Re: [ozmidwifery] asthma in labour
Just to confuse the issue...Last week a woman experienced hypertonic uterus after induction by PG gels. There was a heated debate about the use of inhalation ventolin - one dr saying it only acts locally (in the lungs) according the evidence when inhaled. The other arguing she uses successfully prior to ECV's. The woman had five puffs and thecontractions slowed down to3 in 10. Ah its a pleasure working in a rural hsp where most the doctors couldn't give a fig for keeping abreast of latest research. NOT. and very confusing for the committed registrars trying to learn from them. As for the women - they are kept way out of the argument - sadly like lambs to the slaughter. Also very hard to entice them to join the midwives chorus to establish midwifery models of care it seems. Only the few families who have lived and birthed in other areas before know what they are missing out on. Suzi - Original Message - From: michelle gascoigne To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 11:38 PM Subject: Re: [ozmidwifery] asthma in labour Tia My Pharmacology for midwives makes no mention of this. However, as a young student midwife I do remember one obs. used to use bronchodilators something like 5 puffs one after the other to ' relax the cervix' to help in removal of retained placentas. To be honest it is too long ago for me to remember how effective this was. Shelly (Midwife England) - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 11:28 AM Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.12.12/461 - Release Date: 02/10/2006
Re: [ozmidwifery] asthma in labour
Title: Re: [ozmidwifery] asthma in labour Dear Suzi and all As the consumer who has experienced the other side in a small rural community I could have written the same post (except for the clinical nuts and bolts!) We too have Drs with no real interest in evidence and both they and half of the midwives show no interest in continuing education. Women too are lambs to the slaughter (and most cop it) What to do? Well I ponder this daily. I really think midwives have a responsibility to right the wrongs on the evidence. (You do need support for this I know). Remember you only need 2 committed consumers. They can do and say so much more. Why not set up a branch of MC (or link into one if you are close by). We will support the lobbying, media and advocacy. Together we can do it :-))) JC Justine Caines National Policy Co-ordinator Maternity Coalition Inc PO Box 625 SCONE NSW 2329 Ph: (02) 65453612 Fax: (02)65482902 Mob: 0408 210273 E-Mail: [EMAIL PROTECTED] www.maternitycoalition.org.au
Re: [ozmidwifery] asthma in labour
Have used it in similar circumstances via the nebuliser it worked really well. With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: suzi and brett To: ozmidwifery@acegraphics.com.au Sent: Monday, October 16, 2006 10:42 AM Subject: Re: [ozmidwifery] asthma in labour Just to confuse the issue...Last week a woman experienced hypertonic uterus after induction by PG gels. There was a heated debate about the use of inhalation ventolin - one dr saying it only acts locally (in the lungs) according the evidence when inhaled. The other arguing she uses successfully prior to ECV's. The woman had five puffs and thecontractions slowed down to3 in 10. Ah its a pleasure working in a rural hsp where most the doctors couldn't give a fig for keeping abreast of latest research. NOT. and very confusing for the committed registrars trying to learn from them. As for the women - they are kept way out of the argument - sadly like lambs to the slaughter. Also very hard to entice them to join the midwives chorus to establish midwifery models of care it seems. Only the few families who have lived and birthed in other areas before know what they are missing out on. Suzi - Original Message - From: michelle gascoigne To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 11:38 PM Subject: Re: [ozmidwifery] asthma in labour Tia My Pharmacology for midwives makes no mention of this. However, as a young student midwife I do remember one obs. used to use bronchodilators something like 5 puffs one after the other to ' relax the cervix' to help in removal of retained placentas. To be honest it is too long ago for me to remember how effective this was. Shelly (Midwife England) - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 11:28 AM Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.12.12/461 - Release Date: 02/10/2006
Re: [ozmidwifery] asthma in labour
Same here Suzi, except no registrar!!! change dates at every prenatalvisit booked C/S at 37-38 weeks and when bub choppers out, It wasn't the C/S!! Really No midwifery input during pregnancy (except if you're Aboriginal) Shocked newcomers to town. What no midwives clinic? Not even a hospital antenatal clinic? Where do I get care!? My GP? but they're not even dip OB? Not even accredited with the hospital?Can't I see a midwife? some days I just want to give up but I need to pay the mortgage Louise rural NSW [EMAIL PROTECTED] ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 10/16/06 11:09:54 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] asthma in labour Just to confuse the issue...Last week a woman experienced hypertonic uterus after induction by PG gels. There was a heated debate about the use of inhalation ventolin - one dr saying it only acts locally (in the lungs) according the evidence when inhaled. The other arguing she uses successfully prior to ECV's. The woman had five puffs and thecontractions