RE: [ozmidwifery] research register?

[Dr Barbara Vernon]

Hi Jo,

 

You might be interested to know that the College has recently taken steps to
set up a library of research and PhD theses on midwifery topics in
Australia.  We're planning to publish abstracts in each issue of the Journal
and have written to all the universities asking them to pass this invitation
(to submit their abstract for publication in the Journal) on to students who
have completed or are soon to complete their theses.  This will help to give
an indication of the research being undertaken within research degrees.
We're also asking such people to donate a soft bound copy of their thesis to
the College so that we can lend out a hard copy to people on request.
(looking at option of digital copies too).  

 

For information

 

cheers Barb.  

 

 

 

Dr Barbara Vernon

Executive Officer

Australian College of Midwives

Ph +61 2 6230 7333

Mob 0438 855 529

 

'Midwifery: Pathways to Healthy Nations'

27th Congress of the International Confederation of Midwives

Brisbane Convention Centre, 24-28 July 2005

 <http://www.midwives2005.com/index.shtml> www.midwives2005.com/index.shtml

 

From: "Jenny Cameron" <[EMAIL PROTECTED]>
Date: 15 April 2005 11:35:47 AM
To: 
Subject: Re: [ozmidwifery] research register?
Reply-To: ozmidwifery@acegraphics.com.au

Sounds like something ACMI could administer.
Jennifer Cameron FRCNA FACM
PO Box 1465
Howard Springs NT 0835
 
0419 528 717
- Original Message -
From: Dean & Jo 
To: ozmidwifery@acegraphics.com.au 
Cc: [EMAIL PROTECTED] 
Sent:Thursday, April 14, 2005 5:41 PM
Subject:[ozmidwifery] research register?


Is there a kind of register of what topics are being researched in midwifery
circles?  

 

Just interested.  ;o)

 

Jo



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Re: [ozmidwifery] research register?

[Jenny Cameron]

Sounds like something ACMI could 
administer.
Jennifer Cameron FRCNA FACMPO Box 1465Howard Springs NT 0835
 
0419 528 717

  - Original Message - 
  From: 
  Dean 
  & Jo 
  To: ozmidwifery@acegraphics.com.au 
  
  Cc: [EMAIL PROTECTED] 
  
  Sent: Thursday, April 14, 2005 5:41 
  PM
  Subject: [ozmidwifery] research 
  register?
  
  
  Is there a kind of register of 
  what topics are being researched in midwifery circles?  
   
  Just 
  interested.  ;o)
   
  Jo
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RE: [ozmidwifery] research register?

[Jackie Doolan]

Title: Message



Interesting and will be very relevant to al ot of maternity units 
which are in the process of adding midwifery models to their practice 
settings.
Jackie Doolan

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Kerreen 
  ReigerSent: Friday, April 15, 2005 10:18 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research 
  register?
  
  Hi List 
  
  As an 
  academic, I hate to say that it is quite 'normal' for there to be no 
  coherent collection of research being done etc. It's also  a dreadful 
  problem! However midwifery is no different to any other field. Mostly one 
  only  knows about  things through professional conferences and 
  associations or personal networks. Last June's ARCHI conference for example 
   was a terrific opportunity  for finding out about developments 
  across Australia and networking. Maybe ACMI  has taken up  
  collecting information but  it would still be reliant on  people 
  letting them know what  researchers, including 
  postgrad  students are doing. 
   
  For anyone's 
  interest, I  am working on staff working relationships in 
  maternity care settings. Three projects  are at various stages : 
  
  1. a pilot 
  study  based on interviews across a few public units with managers 
  and senior obstetricians- interesting stuff on the impact of organisational 
  restructuring  on midwifery cultures
  2. I've now 
  completed an analysis  of the working relationships amongst 
  staff involved in the introduction of new team  midwifery model 
  in a small rural maternity unit ie team members, other ward-based staff and 
  managers, and local GPs-  
  3. Study of 
  complex  issues in a large tertiary unit undergoing major organisational 
  change:  issues of mid/ob knowledge,  professional boundary 
  tensions, role of ob trainees, emotional dimensions. etc.
   
  A paper from this 
  work will  be given at ICM in July. I'm always interested in feedback on 
  the above issues. 
   
  
   I will also 
  return later this year to work I started on the historical development of ACMI 
  - it's been on hold for want of funding!
  Maybe others can 
  post details of other work in progress and a thread can be then available? 
  
  cheers
  Kerreen 

   
   
  
  
  Kerreen Reiger
  Associate 
  Professor
  Sociology Program
  School of Social 
  Sciences
  La Trobe 
  University
  Australia 3086
  Ph: 61 3 9479 1040
  Fax: 613 94792705
  E: [EMAIL PROTECTED]
  
  
  From: [EMAIL PROTECTED] on 
  behalf of Dean & JoSent: Fri 15/04/2005 9:37 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research 
  register?
  
  
  So would this be an 
  indicator that there is no such collation of information other than doing a 
  search on the topic and seeing who has done what?  Surely if 
  this is the case there would be double ups and wasted resources!!  
  
   
  Is there any academics 
  on list that can comment on this please?
   
  Jo
   
  -Original 
  Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Jackie DoolanSent: Friday, April 15, 2005 8:47 
  AMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research 
  register?
   
  
  I think 
  this would be a great idea. Would help people to network with others who share 
  the same areas of interest.
  
  Jackie 
  Doolan
  
-Original 
Message-From: 
[EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Dean & JoSent: Thursday, April 14, 2005 6:12 
PMTo: 
ozmidwifery@acegraphics.com.auCc: 
[EMAIL PROTECTED]Subject: [ozmidwifery] research 
register?
Is there a kind of register of 
what topics are being researched in midwifery circles?  

 
Just interested.  
;o)
 
Jo
 
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RE: [ozmidwifery] research register?

[Dean & Jo]

BTW  Kereen – your topic sounds fascinating!
 
-Original Message-
From: Kerreen Reiger [mailto:[EMAIL PROTECTED] On Behalf
Of Kerreen Reiger
Sent: Friday, April 15, 2005 9:48 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
 
Hi List 
As an academic, I hate to say that it is quite 'normal' for there to be no
coherent collection of research being done etc. It's also  a dreadful
problem! However midwifery is no different to any other field. Mostly one
only  knows about  things through professional conferences and associations
or personal networks. Last June's ARCHI conference for example  was a
terrific opportunity  for finding out about developments across Australia
and networking. Maybe ACMI  has taken up  collecting information but  it
would still be reliant on  people letting them know what  researchers,
including postgrad  students are doing. 
 
For anyone's interest, I  am working on staff working relationships in
maternity care settings. Three projects  are at various stages : 
1. a pilot study  based on interviews across a few public units with
managers and senior obstetricians- interesting stuff on the impact of
organisational restructuring  on midwifery cultures
2. I've now completed an analysis  of the working relationships amongst
staff involved in the introduction of new team  midwifery model in a small
rural maternity unit ie team members, other ward-based staff and managers,
and local GPs-  
3. Study of complex  issues in a large tertiary unit undergoing major
organisational change:  issues of mid/ob knowledge,  professional boundary
tensions, role of ob trainees, emotional dimensions. etc.
 
A paper from this work will  be given at ICM in July. I'm always interested
in feedback on the above issues. 
 
 I will also return later this year to work I started on the historical
development of ACMI - it's been on hold for want of funding!
Maybe others can post details of other work in progress and a thread can be
then available? 
cheers
Kerreen 
 
 
Kerreen Reiger
Associate Professor
Sociology Program
School of Social Sciences
La Trobe University
Australia 3086
Ph: 61 3 9479 1040
Fax: 613 94792705
E: HYPERLINK "mailto:[EMAIL PROTECTED]"[EMAIL PROTECTED]
 
   _  

From: [EMAIL PROTECTED] on behalf of Dean & Jo
Sent: Fri 15/04/2005 9:37 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
So would this be an indicator that there is no such collation of information
other than doing a search on the topic and seeing who has done what?  Surely
if this is the case there would be double ups and wasted resources!!  
 
Is there any academics on list that can comment on this please?
 
Jo
 
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan
Sent: Friday, April 15, 2005 8:47 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
 
I think this would be a great idea. Would help people to network with others
who share the same areas of interest.
Jackie Doolan
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dean & Jo
Sent: Thursday, April 14, 2005 6:12 PM
To: ozmidwifery@acegraphics.com.au
Cc: [EMAIL PROTECTED]
Subject: [ozmidwifery] research register?
Is there a kind of register of what topics are being researched in midwifery
circles?  
 
Just interested.  ;o)
 
Jo
 
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RE: [ozmidwifery] research register?

[Dean & Jo]

Thanks Kereen, 
 
I am aware that this would be an issue across the board with other
professions.  I am astonished how there is so much research relevant to
maternity that is being done by midwives, doctors, mental health, etc.   I
am going to make inquiries to the NHMRC to see hat information they have.
 
