tag:blogger.com,1999:blog-48169060121106078432024-02-20T02:25:02.875-08:00Carolyn's blogMidwifery, midwifery education, web 2.0Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.comBlogger219125tag:blogger.com,1999:blog-4816906012110607843.post-57244813264838135562021-07-26T18:48:00.004-07:002021-07-26T18:48:56.207-07:00Physological breech birth. <p> I have not posted here for a long time but came across this important work by Dr Shawn Walker on physiological breech birth which I want to share. </p><p> <br /></p><p> <a href="https://vimeo.com/channels/1303911/471343827" target="_blank">Physiological breech birth</a></p>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com0tag:blogger.com,1999:blog-4816906012110607843.post-66342606701320045642017-08-03T03:34:00.003-07:002017-08-03T03:34:57.736-07:00New GBS pamphlet for 2017I have updated this pamphlet again. The only change is related to the antibiotics which are now recommended and also a brief comment on immunisations which are being developed.<br />
Here is a link for the new version of the pamphlet. As always you are welcome to use and adapt to your own circumstances while acknowledging the original source. If you do use this pamphlet it would be lovely if you would leave a comment to let me know. Or if you have any difficulty accessing it.<br />
<a href="https://drive.google.com/file/d/0B_vcpJnsdquTQ1pfbDZURGRNLUE/view?usp=sharing" target="_blank">https://drive.google.com/file/d/0B_vcpJnsdquTQ1pfbDZURGRNLUE/view?usp=sharing </a>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com5tag:blogger.com,1999:blog-4816906012110607843.post-40070950789390226632017-04-29T23:03:00.002-07:002017-05-07T21:55:02.918-07:00Group B Streptococcus information for womenI attended <a href="http://www.sarawickham.com/announcements/sara-wickhams-new-zealand-workshops-2017/" target="_blank">Sara Wickham's Queenstown workshops</a> over this last week. Picked up on many things which I may blog about later. There was mention of my Group B Streptococcus pamphlet which some midwives kindly commented fabourably on.<br />
This has stimulated me to repost this pamphlet again now. I have also loaded it to Google Docs which I hope makes it more easily accessible. It is published with a creative comments licence which means you can freely use it and adapt it to your own practice context and needs but please acknowledge that the I was the original source.<br />
Here is the link <a href="https://drive.google.com/file/d/0B_vcpJnsdquTN2ZvU25IM2YzT3M/view?usp=sharing" target="_blank">GBS pamphlet 2013</a>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com9tag:blogger.com,1999:blog-4816906012110607843.post-21275466877824726082016-12-12T17:53:00.001-08:002016-12-12T17:53:34.581-08:00Documentation presentation with voice over<iframe id="iframe_container" frameborder="0" webkitallowfullscreen="" mozallowfullscreen="" allowfullscreen="" width="550" height="400" src="https://prezi.com/embed/nyf5p6g1eqtf/?bgcolor=ffffff&lock_to_path=0&autoplay=0&autohide_ctrls=0&landing_data=bHVZZmNaNDBIWnNjdEVENDRhZDFNZGNIUE43MHdLNWpsdFJLb2ZHanI5K3o4MzJJV1ZkOUdRdzJMVUE3ZXh5dHRnPT0&landing_sign=Em2ntGO_wH8HhqeApEvaCAyXKI7qXWwJ7ScNGxFVeXM"></iframe>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-20418438463717251192015-07-19T16:47:00.004-07:002017-04-29T22:54:56.014-07:00Group B Strep pamphletAnyone looking for this pamphlet I have loaded it to Dropbox as a free open document. You will need a dropbox account to access it but it is free to register and is not a hassle, no spam emails etc
Here is the link <a href="https://www.dropbox.com/home?preview=GBS++2013.pdf">https://www.dropbox.com/home?preview=GBS++2013.pdf</a>
As the dropbox link may not work for everyone here is a link to the same pamphlet on Google Docs. <a href="https://drive.google.com/file/d/0B_vcpJnsdquTN2ZvU25IM2YzT3M/view?usp=sharing" target="_blank">https://drive.google.com/file/d/0B_vcpJnsdquTN2ZvU25IM2YzT3M/view?usp=sharing</a><br />
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If you have trouble accessing please please leave a comment. Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-15545990497190161972015-07-15T16:29:00.000-07:002015-07-15T16:29:21.408-07:00Human Immune system <a href="http://www.livescience.com/38028-how-the-human-body-s-immune-system-works-infographic.html"><img alt="Infographic: How the human body's immune system works." src="http://i.livescience.com/images/i/000/054/615/i02/human-body-immune-130708.jpg?1373320224" /></a>
<br /> Source:<a href="http://www.livescience.com">LiveScience</a>
Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com4tag:blogger.com,1999:blog-4816906012110607843.post-45630857556428128752014-07-30T16:23:00.000-07:002014-07-30T16:25:32.855-07:00Supporting vulnerable Families<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-NZ" style="font-family: "Arial","sans-serif";">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.</span></div>
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<span lang="EN-NZ" style="font-family: "Arial","sans-serif";">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. <o:p></o:p></span></div>
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What initiatives are there in your area to support vulnerable families?Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com0tag:blogger.com,1999:blog-4816906012110607843.post-1874789954473981832014-03-05T13:55:00.000-08:002014-03-05T13:55:10.470-08:00A lovely, family centred, home waterbirth<iframe allowfullscreen="" frameborder="0" height="315" src="//www.youtube.com/embed/gEE1t-26Z3Q" width="560"></iframe>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com0tag:blogger.com,1999:blog-4816906012110607843.post-35525527420661263992014-01-07T19:24:00.001-08:002014-01-07T19:24:26.854-08:00Model pelvisI have found this great wee paper model pelvis which could be a wonderful resource for midwifery students. I am posting the link here <a href="http://weishinlai.tripod.com/pelvis/">http://weishinlai.tripod.com/pelvis/</a><br />
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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 <a href="http://hesperian.org/wp-content/uploads/pdf/en_midw_2013/en_midw_2013_25.pdf">http://hesperian.org/wp-content/uploads/pdf/en_midw_2013/en_midw_2013_25.pdf</a> . It is a book written for midwifery students in developing countries who may not have limited access to resources.<br />
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This is another resource for students to build clay model pelvis. It may be useful but seems to require some precast pieces. <a href="http://www.iuga2013.com/handouts/docs/handout24_parta.pdf">http://www.iuga2013.com/handouts/docs/handout24_parta.pdf</a>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com1tag:blogger.com,1999:blog-4816906012110607843.post-30165657806817821602012-12-06T00:56:00.001-08:002012-12-06T00:56:20.079-08:00I am in the top 20 Midwifery BlogsNot 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.<br />
<a href="http://www.kwikmed.org/20-of-the-best-midwife-blogs-in-2012/">http://www.kwikmed.org/20-of-the-best-midwife-blogs-in-2012/</a>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-68984213687322102772012-09-05T23:44:00.000-07:002012-09-05T23:47:50.403-07:00NZCOM conference August 2012I had a lovely time at the <a href="http://www.midwife.org.nz/index.cfm/1,274,html">NZCOM conference 24th to the 26th Augus</a>t. 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.<br />
I was asked if I would make my presentation available and so I have loaded it to slideshare and I am sharing it here.<br />
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.<br />
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<iframe allowfullscreen="allowfullscreen" frameborder="0" height="356" marginheight="0" marginwidth="0" scrolling="no" src="http://www.slideshare.net/slideshow/embed_code/14185942" style="border-width: 1px 1px 0; border: 1px solid #CCC; margin-bottom: 5px;" width="427"> </iframe> <br />
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<strong> <a href="http://www.slideshare.net/midwikied/collaboration-and-communities-of-practice-nzcom" target="_blank" title="Collaboration and communities of practice nzcom">Collaboration and communities of practice nzcom</a> </strong> from <strong><a href="http://www.slideshare.net/midwikied" target="_blank">Carolyn m</a></strong> </div>
Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com0tag:blogger.com,1999:blog-4816906012110607843.post-58528861271300995532012-08-15T18:09:00.000-07:002012-08-15T18:23:02.349-07:00Unethical marketing practices by Formula ManufacturersIn NZ formula companies are becoming bolder in their marketing practices. Just recieved in my postbox today from <a href="http://pfizerconsumer.com.au/">Pfizer</a> (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 <a href="http://infantnutritioncouncil.com/marketing-codes/who-code/">Code of Practice for marketing </a>of infant formula :<br />
""These samples have been provided under the provisions of <a href="http://infantnutritioncouncil.com/wp-content/uploads/2009/03/infant-nutrition-council-code-of-practice-in-nz.pdf">Article 7.3 of the Intfant Nutrition Council Code of Practice for the Marketing if Infant Formula</a> (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;<br />
