I gave them courage. Today I have given them strength."
And the next day came strange clouds which darkened the earth--clouds of

war and hate and evil, and the children groped and stumbled, and the
Mother said: "Look up. Lift your eyes to the Light." And the children
looked and saw above the clouds an Everlasting Glory, and it guided them

and brought them beyond the Darkness. And that night the Mother said,
"This is the best day of all, for I have shown my children God." And the

days went on, and the weeks and the months and the years, and the Mother

grew old, and she was little and bent. But her children were tall and
strong, and walked with courage. And when the way was hard, they helped
their Mother, and when the way was rough, they lifted her, for she was
as light as a feather; and at last they came to a hill, and beyond the
hill they could see a shining road and a golden gate flung wide.
And the Mother said: "I have reached the end of my journey. And now I
know that the end is better than the beginning, for my children can walk

alone, and their children after them."
And the children said, "You will walk with us, Mother, even when you
have gone through the gates."
And they stood and watched her as she went on alone, and the gates
closed after her. And they said: "We cannot see her, but she is with us
still. A Mother like ours is more than a memory. She is a living
presence".








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Re: Women, media & health

[jennifairy]

Monty Pythons' "The Meaning of Life"  (a movie) has this bit where a woman is in
hospital giving birth in a very techno room, machines that go beep etc, & she
says "What do I  do!", and the Dr. (John Cleese) replies "Nothing dear, you're
not qualified".
Or there are a font of newspaper articles decrying the "dangers" of homebirth,
and the "safety" of c/sections, I'm sure we don't just get them here in SA. For
'perfect mother' stuff I suggest "The Mask of Motherhood" by Susan Maushart ( a
book).
jenni

Deborah Frame wrote:

> After not checking my mail for what seems like ever, I have finally managed
> to get through nearly 200 messages (deleted most) and now have a request to
> make.
>
> One of the subjects that I am studying this semester is 'Women's issues in
> Health' and for my group discussion I have to raise issues with regard to
> the impact that media representation has on women's health.
>
> We have discussed numerous times anorexia and distorted body image, so the
> angle that I would like to take is maybe the link between media
> representation of birth (invoking fear) and the increase in analgesia use,or
> the image of the perfect mother/family being linked to depression/PND.
>
> If anyone has any suggestions, links, articles(I have access to various
> nursing journals), etc or perhaps some other suggestions as to women, media
> and health.
>
> Thanking you in advance
>
> Deborah Frame
>
> _
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Re: campaign

[jennifairy]

Cor, Id like to see Jackie Chan at a homebirth - there'd have to be a car chase
involved in it somewhere!! :))  (sorry just 'taking the piss', but all in good
fun.)
I think you mean Vicki Chan...  :))

Deborah Frame wrote:

> Just out of curiosity, as I have missed a lot of the campaigning that has
> been going on, but I was curious as to whether anything has been sent to the
> local Labout MP for 'Arana Hill/Ferny Hills'.  If I'm not mistaken I believe
> his wife has had at least three homebirths, one of them Jacki Chan's.
>
> Just curious
>
> Deb Frame
>


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petition

[jennifairy]

I dont normally sign email petitions bcoz I'm not convinced they do
anything, but this one is different, it has its own site... anyway,
I'll leave it up to you.

http://www.thescream.org/injustice/

its about the pack rape of young women in Sydney (yes Australia)


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Re: Lets hope this is not what it may be.

[jennifairy]

Ah, Nostradamus. Now there's a man who knew where the keys to the drug
cupboard was kept. :))

Rhonda wrote:

> Not to do with midwifery but as the list is so quiet - I think the
> world is in shock.
>
> What is happening in our world - what world will we have for these
> babes to grow up in?
>
> Peace & Hugs to all.
>
> Rhonda.
>
> "Interesting"
>
> In the City of God there will be a great thunder,
> Two brothers torn apart by Chaos,
> while the fortress endures,
> the great leader will succumb
> The third big war will begin when the big city is burning
> - Nostradamus, 1645
>


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request for info

[jennifairy]

I need to write an essay to apply for BMid @ Flinders, & I would like
your thoughts on what you think the most important (recent) changes are
in Mid. (culturally, politically, professionally etc). Ive got lots of
stuff in my head but I want to make sure I havent missed something
glaringly obvious:)
I also need to know of Govt reports re maternity care other than Rocking
the Cradle.
thanx in advance. :))


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from the news website....

[jennifairy]

Woman's fears in double
pregnancy

  

  


  


13nov01

 AN Italian 
woman who conceived triplets while 10 weeks pregnant with her first child 
has spoken for the first time of her fears for the future.

  Flavia D'Angelo is due to give birth to a girl, already named Denise, next
week and then have the triplets, a girl and two boys, within three months.
 
 In an
interview on Italian TV, the 20-year-old said she was scared of what would
happen.  
 "The difficult
thing is not knowing what is going to happen after Denise is born," Mrs D'Angelo
said.  
 "After
that, it is all suppositions and theories."  
 Mrs D'Angelo
said she and her husband Ricardo were delighted when they found out that
she was pregnant.  
  "Then,
when I was at the sixth month of my pregnancy and went to see the doctor
for the usual tests and scans, he noticed that, apart from Denise, there
were another three babies," she said.  
  "I didn't
believe it at first. I remember asking the doctor to look again and make
sure because I just couldn't understand how it was possible.  
 "I had
never heard of something like this."  
  Mrs D'Angelo
believed her double pregnancy is a gift from God, but medical experts said
it is a very rare condition called super ovulation.  
  Gynaecologist
Professor Giovanbattista Serra said: "This is the term for two foetuses caused
by the fertilisation of eggs at different times.  
 "What
is also interesting is the length of time between the fertilisation - three
months -- which I believe is the longest.  
  "The
chances of giving birth to quads are between 1.5 and 2 million to one, so
when you think about what is happening to Flavia, it is indeed highly unusual."
 