Cheers
Jo 
 
-Original Message-
From: Kerreen Reiger [mailto:[EMAIL PROTECTED] On Behalf
Of Kerreen Reiger
Sent: Friday, April 15, 2005 9:48 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
 
Hi List 
As an academic, I hate to say that it is quite 'normal' for there to be no
coherent collection of research being done etc. It's also  a dreadful
problem! However midwifery is no different to any other field. Mostly one
only  knows about  things through professional conferences and associations
or personal networks. Last June's ARCHI conference for example  was a
terrific opportunity  for finding out about developments across Australia
and networking. Maybe ACMI  has taken up  collecting information but  it
would still be reliant on  people letting them know what  researchers,
including postgrad  students are doing. 
 
For anyone's interest, I  am working on staff working relationships in
maternity care settings. Three projects  are at various stages : 
1. a pilot study  based on interviews across a few public units with
managers and senior obstetricians- interesting stuff on the impact of
organisational restructuring  on midwifery cultures
2. I've now completed an analysis  of the working relationships amongst
staff involved in the introduction of new team  midwifery model in a small
rural maternity unit ie team members, other ward-based staff and managers,
and local GPs-  
3. Study of complex  issues in a large tertiary unit undergoing major
organisational change:  issues of mid/ob knowledge,  professional boundary
tensions, role of ob trainees, emotional dimensions. etc.
 
A paper from this work will  be given at ICM in July. I'm always interested
in feedback on the above issues. 
 
 I will also return later this year to work I started on the historical
development of ACMI - it's been on hold for want of funding!
Maybe others can post details of other work in progress and a thread can be
then available? 
cheers
Kerreen 
 
 
Kerreen Reiger
Associate Professor
Sociology Program
School of Social Sciences
La Trobe University
Australia 3086
Ph: 61 3 9479 1040
Fax: 613 94792705
E: HYPERLINK "mailto:[EMAIL PROTECTED]"[EMAIL PROTECTED]
 
   _  

From: [EMAIL PROTECTED] on behalf of Dean & Jo
Sent: Fri 15/04/2005 9:37 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
So would this be an indicator that there is no such collation of information
other than doing a search on the topic and seeing who has done what?  Surely
if this is the case there would be double ups and wasted resources!!  
 
Is there any academics on list that can comment on this please?
 
Jo
 
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan
Sent: Friday, April 15, 2005 8:47 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
 
I think this would be a great idea. Would help people to network with others
who share the same areas of interest.
Jackie Doolan
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dean & Jo
Sent: Thursday, April 14, 2005 6:12 PM
To: ozmidwifery@acegraphics.com.au
Cc: [EMAIL PROTECTED]
Subject: [ozmidwifery] research register?
Is there a kind of register of what topics are being researched in midwifery
circles?  
 
Just interested.  ;o)
 
Jo
 
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<>

RE: [ozmidwifery] research register?

[Kerreen Reiger]

Hi List 
As an academic, I hate to say that it is quite 'normal' for there to be no 
coherent collection of research being done etc. It's also  a dreadful problem! 
However midwifery is no different to any other field. Mostly one only  knows 
about  things through professional conferences and associations or personal 
networks. Last June's ARCHI conference for example  was a terrific opportunity  
for finding out about developments across Australia and networking. Maybe ACMI  
has taken up  collecting information but  it would still be reliant on  people 
letting them know what  researchers, including postgrad  students are doing. 
 
For anyone's interest, I  am working on staff working relationships in 
maternity care settings. Three projects  are at various stages : 
1. a pilot study  based on interviews across a few public units with managers 
and senior obstetricians- interesting stuff on the impact of organisational 
restructuring  on midwifery cultures
2. I've now completed an analysis  of the working relationships amongst staff 
involved in the introduction of new team  midwifery model in a small rural 
maternity unit ie team members, other ward-based staff and managers, and local 
GPs-  
3. Study of complex  issues in a large tertiary unit undergoing major 
organisational change:  issues of mid/ob knowledge,  professional boundary 
tensions, role of ob trainees, emotional dimensions. etc.
 
A paper from this work will  be given at ICM in July. I'm always interested in 
feedback on the above issues. 
 
 I will also return later this year to work I started on the historical 
development of ACMI - it's been on hold for want of funding!
Maybe others can post details of other work in progress and a thread can be 
then available? 
cheers
Kerreen 
 
 
Kerreen Reiger
Associate Professor
Sociology Program
School of Social Sciences
La Trobe University
Australia 3086
Ph: 61 3 9479 1040
Fax: 613 94792705
E: [EMAIL PROTECTED]



From: [EMAIL PROTECTED] on behalf of Dean & Jo
Sent: Fri 15/04/2005 9:37 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?


So would this be an indicator that there is no such collation of information 
other than doing a search on the topic and seeing who has done what?  Surely if 
this is the case there would be double ups and wasted resources!!  
 
Is there any academics on list that can comment on this please?
 
Jo
 
-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan
Sent: Friday, April 15, 2005 8:47 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] research register?
 
I think this would be a great idea. Would help people to network with others 
who share the same areas of interest.
Jackie Doolan
-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean & Jo
Sent: Thursday, April 14, 2005 6:12 PM
To: ozmidwifery@acegraphics.com.au
Cc: [EMAIL PROTECTED]
Subject: [ozmidwifery] research register?
Is there a kind of register of what topics are being researched in 
midwifery circles?  
 
Just interested.  ;o)
 
Jo
 
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RE: [ozmidwifery] research register?

[Dean & Jo]

Title: Message









So would this be an indicator that there
is no such collation of information other than doing a search on the topic and
seeing who has done what?  Surely if this
is the case there would be double ups and wasted resources!!  

 

Is there any academics on list that can comment on this please?

 

Jo

 

-Original Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Jackie Doolan
Sent: Friday, April 15, 2005 8:47
AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
research register?

 



I think this would be a great idea. Would help people to network
with others who share the same areas of interest.





Jackie Doolan





-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Dean & Jo
Sent: Thursday, April 14, 2005
6:12 PM
To: ozmidwifery@acegraphics.com.au
Cc: [EMAIL PROTECTED]
Subject: [ozmidwifery] research
register?

Is there a kind of register of what
topics are being researched in midwifery circles?  

 

Just interested.  ;o)

 

Jo

 

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RE: [ozmidwifery] research register?

[Jackie Doolan]

Title: Message



I 
think this would be a great idea. Would help people to network with others who 
share the same areas of interest.
Jackie Doolan

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Dean & 
  JoSent: Thursday, April 14, 2005 6:12 PMTo: 
  ozmidwifery@acegraphics.com.auCc: 
  [EMAIL PROTECTED]Subject: [ozmidwifery] research 
  register?
  
  Is there a kind of register of 
  what topics are being researched in midwifery circles?  
   
  Just 
  interested.  ;o)
   
  Jo
  --No virus found in this outgoing message.Checked by 
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  4/12/2005

[ozmidwifery] research register?

[Dean & Jo]

Is there a kind of register of what topics are being
researched in midwifery circles?  

 

Just interested.  ;o)

 

Jo








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RE: [ozmidwifery] research question

[B & G]

Title: Message



Andrea,
That's 
basically what I write in the notes now. It would give them a giggle when 
someone does an audit Indication- as per verbal directive admission CTG Director 
O & G.
Thanks 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Andrea 
  QuanchiSent: Saturday, 18 September 2004 4:30 PMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] research 
  questionOne thing that has been effective against this 
  that I have seen. On the initial midwifery assessment form that was devised 
  specifically to meet the needs of the unit the wording says. FHR__ CTG 
  indicated Yes/ No Indication__Time done  Time VMO 
  notified of result___. This means that the person doing it has to 
  justify on paper why they are doing it. Also leaves room to write VMO 
  insistence with no indication which they dont like seeing on paper. Seems to 
  have resolved the issue of routine admission traces and it hasn't been raised 
  again since.Andrea QOn Friday, September 17, 2004, at 06:04 
  PM, B & G wrote:
  I have a dilemma. CTG's- we 
all know research has proven admission CTG's are of no benefit however when 
there has been a verbal workplace directive by the Director of O & G as 
a litigation risk management that all admissions to Birth Suite have 
a routine baseline CTG and you have been diligent to carry out this with and 
made entry in the notes to the effect indication for CTG as per policy. I 
have since found out that a person doing her masters has been auditing 
clients charts to see how many CTG's there have been done and now wants to 
interview the clinicians/midwives to discuss why we did the CTG? "To 
highlight the lack of clinical knowledge of midwives when they put everyone 
on a CTG" in Birth Suite she verbally informed me when questioned. I 
feel now that not only we clinicians are in conflict with the Dr's over 
being told we have to do a CTG on admission, us clinician are now 
being treated as bloody mugs from a midwife researcher. It was only when I 
contacted the researcher for an explanation what her notice on the board 
that appeared today requesting us to write down the clients UR and our name 
on a piece of paper did I find out about this research. I feel abused, 
violated and to be honest so pissed off that a midwife has such little 
regard to midwives professional conduct and clinical care when we often have 
little control over medical directives. Another example is IVC for VBAC do 
we really need it. I have questioned many times why baseline CTG's to the 
point I was being ignored by registrars and they would go to other midwives 
to make sure an admission CTG be done. I capitulated as I was subjected 
to horizontal violence from medical staff and other midwives to the point I 
just do CTG's but always asking what the indication is and noting it in the 
notes. I 
do not believe this research is ethical and of no benefit to anyone other to 
show just how stupid we are in obeying medical directives. If we can have 
case loading with midwifery led care this question would not come up. Am 
I over reacting, any suggestion what I can do?I lock 
forward to your responses. Barb