""These samples are not to be resold of taken for personal use by healthcare professionals or other staff;<br />
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;<br />
"Professional evaluation" applie to one or all of the following situations:
*Analysis or products (ingredients, taste, nutritional profile);<br />
*Trial preparation and mixing of infant formula products (includes preparation and mixing instructions to mothers);<br />
*Investigation or development projects, using sound methodology and involveing a numver of infants;<br />
*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.""<br />
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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. <a href="http://www.cwt.org.uk/pdfs/infantsmilk_web.pdf">This is the information midwives and women need, prepared for the UK</a> 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.
<a href="http://www.youtube.com/watch?v=y4lxuiCazL0">http://www.youtube.com/watch?v=y4lxuiCazL0</a><br />
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Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-71107822709191905012012-04-18T19:01:00.001-07:002012-04-18T19:09:45.170-07:00Letter to the editorial board of the British Journal of Midwifery.A week ago, when I initially wrote about my alarm and astonishment with the BJM awards and then finding out about Cow & Gate sponsored study days for midwives I had no real idea of the prevalence of corporate sponsorship, by infant formula companies and their subsidiaries, in the continuing education of health professionals in the UK. My amazement and astonishment has grown daily since then and I have to admit to feeling an enormous sense of despair about the whole thing as this is much larger than I had ever imagined it could be. It seems that without proper government control the particular infant formula manufacturers have managed to associate themselves intimately with health professionals on every level from the College right through to individual practitioners and are an accepted part of the culture of continuing professional development in the UK. This level of corporate sponsorship is a breach of Article 7.2 as this level of support for education of health professionals is a significant financial and material inducement. One just has to look at <a href="https://www.learningcurve.uk.net/Video/tabid/126/language/en-GB/Default.aspx">this video</a> from the Learning Curve, Danone, which is associated with Cow & Gate to see how the formula products are being promoted while the attendees are engaged in the workshop learning objectives. As far at the study days organised by the British Journal of Midwifery are concerned it seems that midwives are not aware that they are being funded and supported by Cow and Gate, regardless of how open you feel you have been about this. It is evident in the comments received on this group from midwives who had no idea. Midwives have a right to know where their study is being funded from. For some this may not be a concern, they may feel that they can “take the money and run” ( it is essentially a gift of money, study which would otherwise be a significant cost is free) without being unduly influenced. The formula manufacturers clearly have a different opinion, as they would not offer this service if they did not feel that they would get something out of it. There is also a large body of evidence which identifies that prescribers are influence in their prescribing patterns even by seemingly insignificant gifts from a particular company (Richter, 2005; Sandall. 2008). The International Baby Food Action Network (IBFAN), an international body monitoring the the Code<a href="http://www.ibfan.org/art/389-1.pdf"> have a position statement of sponsorship and conflicts of interest</a>. They state “ IBFAN believes that: Conferences, seminars, workshops or other meetings that deal with any aspect of infant and young child health and nutrition should not be financially or materially sponsored in any way, directly or indirectly by companies that are engaged in the production, marketing or distribution of baby milks, foods or products represented to be used for infant or young child feeding" In addition they state “All health care workers including health professionals and their associations (should) to avoid accepting any donations or funds, offers of assistance in cash or kind from companies with a commercial interest in infant and young child health and development, particularly in the feeding of babies”.