Hello, I'm a newcomer - so a quick intro: I am a Uk direct entry midwife
living and working on the Sunshine Coast Queensland. Struggling to adapt to
Australian mainstream midwifery. Also tired from night-shift, so I apologise
for mistakes in this mail.
Regarding the 3rd degree tear stats. I wo
As a newcomer to Australia from the UK - it seems that the obs are behaving
like threatened children.
Firstly, their stats can flawed. Other developed countries have also looked
at the evidence and concluded that midwife-led, community-based care is
effective, efficient and safe. For example,
I think there is a difference between the training and skills of Australian
mw and UK mw. But, this largely exists due to the different maternity
systems and the blocks placed on practice by the obs. Your mw training is
reliant on the experiences you are able to access. For example, as a direct
."
- Linda Hes
- Original Message - From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Tuesday, August 30, 2005 12:02 PM
Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
(http://theaustralian.com.au report)
As a newcomer to Australia fro
work sometimes. All worth it though when
you have a satisfying birth with a woman who you have developed
a relationship with antenatally.
Cheers
Judy
--- wump fish <[EMAIL PROTECTED]> wrote:
> I think there is a difference between the training and skills
> of Australian
> mw an
spitals)
h the way of the future???
Honey
- Original Message -
From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Wednesday, August 31, 2005 9:29 AM
Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
(http://theaustralian.com.au report)
> Than
This is a very interesting article and topic. I wonder if the type of birth
experience influences how men feel.
I think one of points the article misses is that physiological childbirth is
a sexual event (and I don't mean sexually stimulating). It involves the same
hormones, parts of the body,
Sue, you are so lucky to have cared for women having a physiological breech.
I have only seen one vaginal breech - and it was far from physiological
(epidural, stirrups, fiddling about etc).
Unfortunately it doesn't matter what we teach women about saying 'no'. When
they are faced with an 'exp
If we stop defying nature we would be having babies from our teens until our
menopause. Drs would be out of a job because we would not be meddling in
nature (illness and death) with medicine and operations.
Women make reproductive choices based on their own individual circumstances.
They can't
What a fantastic example of 'totally missing the point'. I am not even going
to waste my energy responding to this kind of ignorance.
Rachel
From: Jennifairy <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: [EMAIL PROTECTED], ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery
I wouldn't suture a 3rd or 4th degree tear at all - at home or in hospital
for a number of reasons. A 3rd+ degree is not within my expertise and can
lead to long term complications if not done properly. I would rather it was
done by someone with expertise and experience in a well lit theatre. Al
+1000
Why aren't you allowed to suture Rachel ?
BM
- Original Message - From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Wednesday, September 21, 2005 10:09 AM
Subject: RE: [ozmidwifery] Question
I wouldn't suture a 3rd or 4th degree tear at all - at home or in hospital
I think the 'baby friendly initiative' doesn't take into consideration the
artificial environment women find themselves in whilst trying to adapt to
motherhood. In other cultures, and not so long ago here, women would have
birthed at home supported by other women (family and friends). They would
aphics.com.au
To:
Subject: Re: [ozmidwifery] Question
Date: Wed, 21 Sep 2005 21:09:46 +1000
what do you mean "you are not allowed to suture in Australia", or do you
mean within the hospital you work?
Sonja
- Original Message -
From: "wump fish" <[EMAIL PROTECTED]&g
Justine
What a fantastic response! I was considering composing one, but you said it
all. It is not a matter of safety (although we all know that argument inside
out). It is about women's choices, and supporting women's choices.
Interesting how the system can support a woman choosing an 'unsafe'
I wonder would love to ask him why 'God' designed babies to instinctively
demand feed and be close to their mother.
Perhaps his methods work and produce the behaviour he advocates - regular
routines etc. But, at the expense of the childs sense of security and love.
Demonstrate to a child that
Will doctors who work in the public sector also be stopped from working in
the private sector? I don't think so.
Rachel
From: "Tania Smallwood" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To:
Subject: [ozmidwifery] Re: ACT homebirth...
