Wednesday, July 30, 2014

Supporting vulnerable Families

On the 12th June I attended a study day in Gore which involved a presentation from  Dr Kay Mckenzie from the 1000 day trust. This is a trust which is about vulnerable families with early parenting. It is an initiative which has received some funding to run as a pilot to see if it does make a difference. It is an important initiative for vulnerable Southland families and Kay is helping to make southern midwives aware of it so they can identify signs of parents who are struggling or not bonding with their babies and refer them on. This video is about the 1000 day trust.

Kay presented a video which demonstrates how an infant reacts to an attentive parent and also when the parent  ignores the child. It is pretty powerful, here it is. 

What initiatives are there in your area to support vulnerable families?

Monday, February 17, 2014

Mechanism of labour

Here is a video demonstrating the mechanism of normal birth.

Tuesday, January 7, 2014

Model pelvis

I have found this great wee paper model pelvis which could be a wonderful resource for midwifery students. I am posting the link here

There is also a good wee model (and a bit simpler) in the Hesperian Book for Midwives on page 448 and 449. The chapter on homemade tools will download if you click this link . It is a book written for midwifery students in developing countries who may not have limited access to resources.

This is another resource for students to build clay model pelvis. It may be useful but seems to require some precast pieces.

Thursday, December 6, 2012

I am in the top 20 Midwifery Blogs

Not sure how this happened by my blog has been chosen as one of the top 20 midwifery blogs for 2012. Many thanks to everyone who voted for my blog in the pole.

Wednesday, September 5, 2012

NZCOM conference August 2012

I had a lovely time at the NZCOM conference 24th to the 26th August. I was lucky enough to be able to present at a concurrent session on the first day and had a good audience who seemed interested in the topic.
I was asked if I would make my presentation available and so I have loaded it to slideshare and I am sharing it here.
The topic is around communities of practice, and the learning that can happen when midwives are able to engage with a variety or different practice groups. I am also interested in learning that happens when individuals or groups have differing opinions. While it is lovely to agree with people this does not always lead to improved understanding and new learning. When someone has a different opinion this starts us to wonder and is often the stimulus to either reinforce and be strong in our own understanding or perhaps to move our thinking and develop a whole new way of looking at things. This is topic I find interesting. I think it has implications for how health professionals can work together and collaborate.

Wednesday, August 15, 2012

Unethical marketing practices by Formula Manufacturers

In NZ formula companies are becoming bolder in their marketing practices. Just recieved in my postbox today from Pfizer (who manufacture SMA amongst other things) promotional material for S26 Gold. amongst other things they are offering me free samples of Newborn formula as well as follow on formula. I have a form I can fax back to them to request these samples. The fax number given is 09 489 6240. This is the statement about how the company see this sitting within the Code of Practice for marketing of infant formula :
""These samples have been provided under the provisions of Article 7.3 of the Intfant Nutrition Council Code of Practice for the Marketing if Infant Formula (I will leave you to read that from the code linked here). Where the suitability of a product is being assesed for an individual infant, the professionsal evaluation will always include a follow-up meeting with the mother of the infant; The product samples of infant formula products should be kept out of public view;
""These samples are not to be resold of taken for personal use by healthcare professionals or other staff;
 If Pfizer grants this request for infant formula units, Pfizer may make inquiries of our staff periodically and may request reasonable documentation in support of the number of formula units requested, or actually recieved, by my institution or Healthcare System;
 "Professional evaluation" applie to one or all of the following situations: *Analysis or products (ingredients, taste, nutritional profile);
*Trial preparation and mixing of infant formula products (includes preparation and mixing instructions to mothers);
 *Investigation or development projects, using sound methodology and involveing a numver of infants;
 *A thorough assessement of the suitability of a product for the individual infant, including acceptance by the infant, when mothers have made the informed choice to use infant formula.""

This is implying that these free samples are being distrbuted as some sort of pseudo scientific research process rather than simple marketing of what is a very expensive brand of infant formula. If midwives are unsure of the benefits or risks of formula feeding they need to assess this through reliable, unbiased information sources, not through the marketing processes of formula companies. The reason companies supply free samples is to increase their sales, not to conduct research. This is the information midwives and women need, prepared for the UK but is also applicable and useful in New Zealand. I interpret this as a violation of the Code of Marketing of breast milk substitutes and welcome your thoughts on this. I am worried for New Zealand Mothers and babies if this is allowed to go unchallenged. Perhaps we need to bombard their fax. the number again is 09 489 6240 See this about the unethical practices of formula manufacturers, this is from the Philipines however this type of activity occurs here too. Here the formula companies justify their marketing processses.


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