Re: [ozmidwifery] research question

[Andrea Quanchi]

One thing that has been effective against this that I have seen. On the initial midwifery assessment form that was devised specifically to meet the needs of the unit the wording says. FHR__ CTG indicated Yes/ No Indication__
Time done   Time VMO notified of result___. This means that the person doing it has to justify on paper why they are doing it. Also leaves room to write VMO insistence with no indication which they dont like seeing on paper. Seems to have resolved the issue of routine admission traces and it hasn't been raised again since.

Andrea Q

On Friday, September 17, 2004, at 06:04 PM, B & G wrote:

I have a dilemma. CTG's- we all know research has proven admission CTG's are of no benefit however when there has been a verbal workplace directive by the Director of O & G as a litigation risk management that all admissions to Birth Suite have a routine baseline CTG and you have been diligent to carry out this with and made entry in the notes to the effect indication for CTG as per policy. I have since found out that a person doing her masters has been auditing clients charts to see how many CTG's there have been done and now wants to interview the clinicians/midwives to discuss why we did the CTG? "To highlight the lack of clinical knowledge of midwives when they put everyone on a CTG" in Birth Suite she verbally informed me when questioned.
 
I feel now that not only we clinicians are in conflict with the Dr's over being told we have to do a CTG on admission, us clinician are now being treated as bloody mugs from a midwife researcher. It was only when I contacted the researcher for an explanation what her notice on the board that appeared today requesting us to write down the clients UR and our name on a piece of paper did I find out about this research. I feel abused, violated and to be honest so pissed off that a midwife has such little regard to midwives professional conduct and clinical care when we often have little control over medical directives. Another example is IVC for VBAC do we really need it. I have questioned many times why baseline CTG's to the point I was being ignored by registrars and they would go to other midwives to make sure an admission CTG be done. I capitulated as I was subjected to horizontal violence from medical staff and other midwives to the point I just do CTG's but always asking what the indication is and noting it in the notes.
 
I do not believe this research is ethical and of no benefit to anyone other to show just how stupid we are in obeying medical directives. If we can have case loading with midwifery led care this question would not come up.
 
Am I over reacting, any suggestion what I can do?
I lock forward to your responses.
 
Barb

Re: [ozmidwifery] research question

[Michelle Windsor]

Hi Barb,
 
I agree with what you're saying.  I think as midwives we are often caught between a rock and a hard place.  We know what the evidence is, and we sign our registration renewals saying we will comply with the ACMI code of practice for midwives (which includes evidence based practice) and then we are restricted by 'hospital policy'.  I've been told that as an employee of an institution we are bound to follow their policies and that if we don't then legally we aren't covered.  I guess one way around this sort of thing is to have well informed women who may then refuse to have CTG's etc.  
 
Cheers,
MichelleB & G <[EMAIL PROTECTED]> wrote:


I have a dilemma. CTG's- we all know research has proven admission CTG's are of no benefit however when there has been a verbal workplace directive by the Director of O & G as a litigation risk management that all admissions to Birth Suite have a routine baseline CTG and you have been diligent to carry out this with and made entry in the notes to the effect indication for CTG as per policy. I have since found out that a person doing her masters has been auditing clients charts to see how many CTG's there have been done and now wants to interview the clinicians/midwives to discuss why we did the CTG? "To highlight the lack of clinical knowledge of midwives when they put everyone on a CTG" in Birth Suite she verbally informed me when questioned.
 
I feel now that not only we clinicians are in conflict with the Dr's over being told we have to do a CTG on admission, us clinician are now being treated as bloody mugs from a midwife researcher. It was only when I contacted the researcher for an explanation what her notice on the board that appeared today requesting us to write down the clients UR and our name on a piece of paper did I find out about this research. I feel abused, violated and to be honest so pissed off that a midwife has such little regard to midwives professional conduct and clinical care when we often have little control over medical directives. Another example is IVC for VBAC do we really need it. I have questioned many times why baseline CTG's to the point I was being ignored by registrars and they would go to other midwives to make sure an admission CTG be done. I capitulated as I was subjected to horizontal violence!
  from
 medical staff and other midwives to the point I just do CTG's but always asking what the indication is and noting it in the notes.
 
I do not believe this research is ethical and of no benefit to anyone other to show just how stupid we are in obeying medical directives. If we can have case loading with midwifery led care this question would not come up.
 
Am I over reacting, any suggestion what I can do?
I lock forward to your responses.
 
Barb
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[ozmidwifery] research question

[B & G]

Title: Message



I have a dilemma. 
CTG's- we all know research has proven admission CTG's are of no benefit however 
when there has been a verbal workplace directive by the Director of O & G as 
a litigation risk management that all admissions to Birth Suite 
have a routine baseline CTG and you have been diligent to carry out this with 
and made entry in the notes to the effect indication for CTG as per policy. I 
have since found out that a person doing her masters has been auditing clients 
charts to see how many CTG's there have been done and now wants to interview the 
clinicians/midwives to discuss why we did the CTG? "To highlight the lack 
of clinical knowledge of midwives when they put everyone on a CTG" in Birth 
Suite she verbally informed me when questioned.
 
I feel now that not 
only we clinicians are in conflict with the Dr's over being told we 
have to do a CTG on admission, us clinician are now being 
treated as bloody mugs from a midwife researcher. It was only when I contacted 
the researcher for an explanation what her notice on the board that appeared 
today requesting us to write down the clients UR and our name on a piece of 
paper did I find out about this research. I feel abused, violated and to be 
honest so pissed off that a midwife has such little regard to midwives 
professional conduct and clinical care when we often have little control over 
medical directives. Another example is IVC for VBAC do we really need it. I have 
questioned many times why baseline CTG's to the point I was being ignored by 
registrars and they would go to other midwives to make sure an admission CTG be 
done. I capitulated as I was subjected to horizontal violence from medical 
staff and other midwives to the point I just do CTG's but always asking what the 
indication is and noting it in the notes.
 
I do not believe 
this research is ethical and of no benefit to anyone other to show just how 
stupid we are in obeying medical directives. If we can have case loading with 
midwifery led care this question would not come up.
 
Am I over reacting, 
any suggestion what I can do?
I lock forward to 
your responses.
 
Barb

[ozmidwifery] research

[Marilyn Kleidon]

Hi out there:
 
Can anyone help get an internet link to this review 
paper:
 
 Aust Health Rev. 2001;24(1):85-93.  Community-based 
continuity of midwifery care versus standard hospital care:a cost 
analysis.Homer CS, Matha DV, Jordan LG, Wills J, Davis GK.
I have tried and tried, can get the abstract, but 
would like to read the whole paper if possible.
 
Thanks,
marilyn
 
 

Re: [ozmidwifery] research @ uni

[Jen Semple]

Lynne, that's exactly what we found when we did our lit. search.  Rediculous!!!
Many thanks to everyone for your suggestions & encouragement.  What a wealth of knowledge we have in each other.
Jen
 Lynne Staff <[EMAIL PROTECTED]> wrote:




It amazes me that there is research comparing 2nd hourly VEs to 4th hourly VEs but none on NOT doing VEs compared to doing them..
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Re: [ozmidwifery] research @ uni

[Lynne Staff]

It amazes me that there is research comparing 2nd 
hourly VEs to 4th hourly VEs but none on NOT doing VEs compared to doing 
them..