<br />You ask how in particular I feel the code is being breached and suggest that Nestle are a particular case in point, suggesting that other formula manufacturers are above reproach and therefore should not be considered in the same category as Nestle. From my very brief sojourn into the situation in the UK at present I can see that Cow and Gate are very from above reproach in the promotion of their products in the UK. Within <a href="http://www.babymilkaction.org/pdfs/bflgweb1007.pdf">this report from the baby feeding law group</a> there are several instances where Cow and Gate and Aptamil, who are affiliated with Danone have been identified as not complying with the Code. I myself found <a href="http://www.flickr.com/photos/sophiapassmore/6385189051/">one image on Flickr</a>, taken in 2011 where Cow and Gate advertising on a baby change mat, in a shopping mall change room, does not appear to comply with that companies requirements under the Code. Where is the information on that breast is best? While it is advertising follow on formula and not newborn formula the distinction is not clear. The impression is that Cow and Gate produces health active beautiful babies. The British Journal of Midwifery should not associate itself with a company who uses these tactics to promote its product in breach of the Code. <br />As Jane Sandall (2008) describes, the midwife – woman relationship is a relationship of trust. Women expect their midwives to act in their best interest, not under the influence of advertising from a formula manufacturer. IN addition I would suggest midwives expect their journal to provide evidence based information and provide them with information which they can then use as a basis for sharing with women. Information on infant formula in midwifery journal should be scientific evidence based information not promotion of a particular brand of formula. I believe formula advertising anywhere in a midwifery journal is unacceptable. <br /><br />Reference<br />Richter, J. (2005). Conflicts of interest and policy implementation. Reflections from the fields of health and infant feeding. Geneva, IBFAN- GIFA<br />Sandall, J. (2008).No such thing as a free lunch. Midwifery. 123 – 125.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com3tag:blogger.com,1999:blog-4816906012110607843.post-10452377270816189612012-04-17T17:23:00.005-07:002012-04-17T19:00:00.891-07:00Why not just give him a bottle? Infant formula company sponsorship of the midwifery profession<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNFRU-kQ6K6_ostnlY7bUMsO17RWYpZ42RFCO493gpIkMluDMGa9vpqXtXuOjBdKp0Y9EckILqGCZ9bAboI4Z57-zfVQFT8hqq1Tboz1F5CD4uvfGcA8vBTArd7-FOvBwcBMyKvYp65Gw/s1600/formula.jpg"><img style="float:right; margin:0 0 10px 10px;cursor:pointer; cursor:hand;width: 320px; height: 214px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNFRU-kQ6K6_ostnlY7bUMsO17RWYpZ42RFCO493gpIkMluDMGa9vpqXtXuOjBdKp0Y9EckILqGCZ9bAboI4Z57-zfVQFT8hqq1Tboz1F5CD4uvfGcA8vBTArd7-FOvBwcBMyKvYp65Gw/s320/formula.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5732552809254470770" /></a><br /><br />Way back in 1990 I organised a study day in Balclutha for rural midwifery. It was a huge success and we had about 90 midwives and other medical staff attend. We sought sponsorship from local businesses and had some trade stands. The local chemist was a sponsor and on their stand had some infant formula and related products. Shortly after the event we received a formal complaint from the monitoring body for the WHO/UNICEF code of marketing of breast milk substitutes, pointing out the many areas in which we were in breach of the code. The chemist received the same complaint. We were taken aback and it took the shine off what had been a great event. I became very familiar with the code and never committed a similar offence again.<br /><br />Some time ago I stumbled on a <a href="http://www.youtube.com/watch?v=SNYDPKQOVUE">documentary series from the Philipines on Youtube</a>. It outlines the marketing strategies of infant formula companies in that country. This includes inducements to midwives with free samples and misinformation about the benefits of one or other infant formula. These midwives then promote the products to the women they are working with. <br /><br />Recently I was made aware of the association between the <a href="http://www.markallengroup.com/news/bjm-gives-away-%C2%A320000/">British Journal of Midwifery and the infant formula company Cow and Gate in a midwifery awards scheme.