OzMW

OzMW

Midwifery

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All Content by OzMW

  1. How long to wait?

    OzMW replied to PCmom's topic in Ob/Gyn

    some relevant papers and stuff. the hannah trial is the one that everyone uses, but is rather old now! http://content.nejm.org/cgi/content/full/334/16/1005 http://www.radmid.demon.co.uk/prom.htm...

  2. How long to wait?

    OzMW replied to PCmom's topic in Ob/Gyn

    With expectant management of ROM 96 hours is reasonable to wait. We do most of ours round 24; some wait longer. The risks to the baby are minute really when you look at the big picture. What often...

  3. Legal & ethical issues

    OzMW replied to AussieKylie's topic in Ob/Gyn

    Informed consent/choice Risk during pregnancy and birth (i.e whose risk, who defines it, who owns

  4. Increase in Hep B refusal?

    OzMW replied to chaitea7's topic in Ob/Gyn

    Hep B at birth is a requirement for school? Bloody hell! Do parents have an option? Or no hep b no

  5. Increase in Hep B refusal?

    OzMW replied to chaitea7's topic in Ob/Gyn

    Not particularly interested in why they refuse. Its there baby, not mine. Plus its a pointless vaccine (the timing). Here they are covered fully with the routine schedule. Most newborns are not in...

  6. Abduction !!

    OzMW replied to magz53's topic in Ob/Gyn

    God this is all so scary! We just got swipe cards on our doors within the unit and we are finding them big PITA. Only been few years since they locked the hospital down at night and we don't...

  7. Wanted- tips on bathing stillborns, etc....

    OzMW replied to LDRN697's topic in Ob/Gyn

    Wow, I would never try to peel/scrub the skin of a macerated baby. Just wouldn't feel right. I certainly explain to the parents before the birth that that is what they'll see. Just a gentle dip for...

  8. Increase in Hep B refusal?

    OzMW replied to chaitea7's topic in Ob/Gyn

    Hep B in the first week of life is completely unnecessary; I absolutely refused it for my newborn 3 years ago and would do so again. He has since had his complete vaccine schedule; just missed the...

  9. What would you do in this situation?

    OzMW replied to camay1221_RN's topic in Ob/Gyn

    Am interested in what specific training one requires to work with bereaved parents? Isn't that called nursing/midwifery care? Our women go back to our ward area, in a single room. We have a small...

  10. Recent birth - unanswered questions

    OzMW replied to threeriversbirth's topic in Ob/Gyn

    http://www.npsu.unsw.edu.au/NPSUweb.nsf/resources/MD_94_97_00/$file/MD2002_02.pdf This is a report from Australia (where we have an appalling CS rate) on maternal deaths. Now if you go to the end of...

  11. Recent birth - unanswered questions

    OzMW replied to threeriversbirth's topic in Ob/Gyn

    I agree! But the trouble is one or two high temps don't prove an infection! Which is what we see all the time. The just in case scenario; which is B.S.We are teaching women to go for the section "just...

  12. Going up against a doc...

    OzMW replied to MalgaBSN's topic in Ob/Gyn

    She has a ruler on her ID badge to measure her VEs?????????????????????????????????????????? Freakin

  13. Need advice or suggestion for Obstetric Nursing

    OzMW replied to AussieKylie's topic in Ob/Gyn

    My suggestion would be come back to Oz and do your mid. woman. Sorry not very

  14. Recent birth - unanswered questions

    OzMW replied to threeriversbirth's topic in Ob/Gyn

    Very low actually, obstetric interventions like VEs play a big role in infections with PROM. She may very well have been better off waiting another 24 hrs; at

  15. Is this birth plan reasonable

    OzMW replied to wulfbourne's topic in Ob/Gyn

    CEG the JAMA systematic review should do the trick for you as quoted in a post above. There have been multiple RCTs done on the subject. This paper also summarises the studies done and there...

  16. Is this birth plan reasonable

    OzMW replied to wulfbourne's topic in Ob/Gyn

    Interesting paper on a new theory of newborn transition, including the importance of an adequate transfuion of blood from the placenta. J Perinat Neonat Nurs 2002;15(4):56-75 Neonatal Transitional...

  17. Is this birth plan reasonable

    OzMW replied to wulfbourne's topic in Ob/Gyn

    :redbeathe:redbeathe Thanks you saved me some work:up: Yep I agree with the work it takes to get this through to people. It is such an entrenched practice supported by an obstetric myth! I sometimes...

  18. Is this birth plan reasonable

    OzMW replied to wulfbourne's topic in Ob/Gyn

    Eden how did the human race survive before birth attendants started clamping cords because they were concerned that the babe would be polycythemic and jaundiced? We now have a situation where infants...

  19. Is this birth plan reasonable

    OzMW replied to wulfbourne's topic in Ob/Gyn

    Where I work ALL of this is STANDARD practice for most women unless the baby is flat, aprt fromt he cord stuff. There is no evidence that you can't leave a cord puslating even with active third stage....

  20. Did anyone read the People story about Christina Aguilera?

    OzMW replied to rph3664's topic in Ob/Gyn

    :bowingpur Exactly! Maybe those who think that should go and watch a

  21. Are we marketing tools or are we in healthcare?!

    OzMW replied to MalgaBSN's topic in Ob/Gyn

    Gee isn't this against the code for marketing BM substitutes?

  22. Sterile table set up

    OzMW replied to JenTheRN's topic in Ob/Gyn

    This thread had me thinking how much things have changed int he time I've worked in maternity care. When I did my training in the early 90s, we gowned and gloved for normal births, the "delivery tray'...

  23. Patient's preferences during birth

    OzMW replied to TTE7's topic in Ob/Gyn

    No you definitely don't need an iv for normal labour. I work in Australia where only women who have significant risk factors have a cannula placed. We manage perfectly fine with women who bleed or...

  24. Sterile table set up

    OzMW replied to JenTheRN's topic in Ob/Gyn

    Is this for a normal lady partsl birth? Why wear a mask hat and a gown??? I'd be pulling them up for wasting hosptial

  25. Please! i need your expertise on this.

    OzMW replied to mctina_20's topic in Ob/Gyn

    Yep but if shes had a swab within five weeks of the birth there is only a miniscule chance of her becoming GBS positive when that swab was negative. And when you consider how FEW babies actually get...