Re: [ozmidwifery] urgent help for Another Victorian birthing unit
Title: Re: [ozmidwifery] urgent help for Another Victorian birthing unit Hi Justine, I hope all is well with you your energetic little family! if you haven't already sent a copy of this to one of our M.C group in Perth, could you please send me one? [EMAIL PROTECTED] Thanks, mary M I would quote NSWs newest answer to best practice maternity services. Ryde Hospital is a stand alone birth unit, operating as a Midwifery Group Practice.I will send you a copy of the Ryde Proposal through off list, though it doesnt specifically mention primips because they saw them as no special case
Re: [ozmidwifery] urgent help for Another Victorian birthing unit
Title: Re: [ozmidwifery] urgent help for Another Victorian birthing unit I would also be very interested as well, [EMAIL PROTECTED] Cheers Louise - Original Message - From: jacora To: [EMAIL PROTECTED] Sent: Friday, May 14, 2004 7:39 PM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit I would be very interested to, Thanks. Megan - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Saturday, May 15, 2004 2:49 AM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit excellent Justine. could you also send me a copy of the proposal please? [EMAIL PROTECTED] marilyn - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, May 13, 2004 3:34 AM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit Hi Tracy and allI would quote NSWs newest answer to best practice maternity services. Ryde Hospital is a stand alone birth unit, operating as a Midwifery Group Practice.In the development of the proposal it was mooted that primips should not be eleigible. A senior Dr (who was supportive) invited those who believed primips should be excluded to provide their evidence where is it!!! They dont have it.Be crafty turn it on its head, rather than midwives and women jumping through hoops, make them!!I will send you a copy of the Ryde Proposal through off list, though it doesnt specifically mention primips because they saw them as no special caseJustine
Re: [ozmidwifery] urgent help for Another Victorian birthing unit
Title: Re: [ozmidwifery] urgent help for Another Victorian birthing unit I would be very interested to, Thanks. Megan - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Saturday, May 15, 2004 2:49 AM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit excellent Justine. could you also send me a copy of the proposal please? [EMAIL PROTECTED] marilyn - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, May 13, 2004 3:34 AM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit Hi Tracy and allI would quote NSWs newest answer to best practice maternity services. Ryde Hospital is a stand alone birth unit, operating as a Midwifery Group Practice.In the development of the proposal it was mooted that primips should not be eleigible. A senior Dr (who was supportive) invited those who believed primips should be excluded to provide their evidence where is it!!! They dont have it.Be crafty turn it on its head, rather than midwives and women jumping through hoops, make them!!I will send you a copy of the Ryde Proposal through off list, though it doesnt specifically mention primips because they saw them as no special caseJustine
Re: [ozmidwifery] urgent help for Another victorian birthing unit
Hi Tracy Mackay Birth Center takes primips but not inductions with the exception of women booked with themwho have had an ARM and have then established in labour. How long does it take to transfer to the tertiary unit? I don't have figures to back me up but my feeling is that the main difference between primips and multis is likely to be the length of labour and the theoretically greater chance of FTP because they have an 'unproven' pelvis. I would imagine the rates of fetal distress, PPH etc would be similar in both groups. If a woman is not progressing to the protocol's times and there is no fetal distress then more time can be given to get the woman to OR for a CS. We were always told 'you don't get a uterine rupture in primips' by the OB's as they push the synto at induction so rupture can't be what they are worrying about surely. Hope this helps. Cheers JudyTracy Smith [EMAIL PROTECTED] wrote: Can anyone assist with ammunition for a meeting in the morning which is instrumented to look at eliminating Primips and inductions from an incredible public birthing unit on the Mornington Peninsula Victoria. Obstetricians and upper management are suggesting primips are not low risk and nor are inductions. They want to prevent them from accessing the unit. We desperately need to know if anyone has examples / evidence of units operating elsewhere with midwife led care as the only option?. Has anyone evidence to suggest the outcomes for primipara women and their babies in a midwifery led care model?? I know this is way short notice but it was only presented to us about 10mins ago and the meeting is at 8.00 in the morning! Thanks for your time passionate but desperate Peninsula midwifen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] urgent help for Another Victorian birthing unit
Title: Re: [ozmidwifery] urgent help for Another Victorian birthing unit Hi Tracy and all I would quote NSWs newest answer to best practice maternity services. Ryde Hospital is a stand alone birth unit, operating as a Midwifery Group Practice. In the development of the proposal it was mooted that primips should not be eleigible. A senior Dr (who was supportive) invited those who believed primips should be excluded to provide their evidence where is it!!! They dont have it. Be crafty turn it on its head, rather than midwives and women jumping through hoops, make them!! I will send you a copy of the Ryde Proposal through off list, though it doesnt specifically mention primips because they saw them as no special case Justine
RE: [ozmidwifery] urgent help for Another victorian birthing unit
We have the numbers to show that primips do well in a birth centre. We don't do any inductions. It's getting harder to provide women with the care they want. Phone me if you want, I'll put you onto my boss. 0397770605 Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Judy ChapmanSent: Thursday, 13 May 2004 7:15 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] urgent help for Another victorian birthing unit Hi Tracy Mackay Birth Center takes primips but not inductions with the exception of women booked with themwho have had an ARM and have then established in labour. How long does it take to transfer to the tertiary unit? I don't have figures to back me up but my feeling is that the main difference between primips and multis is likely to be the length of labour and the theoretically greater chance of FTP because they have an 'unproven' pelvis. I would imagine the rates of fetal distress, PPH etc would be similar in both groups. If a woman is not progressing to the protocol's times and there is no fetal distress then more time can be given to get the woman to OR for a CS. We were always told 'you don't get a uterine rupture in primips' by the OB's as they push the synto at induction so rupture can't be what they are worrying about surely. Hope this helps. Cheers JudyTracy Smith [EMAIL PROTECTED] wrote: Can anyone assist with ammunition for a meeting in the morning which is instrumented to look at eliminating Primips and inductions from an incredible public birthing unit on the Mornington Peninsula Victoria. Obstetricians and upper management are suggesting primips are not low risk and nor are inductions. They want to prevent them from accessing the unit. We desperately need to know if anyone has examples / evidence of units operating elsewhere with midwife led care as the only option?. Has anyone evidence to suggest the outcomes for primipara women and their babies in a midwifery led care model?? I know this is way short notice but it was only presented to us about 10mins ago and the meeting is at 8.00 in the morning! Thanks for your time passionate but desperate Peninsula midwifen Find local movie times and trailers on Yahoo! Movies.
