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OzMW has 21 years experience and specializes in Midwifery.

OzMW's Latest Activity

  1. OzMW

    TC bili meters

    I have personal experience with these (as a new mum) and little professional experience. The TCB reading said my babys level was fine- serum bili was extremely high requiring two days of photo therapy! How accurate are they supposed to be?
  2. OzMW

    Hold that Push!

    what the hell is the go with these drs carrying on when women birth and they miss it? It's childbirth dummy! It unpredictable!!:confused:
  3. OzMW

    Any help w/ station?

    Noice explanation Nora! feeling for the spines is part of pelvic assessment and shouldn't really be guesstimated - turning your fingers around so they point down helps to get the angle. As Nora said when you get to them its painful to the woman. If she jumps you've hit right the spot! We were also taught to do an abdo palp prior to a ve and feel for the amount of head above the pelvic brim; which is really more indicative of how things are travelling, especially when there is alot of moulding and caput.
  4. OzMW

    Protocols for birthing tubs?

    Which is silly really cos they were both recognisable obstetric variances that would have occurred despite the tub! And great for the primip who birthed a breech! I'd say that was a positive outcome due to the tub because she would have been sectioned if they'd known it before - good for her!:yeah:
  5. OzMW

    L&D nurses? Are you all for natural births?

    Yep its easy to see how women get so peeved off with all the poking and prodding that they do feel the need to lash out! Labouring women who do this aren't doing it on purpose they are getting frustrated with the situation and need support, not bossing around; and more poking and prodding!
  6. OzMW

    L&D nurses? Are you all for natural births?

    The confined private space of a bathroom is the perfect place for a labouring woman! May not be so convenient for the attendant, but it is easy to think outside the square and work around it. I frequently 'recommend' women sit and labour on the toilet( and deliver there if they wish) and in many years of midwifery I have never had to fish a kid out of the water. Plus it's real easy to pop a pair of gloves in your pocket!:heartbeat
  7. OzMW

    L&D nurses? Are you all for natural births?

    I'm intereseted in the thought that normal birth is more work. To me the epidural/oxytocin infusion/ CEFM etc is far more work than being with a woman and encouraging her to do what her body is meant to do. Watching and waiting ain't hard work.:redpinkhe
  8. OzMW

    L&D nurses? Are you all for natural births?

    Thats right-there is actually no evidence that the second stage needs to be 'confirmed' by VE. Listen and look at what the woman is doing and you mostly don't need to do one. Patience and time and then you'll see a head. I rarely do one.
  9. OzMW

    anyone seeing this maneuver?

    Ughghghg.............someone tell em to keep there bloody hands off altogether and leave the woman to push at her own pace...yuck:down::down: quote the HOOP trial......poking and prodding vagina's, labia, perineum and descending heads does jack ***** (except maybe get doc a potential kick in the gonads).........................:chuckle Remember doctors once believed that all women should be knocked out and babys lifted out with forceps:devil: Ritigen probably comes from that era!! Wheres the ether nurse????????????????????????????????????????????????????
  10. OzMW

    Well baby nursery at night

    Our elective section babes go to recovery with mum and then to the ward on the trolley. They stay beside mum who buzzes when the baby wakes. Emergency sections go to our Special care nursery from OT, but often come out as mum hits the floor from recovery. So full on care for mum and bub post CS. In Australia i suspect most public hospitals would no longer have well baby nurseries. Private hospitals do. Our local one has its well baby nursery stuck in with SCN. No separate staff. The SCN is often understaffed...wouldn't put my kid in there even if I'd had a section!
  11. All well said mombabyrn! And we do have the power....we only need to use it for the right purpose.......supporting women. Not the crappy system that feeds them rubbish!:yeah::yeah:
  12. patient choice cs is such a interesting term. here's some research on the subject. health professionals have such an influence on this and then turn around and say "pt choice" and when i say hps i mean all of us, not just drs. apologies for double posting.... a critique of the literature on women's request for cesarean section. gamble j, creedy dk, mccourt c, weaver j, beake s. research centre for clinical and community practice innovation, griffith university, brisbane, australia. background: the influence of women's birth preferences on the rising cesarean section rates is uncertain and possibly changing. this review of publications relating to women's request for cesarean delivery explores assumptions related to the social, cultural, and political-economic contexts of maternity care and decision making. method: a search of major databases was undertaken using the following terms: "c(a)esarean section" with "maternal request,""decision-making,""patient participation,""decision-making-patient,""patient satisfaction,""patient preference,""maternal choice,""on demand," and "consumer demand." seventeen papers examining women's preferred type of birth were retrieved. results: no studies systematically examined information provided to women by health professionals to inform their decision. some studies did not adequately acknowledge the influence of obstetric and psychological factors in relation to women's request for a cesarean section. other potential influences were poorly addressed, including whether or not the doctor advised a vaginal birth, women's access to midwifery care in pregnancy, information provision, quality of care, and cultural issues. discussion: the psychosocial context of obstetric care reveals a power imbalance in favor of physicians. research into decision making about cesarean section that does not account for the way care is offered, observe interactions between women and practitioners, and analyze the context of care should be interpreted with caution. and another..... women's preference for a cesarean section: incidence and associated factors. gamble ja, creedy dk. faculty of nursing and health, griffith university, logan campus, university drive, meadowbrook, queensland 4131, australia. background: few studies have examined women's preferences for birth. the object of this study was to determine the incidence of women's preferred type of birth, and the reasons and factors associated with their preference. methods: three hundred and ten women between 36 and 40 weeks' gestation were recruited from the antenatal clinic of a major metropolitan teaching hospital and the consulting rooms of six private obstetricians in brisbane, australia. participants completed a questionnaire asking about their preferred type of birth, reasons for their preference, preparation for childbirth, level of anxiety and concerns, and the influence of the primary caregiver. results: two hundred and ninety women (93.5%) preferred a spontaneous vaginal birth; 20 women (6.4%) preferred a cesarean section. of the latter group, most had a current obstetric complication or experienced a previously complicated delivery (p
  13. No issue with any of that, my post was unclear obviously. My concern was with the ethics of knowing a woman faces a likely CS (which she doesnt need or maybe want) after her Dr railroads her into it; and how do you manage that question in relation to that. Management wouldn't give two hoots and of course I'm not going to slag him off. But is it ethical to sit back and be wishy washy about that situation? What if she ends up with a caesarean hysterectomy due to PPH intraop? As much as we hope women get there own information and make their own decisions the fact is some drs push certain procedures, and as long as we continue to be wishy washy about that; CS rates will continue to rise. As health professionals we play a role in that!
  14. OzMW

    new to l&d...question???

    Research shows that this is the stuff that exhausts women and causes fetal distress. Encouraging a labouring woman to hold her breath for 10 seconds is potentially detrimental to fetal wellbeing!:redbeathe
  15. OzMW

    new to l&d...question???

    Depends on whether they have an epidural. I never count. Gentle encourage with each push. And when they don't have an epidural the best is to leave them push spontaneously, no cheer leading. Just a quiet your doing great every now and then.