</a> When I investigated this further I found that Cow & Gate have <a href="http://www.in-practice.co.uk/">a whole arm of the company </a>devoted to providing research grants and educational support to midwives and other health professionals such as Health Visitors who have influence with women and are in a position to promote their product. While The company does not ask midwives to promote its product none the less midwives cannot help but be influenced by this sponsorship which is significant. This sponsorship is in fact not much different to that being given to the Philipine midwives in the documentary mentioned above. Cow & Gate In Practice was <a href="http://www.in-practice.co.uk/page_About+us_id-37.html">actually launched at the Royal College of Midwives in 1999</a>. clearly the <a href="http://www.who.int/nutrition/publications/code_english.pdf">Code of Marketing of Breast Milk Substitutes</a> has been interpreted quite differently in the UK to the interpretation in New Zealand. Or is it just that it has been largely ignored in the UK? <a href="http://www.ilca.org/files/events/ilca_conference/Exhibitor%20Resources/CodeSummary09.pdf">Here is a summary of the code.</a><br />Through the In Practice website <a href="http://www.in-practice.co.uk/page_Introducing+the+new+Cow+Gate+hospital+readytofeed+bottles_id-517.html">Cow & Gate promote their special hospital bottles of formula</a>, plastered with their logo and full of information about the particular benefits of this formula.<br /> <br />I have challenged this promotional activity between the British Journal of Midwifery and the Cow and Gate milk company in an open forum and by email. However the In Practice website was launched at the <a href="http://www.rcm.org.uk/">Royal College of Midwives</a> and the study days being delivered across the country are accredited professional development for the UK Nursing and Midwifery Council. It is therefore not just the British Journal of Midwifery who need to look to themselves and their relationships with infant formula companies. It goes much wider than that.<br />The International Board of Lactation Consultants had a similar issue with corporate sponsorship and have identified that this is a serious issue. <a href="http://www.iblce.edu.au/documents/CommericalSponsorshipCERPs_combined.pdf">They now have clear policies to avoid this</a>. <br /> <br />I am just a New Zealand midwife. Although I was originally UK born and trained my working life has been here in New Zealand since 1981. It may be that I am too removed from practice in the UK to see these issues clearly from the perspective of practice in that country, or it may be that from this distance I am more able to see these things clearly. I have no wish to cause offence and apologise if I have done so. Am I totally mistaken in my opinion that there is a serious problem here? I value the thoughts and comments of others on this issue. <br /><br />See this photo posted on <a href="http://www.flickr.com/photos/sophiapassmore/6385189051/">Flickr by Sophie Passmore</a>. It was taken on November 2011 and shows a baby change mat from a UK shopping centre changing room. I would have loved to use this here but it does not have an open licence.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-34426750905104599152012-01-22T01:10:00.001-08:002012-01-22T01:11:38.850-08:00Casearean section. Midwives play their part<div style="margin: 0 0 10px 0; padding: 0; font-size: 0.8em; line-height: 1.6em;"><a href="http://www.flickr.com/photos/84217240@N00/304120251/" title="birth"><img src="http://farm1.staticflickr.com/113/304120251_41a1076bfd.jpg" alt="birth by maria mono" /></a><br/><span style="margin: 0;"><a href="http://www.flickr.com/photos/84217240@N00/304120251/">birth</a>, a photo by <a href="http://www.flickr.com/photos/84217240@N00/">maria mono</a> on Flickr.</span></div><p>Increasingly babies are being born through an incision in their mothers abdomen. Sometimes this is after the mother has gone into labour but often without labour having been initiated at all. The baby is plucked without prior warning from familiar surroundings and brought into the world. The mother then has to recover from a major abdominal operation. Such surgery requires many weeks if not months of recovery. Why is it that this proceedure is increasingly required to bring babies into the world? On the 9th of February midwives in Otago are coming together to consider this issue to explore what is that we do that can might set women on this path. We are also looking at what we can do that can support women to avoid unnecessary caesarean section.<br />If you want more information about this call me through the 0800 Otago Polytechnic number and i will give you the phone number for registrations.</p>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com3tag:blogger.com,1999:blog-4816906012110607843.post-11362005811995680482011-09-21T19:06:00.000-07:002011-09-21T19:08:46.996-07:00How to create a youtube accountNext year I may be asking students to upload a video to youtube. This is a video which explains how to create a youtube account and how to upload a video.<br /><br /><iframe width="420" height="315" src="http://www.youtube.com/embed/p2N72ACocFg" frameborder="0" allowfullscreen></iframe>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com4tag:blogger.com,1999:blog-4816906012110607843.post-31384564067868925672011-09-02T04:02:00.000-07:002011-09-02T04:06:08.367-07:00Sally Tracy on the cascade of interventionThe wonderful Sally Tracy talking about the cascade of intervention which happens in birth