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 10:19 
  PM
  Subject: Re: [ozmidwifery] research @ 
  uni
  
  "Like many others, I try to ensure that my practice is evidence based but 
  research doesn't show much. Declan Devane declares that he is unable to find 
  any research showing the necessity for VEs. Why undertake an unwelcome 
  procedure if the information you are likely to get is not needed to inform 
  your practice or to be necessary for subsequent decision making? "  C. 
  Warren "Invaders of Privacy" Midwifery Matters. Issue 81;Summer 
  99 .  a very interesting article.  I am looking at the radical 
  Midwives website www.radmid.demon.co.uk/index.htm  
  Cheers, MM

Re: [ozmidwifery] research @ uni

[Denise Hynd]

Mary 
Thank you for this reference the archive list is 
wonderful and easy to access
Denise
 
- Original Message - 

  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 4:19 
  AM
  Subject: Re: [ozmidwifery] research @ 
  uni
  
  "Like many others, I try to ensure that my practice is evidence based but 
  research doesn't show much. Declan Devane declares that he is unable to find 
  any research showing the necessity for VEs. Why undertake an unwelcome 
  procedure if the information you are likely to get is not needed to inform 
  your practice or to be necessary for subsequent decision making? "  C. 
  Warren "Invaders of Privacy" Midwifery Matters. Issue 81;Summer 
  99 .  a very interesting article.  I am looking at the radical 
  Midwives website www.radmid.demon.co.uk/index.htm  
  Cheers, MM

Re: [ozmidwifery] research @ uni

[Jan Robinson]

Title: Re: [ozmidwifery] research @ uni



Dear Jen

Start by obtaining the two references in the Myles Textbook for Midwives. They are listed on pages 463 and 464 in the thirteenth edition. You may have a later edition than this.
Duration of the second stage (Sleep et al 1989)
Sleep suggests there is no good evidence that the imposition of an upper time limit for duration of second stage improves the outcome for mother or baby.
Benyon 1957 suggested that active pushing during the latent phase of the second stage achieves little more than exhausting and discouraging the mother.
Benyon 1957 also demonstrated that spontaneous delivery was not speeded by maternal effort at this stage. Passive descent of the fetus should be allowed to continue until the head is visible at the vulva.

While I can’t provide you with evidence other than empirical, I agree with Alesa; Midwives who have been around labouring women on a continuum never perform a VE whilever labour progresses and the fetal heart sounds remain normal.

 You could interview some homebirth midwives about the number of internal examinations they perform and perhaps review the partograms of a small group of hospital patients and compare them with a matched group of IPMs clients who birthed at home. This would probably demonstrate that continuous care leads to less vaginal examinations in labour. 

Jan Robinson  

__
 Jan Robinson    Phone/fax: 011+ 61+ 2+ 9546 4350
 Independent Midwife Practitioner       e-mail: <[EMAIL PROTECTED]>
 8 Robin Crescent         www:   midwiferyeducation.com.au
 South Hurstville  NSW  2221   National Coordinator, ASIM
__



On 16/3/03 12:28 AM, "Alesa Koziol" <[EMAIL PROTECTED]> wrote:

Valid research questions, although the first one is better worded (IMHO) however, the practice of VE to confirm full dilatation is not universal although if this is the practise that you have witnessed ...
As you state there are so many other signs that a Midwife who is astute will note that confirm full dilation has occured- especially if she has been accompanying the woman for some time along her birth journey
Alesa
 
Alesa Koziol
Clinical Midwifery Educator
Melbourne
- Original Message - 
From: Jen Semple   
To: [EMAIL PROTECTED] 
Sent: Saturday, March 15, 2003 7:32 PM
Subject: [ozmidwifery] research @ uni


This semester @ uni we're doing a subject called Research in Healthcare (we share it w/ nursing & bioscience students).  For 1/2 of our mark for the subject, we have to write a research proposal w/ 2 other students.  At this stage, we've thought of a question & have begun to do a literature review & have hit a brick wall! 

Basically, we haven't found any existing research on our topic.  I know that doesn't neccesarily mean our topic is crap, but I don't know if that means if our topic is feasible or not! 

Just wondering what you all think... whether the topic's feasible, any article suggestions, or anything else that comes to mind.  Here's our question: 

"Do women need a routine VE to confirm they're fully dialated before they are 'allowed' to begin pushing?"  or alternatively "Does performing a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing reduce maternal &/or fetal outcome?" 

All of the midwives did a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing @ the hospital we did our clinicals in.  & w/ increasing the risk of ascending infection, discomfort for the woman, the need to validate what the woman's body is telling her, etc... it just seemed really unnecessary. 

Anyway, it's early days, so if this question won't work, we have plenty of time to do something else. 

Jen


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Re: [ozmidwifery] research @ uni

[Denise Hynd]

Let's not forget that lovely Michel Odent quote 
from Jenny 
(Reference PLEASE) 
Odent helps me to understand this fully when 
he says "women can undilate with one unkind glance
 
So even before you put your fingers near the woman 
words behaviours ..
can interfere with the process of 
birth
Denise

  - Original Message - 
  From: 
  Nola 
  Aicken 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 4:30 
  AM
  Subject: Re: [ozmidwifery] research @ 
  uni
  
  Jen, I have to agree with Mary's comments. I 
  believe it is very 'institutional' to not 'allow' a woman to push before we do 
  a VE to ascertain if she is fully dilated. Gosh, who are we! 
   
  Not only are we setting the woman up for 
  intervention, because many women can be fully and then move into that resting 
  phase before pushing, but we are taking away completely their confidence in 
  their own ability to birth. In units like mine where some of the 
  obstetricians set the time clock for second stage ie one hour for primi, 
  half hour for multi, then I am certainly averse to jumping in and doing a 
  VE. Surely as midwives we can observe the body language and hear the 
  change in the woman's sounds. After bumper to bumper contractions, transition 
  stuff and you hear those wonderful 'pushing' noises. Whoa, to me we are on a 
  roll. Why would I want to do a VE! 
   
  As Mary so aptly states there are times that 
  progress does indicate that we need to do a VE, but let's identify the normal 
  and leave well alone. Sometimes yes, primis can be tricky, but time will tell. 
  My unit is very obstetrical, but I rarely do a VE to establish second stage. 
  Women who are regarded as high risk, have induction of labour, epidurals and 
  other interventions are in a different category of course. You can't always 
  rely on their innate ability to labour and birth because of the interventions 
  and therefore cannot recognise the signs of normal progress so easily. 
  
   
  Tew (Safer childbirth) may be of help and the WHO 
  guide to normal birth (1996). A great topic to explore and I wish you 
  luck.
   
  Nola 
  
- Original Message - 
From: 
Jen 
Semple 
To: [EMAIL PROTECTED] 

    Sent: Saturday, March 15, 2003 7:32 
PM
Subject: [ozmidwifery] research @ 
uni

This semester @ uni we're doing a subject called Research in Healthcare 
(we share it w/ nursing & bioscience students).  For 1/2 of our 
mark for the subject, we have to write a research proposal w/ 2 other 
students.  At this stage, we've thought of a question & have begun 
to do a literature review & have hit a brick wall! 
Basically, we haven't found any existing research on our topic.  I 
know that doesn't neccesarily mean our topic is crap, but I don't know if 
that means if our topic is feasible or not! 
Just wondering what you all think... whether the topic's feasible, any 
article suggestions, or anything else that comes to mind.  Here's our 
question: 
"Do women need a routine VE to confirm they're fully dialated before they 
are 'allowed' to begin pushing?"  or alternatively "Does performing a 
routine VE to confirm a women's fully dialated before she's 'allowed' to 
begin pushing reduce maternal &/or fetal outcome?" 
All of the midwives did a routine VE to confirm a women's fully dialated 
before she's 'allowed' to begin pushing @ the hospital we did our clinicals 
in.  & w/ increasing the risk of ascending infection, discomfort 
for the woman, the need to validate what the woman's body is telling her, 
etc... it just seemed really unnecessary. 
Anyway, it's early days, so if this question won't work, we have plenty 
of time to do something else. 
Jen


Yahoo! Mobile- Check & compose your email 
via SMS on your Telstra or Vodafone 
mobile.

Re: [ozmidwifery] research @ uni

[Denise Hynd]

There is also the possibilty of showing a lack of 
understanding of the empowerment of women and midwives with all the external 
signs of full dilatation, the effects of invasive procedures and attittudes 
including stopping or interfereing with the birthing 
process
Denise

  - Original Message - 
  From: 
  Jo 
  & Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 1:07 
  AM
  Subject: Re: [ozmidwifery] research @ 
  uni
  
  Jen, 
  I am not sure how helpful this is, but I 
  personally think that asking this question is valid and would cause a few to 
  stop and think.  It would certainly go some way to bringing it home that 
  allowing a mother to go by what her body is telling her rather than when the 
  clock or the care provider tells her.  I will ask around with some of my 
  academic contacts to see if there is much around.
  cheers
  jo
  Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
  6918birth with trust, faith & love...
  