slowed down to3 in 10. Ah its a pleasure working in a rural hsp where most the doctors couldn't give a fig for keeping abreast of latest research. NOT. and very confusing for the committed registrars trying to learn from them. As for the women - they are kept way out of the argument - sadly like lambs to the slaughter. Also very hard to entice them to join the midwives chorus to establish midwifery models of care it seems. Only the few families who have lived and birthed in other areas before know what they are missing out on. Suzi - Original Message - From: michelle gascoigne To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 11:38 PM Subject: Re: [ozmidwifery] asthma in labour Tia My Pharmacology for midwives makes no mention of this. However, as a young student midwife I do remember one obs. used to use bronchodilators something like 5 puffs one after the other to ' relax the cervix' to help in removal of retained placentas. To be honest it is too long ago for me to remember how effective this was. Shelly (Midwife England) - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 11:28 AM Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.12.12/461 - Release Date: 02/10/2006
Re: [ozmidwifery] asthma in labour
Tia My Pharmacology for midwives makes no mention of this. However, as a young student midwife I do remember one obs. used to use bronchodilators something like 5 puffs one after the other to ' relax the cervix' to help in removal of retained placentas. To be honest it is too long ago for me to remember how effective this was. Shelly (Midwife England) - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 11:28 AM Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.12.12/461 - Release Date: 02/10/2006
[ozmidwifery] asthma in labour
Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED]
RE: [ozmidwifery] asthma in labour
Yes, it has been used in a different delivery method, but definitely has been and probably still is, for calming contractions. I am sure some one who is familiar with it will reply. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet Fraser Sent: Thursday, 12 October 2006 6:29 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to: Joyous Birth Australian home birth network and forums. http://www.joyousbirth.info/ Or email: [EMAIL PROTECTED]
Re: [ozmidwifery] asthma in labour
They give injected ventolin before performing someECV's to relax a uterus do they not? But perhaps intramuscular or intravenous is different to inhaled??? - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 8:58 PM Subject: RE: [ozmidwifery] asthma in labour Yes, it has been used in a different delivery method, but definitely has been and probably still is, for calming contractions. I am sure some one who is familiar with it will reply. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet FraserSent: Thursday, 12 October 2006 6:29 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED]
Re: [ozmidwifery] asthma in labour
Thanks, Mary and Honey. I've learnt that it's via IV in large doses. A woman was told by her hb MW she couldn't birth at home and have ventolin via nebuliser as it would stall/halt labour. I can now reassure her that it's not the case. : ) J - Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Friday, October 13, 2006 8:11 AM Subject: Re: [ozmidwifery] asthma in labour They give injected ventolin before performing someECV's to relax a uterus do they not? But perhaps intramuscular or intravenous is different to inhaled??? - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 8:58 PM Subject: RE: [ozmidwifery] asthma in labour Yes, it has been used in a different delivery method, but definitely has been and probably still is, for calming contractions. I am sure some one who is familiar with it will reply. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet FraserSent: Thursday, 12 October 2006 6:29 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED]
Re: [ozmidwifery] asthma in labour
Hi Janet,I remember one woman who would go outside for a smoke, come back inside and have a couple of ventolin puffs throughout her labour! Her labour kept going though. On the other hand there are two women I can think of that didn't go into labour until they cut back on their Ventolin and they felt this was connected.Cheers MichelleJanet Fraser [EMAIL PROTECTED] wrote: Thanks, Mary and Honey. I've learnt that it's via IV in large doses. A woman was told by her hb MW she couldn't birth at home and have ventolin via nebuliser as it would stall/halt labour. I can now reassure her that it's not the case. : ) J- Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Friday, October 13, 2006 8:11 AM Subject: Re: [ozmidwifery] asthma in labourThey give injected ventolin before performing someECV's to relax a uterus do they not? But perhaps intramuscular or intravenous is different to inhaled???- Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 8:58 PM Subject: RE: [ozmidwifery] asthma in labour Yes, it has been used in a different delivery method, but definitely has been and probably still is, for calming contractions. I am sure some one who is familiar with it will reply. MMFrom: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet FraserSent: Thursday, 12 October 2006 6:29 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] asthma in labour Hi all,can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect?TIA.JFor home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] On Yahoo!7 PS Trixi: Check back weekly for Trixi's latest update