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<br />And what happens with the baby after all of this
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<br /><iframe width="560" height="345" src="http://www.youtube.com/embed/w4mnhVhUPrw" frameborder="0" allowfullscreen></iframe>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com3tag:blogger.com,1999:blog-4816906012110607843.post-89663475844090242932011-08-30T16:16:00.000-07:002011-08-30T16:23:12.820-07:00Primary birthing and National standards for maternity care.I was just reading the <a href="http://www.moh.govt.nz/moh.nsf/pagesmh/10767/$File/nz-maternity-stds.pdf">New Zealand Maternity Standards document</a> from the Ministry of Health. Standard three states "All women have access to a nationally consistent, comprehensive range of maternity services that are funded and provided appropriately to ensure there are no financial barriers to access for eligible women."
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<br />There is however no primary birthing facility option for women birthing in Dunedin. There is no national consistency in the provision of primary birthing facilities for women. This is a matter that needs to be addressed if we are to support women to birth without medical intervention.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-5876940720091926392011-08-30T02:22:00.000-07:002011-08-30T02:52:56.967-07:00At last: Making a change, promoting normal birth.The momentum seems to be building to raise public awareness about the dangers of ever increasing intervention in childbirth.
<br />In new Zealand we have the <a href="http://www.maternitymanifesto.org.nz/the-manifesto/normal-labour-and-birth/#.TlDMt5Y83I0.facebook">Maternity Manifesto</a>. This initiative is raising public awareness in New Zealand and lobbying government to:
<br />◦Become informed about the impact of maternity services on the welfare of women, their babies, whanau and our communities
<br />◦Set a comprehensive definition for ‘normal birth’ consistent with international standards
<br />◦Develop an accessible, practical NZ campaign to increase the understanding of ‘Normal Birth’ and how this can best be facilitated
<br />◦Publicly acknowledge positive maternity care outcomes.
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<br />And now, on the 1st of September, a <a href="http://www.oneworldbirth.com/">new project </a>is about to be launched raising awareness and initiating change around the world. Here is the video which launches this project. Lets get behind these initiatives and start to make a difference. The time is right! For all the women children and families we work with we need to get behind these initiatives and do what we can to raise awareness and support normal birth.
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<br /><iframe width="560" height="345" src="http://www.youtube.com/embed/8w9WNtTAVYU" frameborder="0" allowfullscreen></iframe>. Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com2tag:blogger.com,1999:blog-4816906012110607843.post-5187194969041919082011-08-26T16:36:00.000-07:002011-08-26T16:44:50.274-07:00Updating midwifery pages on WikiEducatorI have just been updating the <a href="http://wikieducator.org/Midwifery">Midwifery pages on WikiEducator</a>. These are free resources on midwifery education, with many links to other useful online material, for student midwives and those with an interest in midwifery education. Anyone can edit these pages and add content which may be useful. I check it fairly regularly and so far no one else has added any content. If you feel that there is something you think might be useful, which is not included there, please feel free to add it. Or you could let me know here and I will add it for you.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com1tag:blogger.com,1999:blog-4816906012110607843.post-31543740907795890522011-08-25T13:10:00.001-07:002011-08-25T13:11:32.753-07:00My wee game has gone :(I am sad to say I have just discovered that the wee game I had linked on my blog has gone! Sorry to all the many fans of that wee game who came here solely to play it.