  Some
doctors said it could have happened if Mrs D'Angelo continued with fertility
treatment after conceiving. But the couple deny this.  
  DAILY
MAIL





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(no subject)

[jennifairy]

Just had to send this on too. It made me laugh out loud
 
 A gynaecologist had a burning desire to change careers and become a
 mechanic. So she found out from her local tech college what was involved,
 signed up for evening classes, attended diligently, and learned all she
 could.
 
 When the time for the practical exam approached, she prepared carefully 
for
 weeks, and completed the exam with tremendous skill.
 
 When the results came back, she was surprised to find that she had 
obtained
 a mark of 150%.
 
 Fearing an error, she called the instructor, saying "I don't want to 
appear
 ungrateful for such an outstanding result, but I wondered if there had 
been
 an error which needed adjusting."
 
 The instructor said, "During the exam, you took the engine apart 
perfectly,
 which was worth 50% of the total mark. You put the engine back together
 again perfectly, which is also worth 50% of the mark.
 
 I gave you an extra 50% because you did all of it through the muffler.
 



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Re: Policy review into Midwifery

[jennifairy]

Scuse my ignorance, bit is this just for Qld ppl to submit to?

francis bowman wrote:

> To all who are interested in retaining the role of the midwife and 
> gaining more autonomy and at the same time protecting the clients 
> right to choose midwifery services for homebirth!!
>
>  
>
> Saturday's Brisbane Courior Mail page 30 has a government 
> advertisement about a policy review into the practice restraictions of 
> nurses and midwifes.  It says:  The Queensland Government is reviewing 
> the specific practice restraictions i the Nursing Act 1992 under 
> National Competition Policy.  The act currently regulates who may 
> practice nursing and midwifery.  The purpose of the review is to make 
> recommendations to Government on the need if any, for statutory 
> restrictions on nursing and midwifery practices and if restrictions 
> are warranted the most appropriate model to implement.
>
>  
>
> Submissions to the review are invited from any interested person.  The 
> discussion paper for the review can be obtained by contacting the 
> Legislative Projects Unit on: 07 32340691 or fax 32341455 or email 
> [EMAIL PROTECTED]  
>  or at the web site www.health.qld.gov.au/lpu/reviews12430.pdf 
>   Submissions close 
> 29th January 2002.  Some advice from a friend in the know says make 
> sure your submissions are type written, not uniform with everyone 
> elses.  They disrgard any they think do not express the persons own 
> beliefs.
>
>  
>
> I am the HOME Program co-ordinator for the Home Midwifery Association 
> and we are currently working on political strategies to forward the 
> cause of homebirth parents and midwives autonomy.   I urge everyone 
> who has a stake in these areas to write.  Do it now before we face 
> further legislation that prevents us from breathing as well as 
> practicing!
>
>  
>
> Blessings in Birth
>
> Dierdre Bowman.
>



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Re: thrush

[jennifairy]

--- Dean & Jo Bainbridge <[EMAIL PROTECTED]> wrote:
> I am not sure if it is 'usable' during pregnancy, but my
> sister who suffers badly by thrush swears by putting
> natural yoghurt on a tampon.  As I said I am unsure if
> you can do this during pregnancy.just a suggestion. 
> Jo Bainbridge
> founding member CARES SA
> email: [EMAIL PROTECTED]
> phone: 08 8365 7059
> birth with trust, faith & love...
> 
Also try acidopholis (or however you spell it:)) capsules
from the chemist or health food shop near you. orally
not vaginally :))

=
jennifairy


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Re: thrush

[jennifairy]

--- Dean & Jo Bainbridge <[EMAIL PROTECTED]> wrote:
> I am not sure if it is 'usable' during pregnancy, but my
> sister who suffers badly by thrush swears by putting
> natural yoghurt on a tampon.  As I said I am unsure if
> you can do this during pregnancy.just a suggestion. 
> Jo Bainbridge
> founding member CARES SA
> email: [EMAIL PROTECTED]
> phone: 08 8365 7059
> birth with trust, faith & love...
> 
Also try acidopholis (or however you spell it:)) capsules
from the chemist or health food shop near you.

=
jennifairy


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Re: the literature on breech

[jennifairy]

well Cheryl, in my copy of Maggie Banks' "Breech Birth Woman Wise" I 
found a statement - " Where the baby is born to the umbiblicus, and 
therefore the head is in the pelvis, the baby will need to be born 
within 10 minutes". the reference for this is cited as Stevenson, J. 
(1993, Summer) More Thoughts on Breech. Midwifery Today. No. 26. pp24-25.
Hope this is some help :))

CHERYL JONES wrote:

> hello to any body, that can answer the question on breech vaginal 
> deliveries?
>
> I read through my e-mails and that eight minutes the time given for 
> the babies to deliver and that no long term effect.
>
> Question is were is the evidence base on that literature?
>
> I have no doubt that is right however to argue a point were is it found?
>
> I have the e-mails sent which one is it that has the evidence so I can 
> forward this information to others (midwives)
>
> Many thanks 
>
> Cheryl (from W.A.)  
>



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