OzMW

OzMW

Midwifery

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All Content by OzMW

  1. pain med...

    OzMW replied to stephera's topic in Ob/Gyn

    So its not used at

  2. Do you allow patients to take home their placentas if desired? more

    OzMW replied to mitchsmom's topic in Ob/Gyn

    Yep I show all the women I care for too. It is a most amazing organ! Apparently good to eat too, but thats another

  3. Please! i need your expertise on this.

    OzMW replied to mctina_20's topic in Ob/Gyn

    Nor does the CDC or the RCOG and a list of many others. Giving antibiotics to a women who is unknown GBS is overkill at best and really poor practice at worst. There is more and more research coming...

  4. Please! i need your expertise on this.

    OzMW replied to mctina_20's topic in Ob/Gyn

    As someone said don't beat yourself up over this. Early onset GBS disease is actually quite rare, even in women who aren't treated in labour. I think the stats are that around 1-2% of kids born to GBS...

  5. Newborn blood glucose sticks

    OzMW replied to queenjean's topic in Ob/Gyn

    Wow Reeeally every 8lb 13oz plus....... I thought ours was overkill!:monkeydance: Neonatal hypoglycemia is not something I'm that up on, this is something I've referred to in the past, bit old now...

  6. pain med...

    OzMW replied to stephera's topic in Ob/Gyn

    Wow what an interesting thread. I've seen iv fentanyl used i labour once in 16 years. We use pethidine as opposed to morphia and I haven't even heard of some of the narcotics you guys refer to. Our...

  7. What did you learn at work today?

    OzMW replied to Elvish's topic in Ob/Gyn

    :yelclap::yelclap::yelclap::yelclap: Well done queenjean, for listening to your gut and your patient! And for thinkin' outside the square. Top

  8. Question re: OB tech's

    OzMW replied to mitchsmom's topic in Ob/Gyn

    What ladies, is an Ob

  9. What did you learn at work today?

    OzMW replied to Elvish's topic in Ob/Gyn

    Well, its not really something new, but its these sort of days that reaffirm for me that the less we fiddle with labour, the better woman do. Had a primip admitted with prelabour SROM, some niggles....

  10. Do you allow patients to take home their placentas if desired? more

    OzMW replied to mitchsmom's topic in Ob/Gyn

    Ours can take em home if they wish! Love the use of the word "allow"!!! Considering it actually belongs to the woman, she can do what ever she wishes with it! Having said that, few

  11. Recommended Resources - Mother/Baby/PP?

    OzMW replied to cherokeesummer's topic in Ob/Gyn

    http://www.nice.org.uk/ Try this they have great evidence based guidelines on caesarean section IOL and intrapartum care. From the UK

  12. Healthy women schedule C-sections to prevent vaginal stretching

    OzMW replied to rph3664's topic in Ob/Gyn

    In your situation I would choose the same route! Some women just don't birth lady partslly easily, but they are not as common as they are made out to be. A 36 hour labour is a shocker:uhoh3:. After...

  13. Transforming Care at the Bedside

    OzMW replied to NRSKarenRN's topic in Activism, Healthcare

    Interestingly these are the things that make me wonder WHY this is appropriate to maternity care. Women are mostly well and one could argue that they should even be referred to as "patients" at all....

  14. Transforming Care at the Bedside

    OzMW replied to NRSKarenRN's topic in Activism, Healthcare

    I'm in Australia and I am a midwife/RN in a maternity unit. This stuff is about to be thrust upon us! Anyone worked with it? It is so typically being introduced by the bureaucrats! Seems like a...

  15. Coaching my daughter in childbirth

    OzMW replied to mleern's topic in Ob/Gyn

    OT but I have to disagree. As someone who has to make the judgement call (am a midwife in Australia and we do all the normal births), episiotomy is rarely required. Your client with the anterior...

  16. Healthy women schedule C-sections to prevent vaginal stretching

    OzMW replied to rph3664's topic in Ob/Gyn

    I find the majority of women who have had both prefer lady partsl birth! There are studies to show that very few women actually ask straight out for CS ( and they often have a morbid fear of birth or...

  17. amniotic fluid embolism

    OzMW replied to Almabella's topic in Ob/Gyn

    :yeahthat:

  18. twin delivery...vaginal or c-section???

    OzMW replied to samsmom95's topic in Ob/Gyn

    We do lady partsl birth if the first is cephalic. I recently went to a workshop run here by two midwives who work at a very woman friendly private hospital They are well known Oz wide for the great...

  19. Precipitous Second Stage Question

    OzMW replied to TarheelRN's topic in Ob/Gyn

    Ignore them, and applaud the women who are so brilliant at birthing their babies! Multis can progress so quickly its amazing. And if the "experts" (i.e. the obs) haven't worked that out yet, well...

  20. Refusing "Hospital Protocal"

    OzMW replied to HeartsOpenWide's topic in Ob/Gyn

    I completely agree with all your comments......I am not surprised because you have so many epidurals and are doing a great job, but as SBE said I think the combination of people has to be right. We...

  21. Refusing "Hospital Protocal"

    OzMW replied to HeartsOpenWide's topic in Ob/Gyn

    Well done! So how long would you leave a primip before you start her pushing? Do you wait for how ever long it takes for the head to decend? :bow::bowingpur:bowingpur...to all you fab people working...

  22. Refusing "Hospital Protocal"

    OzMW replied to HeartsOpenWide's topic in Ob/Gyn

    Thats very impressive! How do you manage second stage with your epidurals? Am very impressed with such a low section rate and so many epidurals!! What are your secrets...do

  23. Refusing "Hospital Protocal"

    OzMW replied to HeartsOpenWide's topic in Ob/Gyn

    Well said

  24. Minimum dilation rate

    OzMW posted a topic in Ob/Gyn

    We are looking at our policies and am wondering what your minimum acceptable dilation rate in active labour is before resorting to ARM or oxytocin infusion? We are trying to get ours dropped to 0.5cm...

  25. Refusing "Hospital Protocal"

    OzMW replied to HeartsOpenWide's topic in Ob/Gyn

    Not quite sure what you are on about? I made a reference to bullying earlier (of women), but this is SMK1s post that you quote. And as we have already worked out our misunderstandings like big grown...