<br />Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com1tag:blogger.com,1999:blog-4816906012110607843.post-15449040728424857492011-08-24T21:33:00.000-07:002011-08-24T21:43:04.076-07:00Pelvic floor musclesNecessity is the mother of invention so they say. Well this week I have been proving that statement to be correct. I have been at home with flu but had to meet with my lovely Invercargill group of students on Wednesday. We were to cover pelvic floor muscles and I had no model of these available without travelling through to Polytech so I decided to make a model to fit with the wonderful wee pelvis model I had sourced earlier in the year for the students from the <a href="http://www.hesperian.org/">Hesperian foundation.</a>
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<br />I used photographs of the models which we use with our regular sized pelvis models, which I had available to me and developed the model to be constructed out of paper or card or any other medium you might wish.
<br />Here is the pattern
<br /><a title="View Pattern, Small Pelvic Floor Muscle Model on Scribd" href="http://www.scribd.com/doc/63070328/Pattern-Small-Pelvic-Floor-Muscle-Model" style="margin: 12px auto 6px auto; font-family: Helvetica,Arial,Sans-serif; font-style: normal; font-variant: normal; font-weight: normal; font-size: 14px; line-height: normal; font-size-adjust: none; font-stretch: normal; -x-system-font: none; display: block; text-decoration: underline;">Pattern, Small Pelvic Floor Muscle Model</a><iframe class="scribd_iframe_embed" src="http://www.scribd.com/embeds/63070328/content?start_page=1&view_mode=list&access_key=key-1bbzw744jibp0ojmz4c2" data-auto-height="true" data-aspect-ratio="0.726840855106888" scrolling="no" id="doc_24939" width="100%" height="600" frameborder="0"></iframe><script type="text/javascript">(function() { var scribd = document.createElement("script"); scribd.type = "text/javascript"; scribd.async = true; scribd.src = "http://www.scribd.com/javascripts/embed_code/inject.js"; var s = document.getElementsByTagName("script")[0]; s.parentNode.insertBefore(scribd, s); })();</script>
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<br />And the instructions
<br /><a title="View Instructions for Making the Model of Pelvic Floor Muscles on Scribd" href="http://www.scribd.com/doc/63070402/Instructions-for-Making-the-Model-of-Pelvic-Floor-Muscles" style="margin: 12px auto 6px auto; font-family: Helvetica,Arial,Sans-serif; font-style: normal; font-variant: normal; font-weight: normal; font-size: 14px; line-height: normal; font-size-adjust: none; font-stretch: normal; -x-system-font: none; display: block; text-decoration: underline;">Instructions for Making the Model of Pelvic Floor Muscles</a><iframe class="scribd_iframe_embed" src="http://www.scribd.com/embeds/63070402/content?start_page=1&view_mode=list&access_key=key-n9h12o37wuqnoo1dsho" data-auto-height="true" data-aspect-ratio="0.706697459584296" scrolling="no" id="doc_48255" width="100%" height="600" frameborder="0"></iframe><script type="text/javascript">(function() { var scribd = document.createElement("script"); scribd.type = "text/javascript"; scribd.async = true; scribd.src = "http://www.scribd.com/javascripts/embed_code/inject.js"; var s = document.getElementsByTagName("script")[0]; s.parentNode.insertBefore(scribd, s); })();</script>
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<br />Please note that you will need to download these before you can print them off and use them properly.