- Original Message - 
From: 
Jen 
Semple 
To: [EMAIL PROTECTED] 

Sent: Saturday, March 15, 2003 7:02 
PM
Subject: [ozmidwifery] research @ 
uni

This semester @ uni we're doing a subject called Research in Healthcare 
(we share it w/ nursing & bioscience students).  For 1/2 of our 
mark for the subject, we have to write a research proposal w/ 2 other 
students.  At this stage, we've thought of a question & have begun 
to do a literature review & have hit a brick wall! 
Basically, we haven't found any existing research on our topic.  I 
know that doesn't neccesarily mean our topic is crap, but I don't know if 
that means if our topic is feasible or not! 
Just wondering what you all think... whether the topic's feasible, any 
article suggestions, or anything else that comes to mind.  Here's our 
question: 
"Do women need a routine VE to confirm they're fully dialated before they 
are 'allowed' to begin pushing?"  or alternatively "Does performing a 
routine VE to confirm a women's fully dialated before she's 'allowed' to 
begin pushing reduce maternal &/or fetal outcome?" 
All of the midwives did a routine VE to confirm a women's fully dialated 
before she's 'allowed' to begin pushing @ the hospital we did our clinicals 
in.  & w/ increasing the risk of ascending infection, discomfort 
for the woman, the need to validate what the woman's body is telling her, 
etc... it just seemed really unnecessary. 
Anyway, it's early days, so if this question won't work, we have plenty 
of time to do something else. 
Jen


Yahoo! Mobile- Check & compose your email 
via SMS on your Telstra or Vodafone 
mobile.

Re: [ozmidwifery] research @ uni

[Alesa Koziol]

Valid research questions, although the first one is 
better worded (IMHO) however, the practice of VE to confirm full dilatation is 
not universal although if this is the practise that you have witnessed 
...
As you state there are so many other signs that a 
Midwife who is astute will note that confirm full dilation has occured- 
especially if she has been accompanying the woman for some time along her birth 
journey
Alesa
 
Alesa KoziolClinical Midwifery EducatorMelbourne

  - Original Message - 
  From: 
  Jen 
  Semple 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 7:32 
  PM
  Subject: [ozmidwifery] research @ 
  uni
  
  This semester @ uni we're doing a subject called Research in Healthcare (we 
  share it w/ nursing & bioscience students).  For 1/2 of our mark for 
  the subject, we have to write a research proposal w/ 2 other students.  
  At this stage, we've thought of a question & have begun to do a literature 
  review & have hit a brick wall! 
  Basically, we haven't found any existing research on our topic.  I 
  know that doesn't neccesarily mean our topic is crap, but I don't know if that 
  means if our topic is feasible or not! 
  Just wondering what you all think... whether the topic's feasible, any 
  article suggestions, or anything else that comes to mind.  Here's our 
  question: 
  "Do women need a routine VE to confirm they're fully dialated before they 
  are 'allowed' to begin pushing?"  or alternatively "Does performing a 
  routine VE to confirm a women's fully dialated before she's 'allowed' to begin 
  pushing reduce maternal &/or fetal outcome?" 
  All of the midwives did a routine VE to confirm a women's fully dialated 
  before she's 'allowed' to begin pushing @ the hospital we did our clinicals 
  in.  & w/ increasing the risk of ascending infection, discomfort for 
  the woman, the need to validate what the woman's body is telling her, etc... 
  it just seemed really unnecessary. 
  Anyway, it's early days, so if this question won't work, we have plenty of 
  time to do something else. 
  Jen
  
  
  Yahoo! 
  Mobile- Check & compose your email via SMS on your Telstra or 
  Vodafone mobile.

Re: [ozmidwifery] research @ uni

[Nola Aicken]

Jen, I have to agree with Mary's comments. I 
believe it is very 'institutional' to not 'allow' a woman to push before we do a 
VE to ascertain if she is fully dilated. Gosh, who are we! 
 
Not only are we setting the woman up for 
intervention, because many women can be fully and then move into that resting 
phase before pushing, but we are taking away completely their confidence in 
their own ability to birth. In units like mine where some of the 
obstetricians set the time clock for second stage ie one hour for primi, 
half hour for multi, then I am certainly averse to jumping in and doing a 
VE. Surely as midwives we can observe the body language and hear the change 
in the woman's sounds. After bumper to bumper contractions, transition stuff and 
you hear those wonderful 'pushing' noises. Whoa, to me we are on a roll. Why 
would I want to do a VE! 
 
As Mary so aptly states there are times that 
progress does indicate that we need to do a VE, but let's identify the normal 
and leave well alone. Sometimes yes, primis can be tricky, but time will tell. 
My unit is very obstetrical, but I rarely do a VE to establish second stage. 
Women who are regarded as high risk, have induction of labour, epidurals and 
other interventions are in a different category of course. You can't always rely 
on their innate ability to labour and birth because of the interventions and 
therefore cannot recognise the signs of normal progress so easily. 
 
Tew (Safer childbirth) may be of help and the WHO 
guide to normal birth (1996). A great topic to explore and I wish you 
luck.
 
Nola 

  - Original Message - 
  From: 
  Jen 
  Semple 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 7:32 
  PM
  Subject: [ozmidwifery] research @ 
  uni
  
  This semester @ uni we're doing a subject called Research in Healthcare (we 
  share it w/ nursing & bioscience students).  For 1/2 of our mark for 
  the subject, we have to write a research proposal w/ 2 other students.  
  At this stage, we've thought of a question & have begun to do a literature 
  review & have hit a brick wall! 
  Basically, we haven't found any existing research on our topic.  I 
  know that doesn't neccesarily mean our topic is crap, but I don't know if that 
  means if our topic is feasible or not! 
  Just wondering what you all think... whether the topic's feasible, any 
  article suggestions, or anything else that comes to mind.  Here's our 
  question: 
  "Do women need a routine VE to confirm they're fully dialated before they 
  are 'allowed' to begin pushing?"  or alternatively "Does performing a 
  routine VE to confirm a women's fully dialated before she's 'allowed' to begin 
  pushing reduce maternal &/or fetal outcome?" 
  All of the midwives did a routine VE to confirm a women's fully dialated 
  before she's 'allowed' to begin pushing @ the hospital we did our clinicals 
  in.  & w/ increasing the risk of ascending infection, discomfort for 
  the woman, the need to validate what the woman's body is telling her, etc... 
  it just seemed really unnecessary. 
  Anyway, it's early days, so if this question won't work, we have plenty of 
  time to do something else. 
  Jen
  
  
  Yahoo! Mobile- Check & compose your email via 
  SMS on your Telstra or Vodafone mobile.

Re: [ozmidwifery] research @ uni

[Mary Murphy]

"Like many others, I try to ensure that my practice is evidence based but 
research doesn't show much. Declan Devane declares that he is unable to find any 
research showing the necessity for VEs. Why undertake an unwelcome procedure if 
the information you are likely to get is not needed to inform your practice or 
to be necessary for subsequent decision making? "  C. Warren "Invaders of 
Privacy" Midwifery Matters. Issue 81;Summer 99 .  a very interesting 
article.  I am looking at the radical Midwives website www.radmid.demon.co.uk/index.htm  
Cheers, MM

Re: [ozmidwifery] research @ uni

[TinaPettigrew]

HI Jen...found another ref worth looking at:

Hobbs L. ((1998) 'Assessing cervical dilation without VEs - Watching the purple line ' The Practising Midwife November 1998 Vol.1 Number 11.

Cheers Tina.

Re: [ozmidwifery] research @ uni

[TinaPettigrew]

In a message dated 15/03/03 7:54:00 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes:


This semester @ uni we're doing a subject called Research in Healthcare (we share it w/ nursing & bioscience students).  For 1/2 of our mark for the subject, we have to write a research proposal w/ 2 other students.  At this stage, we've thought of a question & have begun to do a literature review & have hit a brick wall! Basically, we haven't found any existing research on our topic.  I know that doesn't neccesarily mean our topic is crap, but I don't know if that means if our topic is feasible or not! Just wondering what you all think... whether the topic's feasible, any article suggestions, or anything else that comes to mind.  Here's our question: "Do women need a routine VE to confirm they're fully dialated before they are 'allowed' to begin pushing?"  or alternatively "Does performing a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing reduce maternal &/or fetal outcome?" All of the midwives did a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing @ the hospital we did our clinicals in.  & w/ increasing the risk of ascending infection, discomfort for the woman, the need to validate what the woman's body is telling her, etc... it just seemed really unnecessary. Anyway, it's early days, so if this question won't work, we have plenty of time to do something else. Jen


Hi Jen...congrats on a great research topic...my thoughts are that this type of practice is sadly a symptom of our current model of service delivery that fails to offer continuity of carer to women...fragmented care fails to ehance the woman/midiwfe partnership, hence the levels of interventions and distrust in the woman's ability to safely and joyously birth her baby...

I would be searching midiwfery data bases for literature, MIDIRS, Midwifery Today etc...I have one resource that may be a starting point...the article is 

Grant J. (1987) Reassessing Second Stage, Association of Charted Physiotherapists in Obstetrics and Gynaecology Journal No. 60 Jan 1987 pp26-30 In. MIDIRS Info pack Number 6. Dec. 1987.