Date: Thu, 29 Sep 2005 07:36:21 +0930
H
It is very frustrating when a woman is labouring really well and her birth
partners are counter-acting her state of mind. Some get quite annoyed that
you are not responding to her noises by giving her drugs to make her quiet
and easier to watch. I have actually given a dad the entonox once durin
I wouldn't be too impressed by UK c-section rates. What is more important is
the 'normal' birth rate. I worked in a large regional referral unit in the
UK (5000 births per year). The Consultant was always bragging to new drs
that the c-section rate was around 20%. He used to get rather p**sed of
ng"
Edmund Burke
- Original Message - From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Saturday, October 15, 2005 6:24 AM
Subject: Re: [ozmidwifery] Scottish dads push wives toward C-sections? I
don't think so
I wouldn't be too impressed by UK c-section rates
d I demanded an epidural and forceps. Once the doctor rotated her
into oa she just about fell out. I saw his a lot in my mid. An op rotated
into a oa with forceps and then the mother birthing with no further
assistance.
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Number four was posterior, 2
hrs
of no descent in 2nd stage. I could feel she was stuck and tried
everything.
In the end I demanded an epidural and forceps. Once the doctor rotated
her
into oa she just about fell out. I saw his a lot in my mid. An op rotated
into a oa with forceps and then the mo
A dad who had been present during a GA c-section tried to sue our hospital
for the trauma it caused him. From them on dads were banned for GA.
Rachel
From: "Nicole Carver" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To:
Subject: RE: [ozmidwifery] support people in OT
Date: Mo
We should have evidence to back up any intervention we offer ie. active
third stage and cutting the cord. It could be argued that a Lotus Birth is
not an intervention, because essentially it involves doing nothing. So, I
guess the onus is on the counter arguement to demonstrate that alternative
Not sure if this is relevant to your question. I worked ( both in-house and
attached) to a large regional referral unit with 5000 births per year. Women
would book in the community with the midwife or team at their local GPs. All
care would be led by the midwives. Any problems and the women woul
It is very depressing to hear that even when women have midwifery-led care
they either have to see a dr or have their notes reviewed by a dr. As
midwives we are the experts in normal and competent at identifying when
things are high risk or becoming abnormal. Why the hell do the drs waste
the
Belinda, you are right. I am the first direct entry midwife at the hospital
I work at. There were concerns about my competency - I pointed out that I
had done the equivalent of a 4yr degree in midwifery (UK) and had plenty of
post grad experience of midwifery-led care. But, the main concern was
I think any midwife who has spent their career in a hospital setting would
need 're-wiring' to attend homebirths. Hospital birth is so different to
homebirth, and the danger is that midwives bring the hospital and it's
guidelines to the home. I don't think it is a case of 'upskilling', just a
t
PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
I think any midwife who has spent their career in a hospital setting would
need 're-wiring' to attend homebi
I just think that the there are a number of problems generated by applying
the current risk management strategies in health care to midwifery care.
The strategies centred around adverse events analysis claim to be focussed
on systems and not individuals. However, this is often not how they are
an explain it but that's how it feels !
With kind regards
Brenda Manning
www.themidwife.com.au
- Original Message - From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Sunday, October 30, 2005 12:45 PM
Subject: RE: [ozmidwifery] The Advertiser today...
Tania - I didn'
I'm about to start an assignment and need pointing in the right direction.
People keep telling that there is some legislation change about to happen in
Queensland which will result in unis being able to run direct entry mw
courses. Does anyone know what this legislation is, or how I can access i
ion which can as you have experienced can be abused!!
Denise Hynd
"Let us support one another, not just in philosophy but in action, for the
sake of freedom for all women to choose exactly how and by whom, if by
anyone, our bodies will be handled."
- Linda Hes
- Original Mess
Just a very subjective observation based on 9 months in Qld... I think that
the women and mws here are more politicised. Perhaps it is that there is
more to fight for - not sure. But, I have met more highly motivated women
and mw in the last 9 months than I did in years in the UK. In the UK
alt
You are right. For me being a level 2 means I have my usual client load and
have to co-ordinate the ward/beds and deal with any crap that arises. Also
have to manage two portfolios (both incredibly boring and tedious). All for
a few cents more an hour, and I've never had any time 'off-line'. I h
s so they can care for women well (as i am sure Rachel is
experiencing). it is often a lonely position to be in where you can be
actively discriminated against and harrased . I do not lack confidence in
my skills as a homebirth or hospital based midiwfe, the reality is there
are significant di
It is sad to hear yet another hospital midwife feeling under attack. It can
be argued that hospital midwives have an even greater role to play in
changing the maternity service and catering for women's needs. I turned down
the chance of working as an independent in the UK because I believed th
It seems most hospitals offer IV antibiotic cover in labour if membranes
have ruptured for over 18hrs whether GBS or not. This is a particular
bug-bear of mine. Firstly this is often not 'offered' but women are
basically told this is what will be done. Secondly when women have had 2
doses of AB
What do you wise women think about winding/burping babies. I am very aware
that I am totally confusing women and providing them with information which
conflicts with my colleagues. I would love to hear what information you give
women about this subject.