<br />Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com11tag:blogger.com,1999:blog-4816906012110607843.post-54470609132594246512011-06-09T23:11:00.000-07:002011-06-09T23:18:14.180-07:00E portfolio from the BMJ<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"http://www.blogger.com/img/blank.gif href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZQ-okisKjV5lmKmXH5piZtd4zOKQGo9otCiK-bBTPwc0tHEAC06lvfEoPeIKWnJvKfhKnQQft97rAjrqZn2Au-Jnei3onATEQAky9z4AfBa7thhX7ZKu-DvbOzpDPfchrK6P1oMGOoTA/s1600/Screen+print+BML+Portfolio.jpg"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 320px; height: 200px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZQ-okisKjV5lmKmXH5piZtd4zOKQGo9otCiK-bBTPwc0tHEAC06lvfEoPeIKWnJvKfhKnQQft97rAjrqZn2Au-Jnei3onATEQAky9z4AfBa7thhX7ZKu-DvbOzpDPfchrK6P1oMGOoTA/s320/Screen+print+BML+Portfolio.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5616471476767289330" /></a><br />I just discovered that the <a href="http://www.portfolio.bmj.com/portfolio/login.html">BMJ have started a free eportfolio service</a>. Ihttp://www.blogger.com/img/blank.gif can <a href="http://myaccount.bmj.com/myaccount/login.html">register for free </a>and when I logged in I see that access is provided by the NZ Ministry of health. I am not sure how useful this will be. I think if you do any continuing online education through the BMJ it is automatically recoreded on the portfolio. I thought this was interesting and others might also find it interesting. Here is a screen shot of the my portfolio. There is no data entered there yet.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com3tag:blogger.com,1999:blog-4816906012110607843.post-27707122793508188062011-05-10T04:21:00.000-07:002011-05-10T05:20:58.165-07:00Disturbing story of birth in Africa and developing countriesI watched this video which discusses some of the issues for women birthing in Africa. I am disturbed and concerned that many women in Africa and in some developing countries do not have access to the health care they need to support them to birth safely. The video starts by showing a baby being held upside down and slapped and suggests that this is the type of care that is lacking. Now I know that the health of women and babies in these societies is often compromised. They often begin labour in a state of anaemia and may be malnourished and have many health issues but I am disturbed as much by what is suggested as good care for them. The video says many women choose to stay at home, well so would I if that was the type of care I could expect to receive in a hospital. <br /><iframe width="425" height="349" src="http://www.youtube.com/embed/mL7lh_nz-7E" frameborder="0" allowfullscreen></iframe><br />I have worked with many mothers who have emigrated to New Zealand from the Philippines. Many of these women have already had babies in the the Philippines and just about all of these women who have birthed in the Philippines have had a caesarean birth. Most tell stories of not having wanted a caesarean but having been told that the baby will die if they do not with little or no reason for why this may be. These are not the poorest of Philippine women who would not be given a caesarean because they could not afford it, but are women who will struggle to pay for this care. They are then sliced from umbilicus to pubis instead of the accepted low line incision that is common practice in most developed countries. This leaves them with an enormous, ugly and uncomfortable scar. <br />This is not the care that these women need. Yes women need to have care during pregnancy, yes they need advice on how they can best care for themselves. Yes women's place in society needs to be valued much higher so that they can get the care they need. They need and deserve the best of care. They do not need to be coerced into birthing in dirty disgusting institutions where they and their babies will be subjected to care which is known to be harmful. Practices such as dangling a baby by its feet and slapping it are of no benefit and are known to be harmful. <br />I wonder how others feel about this. <br />I feel distressed that women do not get the care they need. I do not believe that any support is better than no support. I believe that we can do more harm than good by interfering when it is not required. I believe that what the world needs now is many well trained midwives and a reasonable number of excellent obstetricians, who support midwifery care, and provide necessary medical care when it is indicated that it is required. I believe that this is what all women need and deserve no matter where they live. It is what society needs as women are the mothers of the next generation. <br />We have a serious problem in most developed countries where women are experiencing far too much unnecessary intervention. In developing countries women cannot get the intervention they require. We need to start getting this balance right for goodness sake.Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com4tag:blogger.com,1999:blog-4816906012110607843.post-18457459289935806882011-05-10T02:59:00.000-07:002011-05-10T03:02:12.629-07:00A politician with passion and evidence supporting homebirthThis man would definitely get my vote.<br /><iframe width="560" height="349" src="http://www.youtube.com/embed/zNJA4k-2OkI" frameborder="0" allowfullscreen></iframe>Carolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.com3