Good luck.

Yours in reforming midwifery
Tina Pettigrew.
B Mid Student ACU Melb.
http://groups.yahoo.com/group/BMidStudentCollective/

Re: [ozmidwifery] research @ uni

[Mary Murphy]

Jen, What a wonderful research question!  As a homebirth midwife I do 
not routinely do V.E's to confirm full dialtion before "allowing" a woman to 
push.  Many primiparous women do not have V.E's at home and progress 
without harm, to the birth of their babies.  The only time I do a V.E 
in that situation  is when the women is saying that it "really hurts" when 
she pushes. That is often a signal and  means that she isn't yet 
in 2nd stage or that there is a hand lying alongside the head (not proven until 
birthing). It shouldn't hurt so badly when in  normal 2nd 
stage. If I suspect a woman is not really in 2nd stge, I ask her to try and 
breathe through the contractions to the best of her ability until the head 
descends some more.  Occasionally there is an "anterior lip".  
 As for "allowing"  What does that mean?  The woman will push 
when she has to and no amount of "not allowing" will stop her.  Multiparous 
women at home never have a V.E to 'Prove' full dilation.  Why would 
you?  Also there is that lovely "red/purple line" that appears.  I 
think that is a really good guide to full dilation, but I don't always see 
it.  
In the research question, are you going to differentiate between Primips or 
multips?  I would suggest just using primips.  If it is entrenched 
behaviour or routine, you might not get the numbers in hospitals so think about 
involving a homebirth or birthcentre practice.  Also, if you haven't 
already, do your literature search in homebirth/midwives magazines.  
Midwifery today etc.  Love to hear how you are going with it and what you 
decide.  MM

Re: [ozmidwifery] research @ uni

[Jo & Dean Bainbridge]

Jen, 
I am not sure how helpful this is, but I personally 
think that asking this question is valid and would cause a few to stop and 
think.  It would certainly go some way to bringing it home that allowing a 
mother to go by what her body is telling her rather than when the clock or the 
care provider tells her.  I will ask around with some of my academic 
contacts to see if there is much around.
cheers
jo
Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
6918birth with trust, faith & love...

  - Original Message - 
  From: 
  Jen 
  Semple 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 15, 2003 7:02 
  PM
  Subject: [ozmidwifery] research @ 
  uni
  
  This semester @ uni we're doing a subject called Research in Healthcare (we 
  share it w/ nursing & bioscience students).  For 1/2 of our mark for 
  the subject, we have to write a research proposal w/ 2 other students.  
  At this stage, we've thought of a question & have begun to do a literature 
  review & have hit a brick wall! 
  Basically, we haven't found any existing research on our topic.  I 
  know that doesn't neccesarily mean our topic is crap, but I don't know if that 
  means if our topic is feasible or not! 
  Just wondering what you all think... whether the topic's feasible, any 
  article suggestions, or anything else that comes to mind.  Here's our 
  question: 
  "Do women need a routine VE to confirm they're fully dialated before they 
  are 'allowed' to begin pushing?"  or alternatively "Does performing a 
  routine VE to confirm a women's fully dialated before she's 'allowed' to begin 
  pushing reduce maternal &/or fetal outcome?" 
  All of the midwives did a routine VE to confirm a women's fully dialated 
  before she's 'allowed' to begin pushing @ the hospital we did our clinicals 
  in.  & w/ increasing the risk of ascending infection, discomfort for 
  the woman, the need to validate what the woman's body is telling her, etc... 
  it just seemed really unnecessary. 
  Anyway, it's early days, so if this question won't work, we have plenty of 
  time to do something else. 
  Jen
  
  
  Yahoo! 
  Mobile- Check & compose your email via SMS on your Telstra or 
  Vodafone mobile.

[ozmidwifery] research @ uni

[Jen Semple]

This semester @ uni we're doing a subject called Research in Healthcare (we share it w/ nursing & bioscience students).  For 1/2 of our mark for the subject, we have to write a research proposal w/ 2 other students.  At this stage, we've thought of a question & have begun to do a literature review & have hit a brick wall!
Basically, we haven't found any existing research on our topic.  I know that doesn't neccesarily mean our topic is crap, but I don't know if that means if our topic is feasible or not!
Just wondering what you all think... whether the topic's feasible, any article suggestions, or anything else that comes to mind.  Here's our question:
"Do women need a routine VE to confirm they're fully dialated before they are 'allowed' to begin pushing?"  or alternatively "Does performing a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing reduce maternal &/or fetal outcome?"
All of the midwives did a routine VE to confirm a women's fully dialated before she's 'allowed' to begin pushing @ the hospital we did our clinicals in.  & w/ increasing the risk of ascending infection, discomfort for the woman, the need to validate what the woman's body is telling her, etc... it just seemed really unnecessary.
Anyway, it's early days, so if this question won't work, we have plenty of time to do something else.
Jen
Yahoo! Mobile
- Check & compose your email via SMS on your Telstra or Vodafone mobile.

Re: [ozmidwifery] Research support request

[Rhonda]

  Yes I was about to forward this to Jackie as I know she will be able 
  to help. 
   
  Taa
  Rhonda
   
  ---Original Message---
   
  
  From: [EMAIL PROTECTED]
  Date: Saturday, January 
  18, 2003 17:24:08
  To: [EMAIL PROTECTED]
  Subject: Re: 
  [ozmidwifery] Research support request
   
  Dear Rhonda
  Have you given your friend info re Jackie Mawson and the 
  birthrites site??
  Alesa
   
  Alesa KoziolMidwifery Clinical EducatorMelbourne
  
- Original Message - 
From: 
Rhonda 
To: [EMAIL PROTECTED] 

Sent: Saturday, January 18, 2003 
12:20 PM
Subject: [ozmidwifery] Research 
support request


  
  

  Dear List - 
  I am posting this for a friend of mine who is working hard to 
  also promote change.
  She has a limited amount of time to get this 
  done asks that anyone with first hand experience or 
  professional knowledge of how devastated women can be and how the 
  opportunity to speak up about this after a traumatic birth would 
  NOT do "more harm than good".  She needs this by the end of 
  January.
   
  Here is her letter - Anyone who has the time to reply can 
  post a reply to her at the snail mail address listed.  Thank 
  you so much.   
  Rhonda.
   
  "Dear Rhonda,
   
  I basically need some letters from women who have had an 
  emergency caesarean saying that their delivery did lead them 
  to feel distress afterwards, and that they would have welcomed 
  the opportunity to fill out a questionnaire asking them about 
  their true feelings - that it would *not* have made them feel 
  worse to do so.Currently, the ethics committee (mostly 
  men, with several doctors on board) is trying to block my 
  woman-benefiting research, by arguing that the increased 
  'distress' put upon women by asking them questions a month after 
  the birth is not outweighed by the potential benefits of the 
  research (which sounds awfully like an attempt to silence 
  women's voices and prevent change!).But I am arguing that 
  not only are there huge benefits to women overall from the 
  research, but that it is not going to harm emergency caesarean 
  women, by asking them how they feel. Rather, it might actually 
  make them feel better!I know I would have welcomed 
  someone that gave a damn about how I really felt!And I would 
  have liked to have known that I was not alone in how I felt 
  too.I also would have been reassured to know that there were 
  people working to make things better for women in the future 
  so that they didn't have to go through what I did.So 
  anyway, if you'd like to write a brief letter (can be less than a 
  page, or whatever you like) for me to include with my reply to 
  the ethics committee,to help get this research off the ground, 
  you can send it to me at:Ms Robyn Henriksen,P.O. Box 
  552,Geelong, Vic. 3220I have to send my reply to the 
  committee's 'concerns' in two weeks, so if you wanted to 
  contribute, it would have to be within that time.Thanks for 
  any support you can give,Robyn."  
   
  

  


  
  
  
   





	
	
	
	
	
	
	




  IncrediMail - Email has finally evolved - 
Click 
Here

Re: [ozmidwifery] Research support request

[Alesa Koziol]

Dear Rhonda
Have you given your friend info re Jackie Mawson and the 
birthrites site??
Alesa
 
Alesa KoziolMidwifery Clinical EducatorMelbourne

  - Original Message - 
  From: 
  Rhonda 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, January 18, 2003 12:20 
  PM
  Subject: [ozmidwifery] Research support 
  request
  
  


  
Dear List - 
I am posting this for a friend of mine who is working hard to also 
promote change.
She has a limited amount of time to get this done asks 
that anyone with first hand experience or professional knowledge of how 
devastated women can be and how the opportunity to speak up about this 
after a traumatic birth would NOT do "more harm than good".  She 
needs this by the end of January.
 