My standpoint at the moment (more than w
Thanks for your replies!
I guess it is a case of encouraging the mother to follow her baby. If he
falls asleep after a good feed then leave him. If he is fidgeting about and
seems uncomfortable try winding him to see if that is the problem. They will
soon work out if they have a baby who needs
This is an interesting thread for me. In the UK we never routinely swabbed
women for GBS at any point in pregnancy. If they had symptoms of a vaginal
infection they would have swabs taken. If they had SROM for 18hrs before
labour they were offered IV AB regardless of GBS. If they had been found
This made me laugh. It is just the kind of question my son (year 9) would
come up with.
I haven't even thought about it! I would go with the fluid and equal
pressure theory. Being upside down in water at an adult (try it) does not
result in the same pressure as being upside down outside water.
I agree with you Andrea. I think many babies are literally strangled during
true shoulder dystocias. As for cord ph - I can clearly remember a baby
having a lovely normal cord ph following his death during a shoulder
dystocia (). Provided me with yet more ammunition against the hospital's
p
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of wump fish
Sent: Friday, 18 November 2005 11:49 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] question
I agree with you Andrea. I think many babies are literally strangled during
true shoulder dy
Active management is popular with women. Many women hate the 'not knowing'
that goes with physiological birth. They want to know how long labour will
be... when baby will be born (how many times are you asked that question?).
They are in control in of the rest of their lives. Plan and fit things
Hi Janet
I guess I am baseing my comments on my own experiences. As a community team
midwife (UK) I was responsible for the 41wk home visit to women who were
'post dates' and the information giving/discussion on which they based their
choices - do nothing (always my first topic), membrane swee
Perhaps we need to get away from due dates altogether. Instead of giving
women an edd, maybe saying that if your baby has not arrived by x date we
can discuss various options. I agree, that when we give women a particular
date they fix on it. As do their family and friends = lots of pressure as
I have a problem with giving out bounty packs as it is but...
Opened one yesterday and noticed an addition hidden inside. Castlemaine
have produced a 'dad's pack'. It includes: earplugs (so you can ignore your
crying baby); a face mask and gloves for nappy changing; stickers saying 'I
cha
I've been contacted by a woman who has recently arrived in Wellington Point,
Queensland. She is 12 wks pregnant and wants some info about what's
available in her area re: maternity care. Do any of you have
experience/advice. Are there any midwifery led birth centres?
Thanks
Rachel
Original Message ----- From: "wump fish" <[EMAIL PROTECTED]>
To:
Sent: Saturday, February 11, 2006 9:00 AM
Subject: [ozmidwifery] Wellington Point
I've been contacted by a woman who has recently arrived in Wellington
Point, Queensland. She is 12 wks pregnant and wants some info a
Hi Zoe,
I personally would not ARM at this point. I am not sure what kind of
'control over the head' you are referring to (as a hands off practitioner I
don't actually 'do' anything). I find it very special when the baby is born
in the caul (in membranes). The membranes usually break as the bo
I am desperately searching for a good dvd of birth for CBE, and I'm unable
to find an appropriate dvd. I wonder if any of you wise women have a
recommendation that fits my criteria:
Normal birth (preferably without analgesia)
Midwifery led care
Woman NOT birthing on her back/semi supine
Not a w
Hi Melissa
I realise that from a 'scientific' perspective cord gases represent an
accurate way of assessing fetal distress. But, I was on duty when a baby
died due to shoulder dystocia - it's cord gases were normal. Kind of knocked
my already weak faith in the technology. It was also policy in
Christine
Sorry - I don't have research evidence to support my anecdotal observations.
Interesting how anecdotal evidence/theoretical complications is enough to
prevent hospitals providing waterbirth (and other woman-centred birth
options) despite the research to back it up. We are in a system
Do any of you provide private antenatal / postnatal care for women booked to
birth in a public hospital? How does this work with the hospital
systems/paperwork etc. I would be really interested to know if and how this
model of care works.
Thanks
Rachel
_
Unfortunately I can't get into the articles. I have just resigned and asked
for a demotion and feel very much that the system I work in fails to nuture
its midwives who are therefore less able to nurture new mothers.
Rachel
From: "Sally @ home" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegra
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