RE: [ozmidwifery] urgent help for Another victorian birthing unit
Hi Tracy, sorry if this is late. I work in a midwifery led unit in England (Hertfordshire) which has been open for just over 1 year now. It was estimated that during our first year we would have approx 250 births. We actually had 423, 37% of those were primips. Our intrapartum transfer rate to our local obstetric unit was 14% for a variety of reasons, mostly meconium liquor (24 women in total) and delays in 1st stage (22 women) and 2nd stage (10 women). During this time we have had 1 x unexpected breech delivery and one shoulder dystocia, both with good outcomes for both mother and baby. Hope this is of help to you for the meeting today. Would be interested to know how you get on. Wendy Taberer From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Tracy Smith Sent: 13 May 2004 09:53 To: Ozmidwifery Subject: [ozmidwifery] urgent help for Another victorian birthing unit Can anyone assist with ammunition for a meeting in the morning which is instrumented to look at eliminating Primips and inductions from an incredible public birthing unit on the Mornington Peninsula Victoria. Obstetricians and upper management are suggesting primips are not low risk and nor are inductions. They want to prevent them from accessing the unit. We desperately need to know if anyone has examples / evidence of units operating elsewhere with midwife led care as the only option?. Has anyone evidence to suggest the outcomes for primipara women and their babies in a midwifery led care model?? I know this is way short notice but it was only presented to us about 10mins ago and the meeting is at 8.00 in the morning! Thanks for your time passionate but desperate Peninsula midwife
RE: [ozmidwifery] urgent help for Another victorian birthing unit
Hi Tracy, If you go to the WHO web-site and click on publications and then do a search using antenatal you will find the WHO Antenatal Care Randomised Trial: Manual for the Implementation of the New Model. (www.who.int/reproductive-health/publications/RHR_01_30/RHR_01_30_contents.en.html) On page of 8 you will find their CLassifying Form which they use to decide who is high risk. A primip is NOT automatically deemed high risk!! If your hospital thinks that IOLs are high risk then they shouldn't be doing them unless they have a llegitimate medical reason ie STOP doing social inductions!! Surely those blind irrational doctors can't argue with the WHO ...? ... then again ...? Hope this gives you some ammunition. All the best, Leanne. From: Tracy Smith [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED] Subject: [ozmidwifery] urgent help for Another victorian birthing unit Date: Thu, 13 May 2004 18:52:33 +1000 Can anyone assist with ammunition for a meeting in the morning which is instrumented to look at eliminating Primips and inductions from an incredible public birthing unit on the Mornington Peninsula Victoria. Obstetricians and upper management are suggesting primips are not low risk and nor are inductions. They want to prevent them from accessing the unit. We desperately need to know if anyone has examples / evidence of units operating elsewhere with midwife led care as the only option?. Has anyone evidence to suggest the outcomes for primipara women and their babies in a midwifery led care model?? I know this is way short notice but it was only presented to us about 10mins ago and the meeting is at 8.00 in the morning! Thanks for your time passionate but desperate Peninsula midwife Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Get Extra Storage in 10MB, 25MB, 50MB and 100MB options now! Go to http://join.msn.com/?pgmarket=en-aupage=hotmail/es2 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] urgent help for Another Victorian birthing unit
Title: Re: [ozmidwifery] urgent help for Another Victorian birthing unit excellent Justine. could you also send me a copy of the proposal please? [EMAIL PROTECTED] marilyn - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, May 13, 2004 3:34 AM Subject: Re: [ozmidwifery] urgent help for Another Victorian birthing unit Hi Tracy and allI would quote NSWs newest answer to best practice maternity services. Ryde Hospital is a stand alone birth unit, operating as a Midwifery Group Practice.In the development of the proposal it was mooted that primips should not be eleigible. A senior Dr (who was supportive) invited those who believed primips should be excluded to provide their evidence where is it!!! They dont have it.Be crafty turn it on its head, rather than midwives and women jumping through hoops, make them!!I will send you a copy of the Ryde Proposal through off list, though it doesnt specifically mention primips because they saw them as no special caseJustine