Here is her letter - Anyone who has the time to reply can post a 
reply to her at the snail mail address listed.  Thank you so 
much.   
Rhonda.
 
"Dear Rhonda,
 
I basically need some letters from women who have had an emergency 
caesarean saying that their delivery did lead them to feel distress 
afterwards, and that they would have welcomed the opportunity to 
fill out a questionnaire asking them about their true feelings - 
that it would *not* have made them feel worse to do 
so.Currently, the ethics committee (mostly men, with several 
doctors on board) is trying to block my woman-benefiting research, 
by arguing that the increased 'distress' put upon women by asking 
them questions a month after the birth is not outweighed by the 
potential benefits of the research (which sounds awfully like an 
attempt to silence women's voices and prevent change!).But I am 
arguing that not only are there huge benefits to women overall from 
the research, but that it is not going to harm emergency caesarean 
women, by asking them how they feel. Rather, it might actually make 
them feel better!I know I would have welcomed someone that 
gave a damn about how I really felt!And I would have liked to have 
known that I was not alone in how I felt too.I also would have been 
reassured to know that there were people working to make things 
better for women in the future so that they didn't have to go 
through what I did.So anyway, if you'd like to write a brief 
letter (can be less than a page, or whatever you like) for me to 
include with my reply to the ethics committee,to help get this 
research off the ground, you can send it to me at:Ms Robyn 
Henriksen,P.O. Box 552,Geelong, Vic. 3220I have to send 
my reply to the committee's 'concerns' in two weeks, so if you 
wanted to contribute, it would have to be within that time.Thanks 
for any support you can give,Robyn."  
 

  

  
  


  IncrediMail - Email has finally evolved - 
  Click 
  Here 

[ozmidwifery] Research support request

[Rhonda]

  Dear List - 
  I am posting this for a friend of mine who is working hard to also 
  promote change.
  She has a limited amount of time to get this done asks that 
  anyone with first hand experience or professional knowledge of how 
  devastated women can be and how the opportunity to speak up about this 
  after a traumatic birth would NOT do "more harm than good".  She 
  needs this by the end of January.
   
  Here is her letter - Anyone who has the time to reply can post a 
  reply to her at the snail mail address listed.  Thank you so 
  much.   
  Rhonda.
   
  "Dear Rhonda,
   
  I basically need some letters from women who have had an emergency 
  caesarean saying that their delivery did lead them to feel distress 
  afterwards, and that they would have welcomed the opportunity to fill 
  out a questionnaire asking them about their true feelings - that it 
  would *not* have made them feel worse to do so.Currently, the 
  ethics committee (mostly men, with several doctors on board) is trying 
  to block my woman-benefiting research, by arguing that the increased 
  'distress' put upon women by asking them questions a month after the 
  birth is not outweighed by the potential benefits of the research 
  (which sounds awfully like an attempt to silence women's voices and 
  prevent change!).But I am arguing that not only are there huge 
  benefits to women overall from the research, but that it is not going 
  to harm emergency caesarean women, by asking them how they feel. 
  Rather, it might actually make them feel better!I know I would 
  have welcomed someone that gave a damn about how I really felt!And I 
  would have liked to have known that I was not alone in how I felt 
  too.I also would have been reassured to know that there were people 
  working to make things better for women in the future so that they 
  didn't have to go through what I did.So anyway, if you'd like 
  to write a brief letter (can be less than a page, or whatever you 
  like) for me to include with my reply to the ethics committee,to help 
  get this research off the ground, you can send it to me at:Ms 
  Robyn Henriksen,P.O. Box 552,Geelong, Vic. 3220I have to 
  send my reply to the committee's 'concerns' in two weeks, so if you 
  wanted to contribute, it would have to be within that time.Thanks for 
  any support you can give,Robyn."  
   





	
	
	
	
	
	
	




  IncrediMail - Email has finally evolved - 
Click 
Here

[ozmidwifery] Research

[Sheena Johnson]

Hi List
 
I have a friend, Allison, who is doing 
Midwifery with me and she is having difficulty subscribing to the list. She has 
asked me if I can find out if anyone has got any information on research done on 
Skin to Skin contact after birth. She has done quite and extensive Lit search 
and hasn't found very much. Is there anyone out there who can help her. Allisons 
email address is 
AllisonE-mail Address(es):  [EMAIL PROTECTED]
 
Thanks
Sheena Johnson
Midwifery Student (Ballarat 
University)
 

Re: [ozmidwifery] research

[barbara glare & chris bright]

Dear Sheena,
 
Phone the Lactation Resource Centre on (03) 9885 0855.  
There have been several studies in a similar vein published in "Breastfeeding 
Review" in the last few issues.
 
Hope that helps,
Love, Barb
ABA calendar and poster orders to [EMAIL PROTECTED]

  - Original Message - 
  From: 
  Sheena Johnson 
  To: [EMAIL PROTECTED] 
  Sent: Thursday, August 29, 2002 11:01 
  AM
  Subject: [ozmidwifery] research
  
  Dear List
   
  I am a midwifery student at Ballarat Uni 
  doing a research proposal. At the moment I am looking for a questionnaire to 
  use with my research question,
  ' What influences a woman's choice to breast 
  or bottle feed her baby?'
  Does anyone out there know where I could look 
  or know of anyone who has used one?
   
  Regards Sheena Johnson
  (midwifery Student,Ballarat 
  University)

Re: [ozmidwifery] research

[Aviva Sheb'a]

Two links from recent British Medical Journal on 
the web:
 
Has medicalisation of childbirth gone too far? 
 William Camann, Meh-Noi Lim, Stephen Ong, and Peter 
S Yeh BMJ 2002;325 103 
http://bmj.com/cgi/content/full/325/7355/103Breast 
feeding reduces risk of breast cancer, says study    http://bmj.com/cgi/content/full/325/7357/184/c
 
By the way, as a friend in Holland once said to 
me, BREASTS ARE MEANT TO HANG!
Aviva
- Original Message - 
From: JoFromOz 
To: [EMAIL PROTECTED] 
Sent: Thursday, August 29, 2002 12:29 PM
Subject: Re: [ozmidwifery] research

Try contacting some antenatal clinics of some hospitals, 
maybe? I don't know...
Jo

  At the moment I am 
  looking for a questionnaire to use with my research question,
  ' What influences a woman's choice to breast 
  or bottle feed her baby?'
  Does anyone out there know where I could look 
  or know of anyone who has used one?
   
  Regards Sheena Johnson
  (midwifery Student,Ballarat 
  University)

Re: [ozmidwifery] research

[Alphia Garrety]

They are not as complicated as they sound- I promise that I will give a 
quick summary tomorrow- but now i am off to pick up my children.

Take care
Alphia


At 02:39 PM 29/08/02 +1000, you wrote:
>Please explain these theories ??
>Denise
>- Original Message -
>From: Alphia Garrety <[EMAIL PROTECTED]>
>To: <[EMAIL PROTECTED]>
>Sent: Thursday, August 29, 2002 12:31 PM
>Subject: Re: [ozmidwifery] research
>
>
> > I dont know if this helps or not- there has been research in this area
> > within the discipline of sociology- so mind you it would have a
>theoretical
> > basis.  Here is the jist of one of the arguments:
> > The emergent movement for breastfeeding in Western society  has been
> > severly compromised and its traditional meaning subordinated to technical
> > rationality.  The works of Herbert Marcuse (instrumental rationality),
> > Michel Foucault (new forms of control) and Jurgen Habermas (colonization
>of
> > the lifeworld) aid to demonstrate the social processes by which such
> > subordination is accomplished.
> >
> > Again it might not interest you- but since I had the information I thought
> > I would hand it over.
> >
> > Good luck with your work
> > Alphia
> >
> >
> >
> > At 11:01 AM 29/08/02 +1000, you wrote:
> > >Dear List
> > >
> > >I am a midwifery student at Ballarat Uni doing a research proposal. At
>the
> > >moment I am looking for a questionnaire to use with my research question,
> > >' What influences a woman's choice to breast or bottle feed her baby?'
> > >Does anyone out there know where I could look or know of anyone who has
> > >used one?
> > >
> > >Regards Sheena Johnson
> > >(midwifery Student,Ballarat University)
> >
> > Alphia Garrety (Ba. Hons.)
> > PhD. Candidate
> > School of Sociology and Justice Studies
> > Bankstown Campus, University of Western Sydney
> > UWS Locked Bag 1797
> > South Penrith Distribution Centre
> > NSW 1797 Australia
> >
> > Phone: 02 97726628
> > Fax: 02 97726584
> >
> > --
> > This mailing list is sponsored by ACE Graphics.
> > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>
>--
>This mailing list is sponsored by ACE Graphics.
>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

Alphia Garrety (Ba. Hons.)
PhD. Candidate
School of Sociology and Justice Studies
Bankstown Campus, University of Western Sydney
UWS Locked Bag 1797
South Penrith Distribution Centre
NSW 1797 Australia

Phone: 02 97726628
Fax: 02 97726584

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

Re: [ozmidwifery] research

[Denise Hynd]

Please explain these theories ??
Denise
- Original Message -
From: Alphia Garrety <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, August 29, 2002 12:31 PM
Subject: Re: [ozmidwifery] research


> I dont know if this helps or not- there has been research in this area
> within the discipline of sociology- so mind you it would have a
theoretical
> basis.  Here is the jist of one of the arguments:
> The emergent movement for breastfeeding in Western society  has been
> severly compromised and its traditional meaning subordinated to technical
> rationality.  The works of Herbert Marcuse (instrumental rationality),
> Michel Foucault (new forms of control) and Jurgen Habermas (colonization
of
> the lifeworld) aid to demonstrate the social processes by which such
> subordination is accomplished.
>
> Again it might not interest you- but since I had the information I thought
> I would hand it over.
>
> Good luck with your work
> Alphia
>
>
>
> At 11:01 AM 29/08/02 +1000, you wrote:
> >Dear List
> >
> >I am a midwifery student at Ballarat Uni doing a research proposal. At
the
> >moment I am looking for a questionnaire to use with my research question,
> >' What influences a woman's choice to breast or bottle feed her baby?'
> >Does anyone out there know where I could look or know of anyone who has
> >used one?
> >
> >Regards Sheena Johnson
> >(midwifery Student,Ballarat University)
>
> Alphia Garrety (Ba. Hons.)
> PhD. Candidate
> School of Sociology and Justice Studies
> Bankstown Campus, University of Western Sydney
> UWS Locked Bag 1797
> South Penrith Distribution Centre
> NSW 1797 Australia
>
> Phone: 02 97726628
> Fax: 02 97726584
>
> --
> This mailing list is sponsored by ACE Graphics.
> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

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

Re: [ozmidwifery] research

[Sheena Johnson]

Thanks Alphia 

Everything helps, just goes to show how complicated life is!

Sheena

--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.

Re: [ozmidwifery] research

[JoFromOz]

Try contacting some antenatal clinics of some hospitals, 
maybe? I don't know...
Jo

  At the moment I am 
  looking for a questionnaire to use with my research question,
  ' What influences a woman's choice to breast 
  or bottle feed her baby?'
  Does anyone out there know where I could look 
  or know of anyone who has used one?
   
  Regards Sheena Johnson
  (midwifery Student,Ballarat 
  University)

Re: [ozmidwifery] research

[Alphia Garrety]

I dont know if this helps or not- there has been research in this area 
within the discipline of sociology- so mind you it would have a theoretical 
basis.  Here is the jist of one of the arguments:
The emergent movement for breastfeeding in Western society  has been 
severly compromised and its traditional meaning subordinated to technical 
rationality.  The works of Herbert Marcuse (instrumental rationality), 
Michel Foucault (new forms of control) and Jurgen Habermas (colonization of 
the lifeworld) aid to demonstrate the social processes by which such 
subordination is accomplished.

Again it might not interest you- but since I had the information I thought 
I would hand it over.

Good luck with your work
Alphia



At 11:01 AM 29/08/02 +1000, you wrote:
>Dear List
>
>I am a midwifery student at Ballarat Uni doing a research proposal. At the 
>moment I am looking for a questionnaire to use with my research question,
>' What influences a woman's choice to breast or bottle feed her baby?'
>Does anyone out there know where I could look or know of anyone who has 
>used one?
>
>Regards Sheena Johnson
>(midwifery Student,Ballarat University)

Alphia Garrety (Ba. Hons.)
PhD. Candidate
School of Sociology and Justice Studies
Bankstown Campus, University of Western Sydney
UWS Locked Bag 1797
South Penrith Distribution Centre
NSW 1797 Australia

Phone: 02 97726628
Fax: 02 97726584

--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.

[ozmidwifery] research

[Sheena Johnson]

Dear List
 
I am a midwifery student at Ballarat Uni 
doing a research proposal. At the moment I am looking for a questionnaire to use 
with my research question,
' What influences a woman's choice to breast or 
bottle feed her baby?'
Does anyone out there know where I could look 
or know of anyone who has used one?
 
Regards Sheena Johnson
(midwifery Student,Ballarat 
University)

Re: [ozmidwifery] research on midwifery

[henk / eliza merbis]

Hi Eileen,
 
What about the effects of midwifery-led care?? I'm 
sure there is some research that talks about the consequences of a woman having 
a midwife as her primary health care provider from go to wo.
Try and enter something like 'midwifery led care' 
or 'midwifery models of care' into the subject line when you do your research 
search.
 
Good luck.
 

  - Original Message - 
  From: 
  glenn hulston 
  To: ozmid 
  Sent: Monday, July 29, 2002 1:12 PM
  Subject: [ozmidwifery] research on 
  midwifery
  
  Hi Everyone,
   
  I am studying midwifery and I am required to do a 
  workable research proposal that is midwifery based. As I am studying part time 
  I have not as yet had any clinical practice, therefore I am unaware of 
  relevant issues needing research. I would be grateful if anyone can help 
  with ideas.
   
  Thanks
   
  Eileen   

Re: [ozmidwifery] research on midwifery

[Jan Robinson]

Title: Re: [ozmidwifery] research on midwifery



On 29/7/02 9:12 PM, "glenn hulston" <[EMAIL PROTECTED]> wrote:

Hi Everyone,
 
I am studying midwifery and I am required to do a workable research proposal that is midwifery based. As I am studying part time I have not as yet had any clinical practice, therefore I am unaware of relevant issues needing research. I would be grateful if anyone can help with ideas.
 
Thanks
 
Eileen   


Dear Eileen

Where about are you?  I need to know the  city you live in.
Pehaps one of the IPMs would be able to offer you some support?

There are a lot of issues surrounding homebirth practice that need to be addressed.
Jan Robinson


__
 Jan Robinson   Phone/fax: 011+ 61+ 2+ 9546 4350
 Independent Midwife Practitioner       e-mail: <[EMAIL PROTECTED]>
 8 Robin Crescent        www:   midwiferyeducation.com.au
 South Hurstville  NSW  2221   National Coordinator, ASIM
__


 

Re: [ozmidwifery] research on midwifery

[JoFromOz]

I had to do the same thing last year for my midwifery course 
... my topic was something to do with perineal trauma... "how does maternal 
birthing position affect perineal outcome" or something like that.   

 
Others could include breastfeeding in the first hour of birth, 
does it improve infant feeding/bonding (whatever you want to say), um 
something to do with how support people affect the birth experience for the 
mother... episiotomy, induction there is all sorts of 
possibilities!
 
Am I right in guessing that you don't actually have to DO the 
research, but just form a proposal?  GOOD LUCK!
 
Where are you studying?
 
Jo
 
 

  - Original Message - 
  From: 
  glenn hulston 
  To: ozmid 
  Sent: Monday, July 29, 2002 9:12 PM
  Subject: [ozmidwifery] research on 
  midwifery
  
  Hi Everyone,
   
  I am studying midwifery and I am required to do a 
  workable research proposal that is midwifery based. As I am studying part time 
  I have not as yet had any clinical practice, therefore I am unaware of 
  relevant issues needing research. I would be grateful if anyone can help 
  with ideas.
   
  Thanks
   
  Eileen   

[ozmidwifery] research on midwifery

[glenn hulston]

Hi Everyone,
 
I am studying midwifery and I am required to do a 
workable research proposal that is midwifery based. As I am studying part time I 
have not as yet had any clinical practice, therefore I am unaware of relevant 
issues needing research. I would be grateful if anyone can help with 
ideas.
 
Thanks
 
Eileen   

Re: [ozmidwifery] research information

[Lois Wattis]

Dear Jo - it would be worth including 
chiropractic references in your searches for studies.  Anecdotally, I've 
met several chiro's who encounter c.s. sequalae all the time, especially 
respiratory disorders which are ongoing into adulthood.  Cheers, 
Lois
 

  - Original Message - 
  From: 
  Jo 
  & Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, July 06, 2002 6:19 
  PM
  Subject: [ozmidwifery] research 
  information
  
  can anyone provide info on studies that show 
  respiratory disorders in cs bubs and if there is any findings on long term 
  effects? 
  cheers
  Jo Bainbridgefounding member CARES 
  SAemail: [EMAIL PROTECTED]phone: 08 
  8388 6918birth with trust, faith & 
love...

[ozmidwifery] research information

[Jo & Dean Bainbridge]

can anyone provide info on studies that show 
respiratory disorders in cs bubs and if there is any findings on long term 
effects? 
cheers
Jo Bainbridgefounding member CARES SAemail: 
[EMAIL PROTECTED]phone: 
08 8388 6918birth with trust, faith & love...