Archive for the ‘Uncategorized’ Category

Doctors told to try and talk women giving birth out of having epidurals to save NHS money (as they cost £200 a pop)

  • ‘Only the woman in pain can decide whether  and what analgesia, or pain relief, she needs,’ say critics

By Sophie Borland

PUBLISHED:15:06 GMT, 30  August 2012| UPDATED:09:38 GMT, 31 August 2012

Plans to ration epidurals have met with criticism from senior doctors

Pain relief: Plans to ration epidurals have met with  criticism from senior doctors

Family doctors are being told to try to talk  women out of having Caesareans and very strong painkillers during birth to save  the NHS money.

New guidelines drawn up for GPs urge them to  encourage women to have natural labours with as little medical help as  possible.

But for many women the prospect of giving  birth without the painkillers is unthinkable.

And critics have said the move has been made  without any thought for the women themselves.

The guidelines also remind doctors to tell  women to consider having their babies outside hospital in midwife-run  units or  in their own homes.

Caesareans cost the NHS around £1,200 a time  while epidurals – anaesthetic injections into the spine – are around £200.

The guidelines state that, as well as being  expensive, they both slow down a mother’s recovery after labour  and impede  breastfeeding.

The advice does not suggest women should not  be given any painkillers, such as gas and air which are commonly  used.

However, it specifically tells  doctors to  try to reduce the numbers given epidurals and other  anaesthetic injections into  the spine.

The advice – drawn up by the Royal  College  of Obstetricians and Gynaecologists, the Royal College of  Midwives and the  National Childbirth Trust – has enraged campaigners and some senior  doctors.

Felicity Plaat, consultant  anaesthetist at  Queen Charlotte’s Hospital, London, said: ‘In the 21st  century, where the  resources are available, it’s unacceptable and  unethical to withhold effective  pain relief from women who require it.

‘Furthermore, only the woman in pain can  decide whether and what analgesia, or pain relief, she needs.’

Read more: http://www.dailymail.co.uk/health/article-2195832/Caesareans-pain-relief-mothers-giving-birth-cut-save-NHS-money.html#ixzz26WX5SB5H

Low risk births undergoing unnecessary interventions

Carlie Daley

Tuesday 11 September 2012 10:24am
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A recent study in NSW hospitals has found that tens of thousands of women with low risk of birth complications are undergoing unnecessary medical interventions in private hospitals.

The study found that those giving birth privately had a 20 per cent lower chance of having their first child through normal vaginal delivery.

This from the Sydney Morning Herald:

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The leader of the study, Hannah Dahlen, said the women examined between 2000 and 2008 were aged 20 to 34, were not pre-term or overdue and carried babies of normal weight.

”We looked at the healthiest, wealthiest population possible, exploding some of the myths out there that women receiving these interventions are sicker,” said Professor Dahlen, a professor of midwifery at the University of Western Sydney.

While 35 per cent gave birth with no intervention in public hospitals, this dropped to 15 per cent in private hospitals.

”These are horrifying figures,” Dr Dahlen said. She rejected the idea that women in private hospitals might be more risk averse and therefore requesting the interventions.

”Women need to be informed that intervention in childbirth is no walk in the park, with caesarean sections, for example, potentially causing a scarred uterus, which can increase the risk of complications in future pregnancies.”

Birthing outcomes from an Australian HypnoBirthing programme

Thanks Liz Nightingalefor sharing this info: Full study available through MIDIRS Database

1. Birthing outcomes from an Australian HypnoBirthing programme

 

Background and aim: HypnoBirthing, which is steadily increasing in popularity both in Australia and overseas, is a set programme consisting of 10-12 hours of instruction for couples approaching the later stages of pregnancy and birth.

 

A survey was carried out to investigate how Australian p articipants attending the HypnoBirthing programme between 2007 and 2010 compared to other studies where hypnosis was used for childbirth.

 

Results: The average length for both stages of labour was shorter in the HypnoBirthing group compared to general population figures. Caesarean section rates were lower, as was the use of gas and epidurals. Of the 81 participants, 46 (51%) did not use any pain medication at all and the overall discomfort level for labour and birth was 5.8 out of 10 with 32% of the participants scoring under 5.8, including two participants who recorded zero discomfort.

 

Conclusion: Women attending the HypnoBirthing programme demonstrated similar results to those found in other research in hypnosis for childbirth. However, the findings also demonstrated some added benefits of HypnoBirthing.

 

The majority of women reported feeling more confident, relaxed, less fearful, focused, and more in control.

 

They also commented on the ease and comfort of labour and birth and the satisfaction of having their partners involved and supportive. (44 references) ://www.blissfulbeginnings.com.au/files/HypnoBirthingOutcomes.pdf

Natural Birth – HypnoBirthing

HypnoBirthing is becoming more widespread and well known throughout the world and Australia as a natural way to give birth.   If you are pregnant for the first time or want to change the outcome of previous birthing experiences, you may find HypnoBirthing classes are for you.

 

With HypnoBirthing Classes you will learn how to put yourself into a deep state of relaxation(hypnosis) enabling your body to be relaxed, your mind to be focused.  Therefore your baby can have a natural, normal, safe and drug free start to life.  I will give you the skills needed over the 5 week course to put you in control of your birthing experience.

 

Classes run for about 2-2.5 hours over a 5 week period so you can practise the techniques given to you and absorb the intensive ante natal information that you also receive.

 

HypnoBirthing classes prepare you for the wondrous, unique experience of birthing your child.

 

Your birthing companion becomes an integragal part of this experience learning how to deepen your relaxation level and providing all the support you need. 

 

This provides you both with a unifying, bonding experience when birthing your baby together.

 

For more information please call me on 0402 181 153

 

You also receive numerous handouts, The HypnoBirthing book and 2 cds.

 Natural birth is the best way for your baby to enter the world being drug free,normal and natural.

 

 If you live on the Gold Coast, Tweed Heads, Northern Rivers down to Lennox Heads – then HypnoBirthing classes may be for you if you are wanting a natural birthing experience 

 

Midwife oversees home birth

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WHEN Goonengerry's Xan Van Veen went into labour at 5am six weeks ago, there was no mad dash to the hospital for this first-time mum.Adam and Xan Van Veen with daughter Lily, 6 weeks at their Goonengerry home.

 
 

WHEN Goonengerry’s Xan Van Veen went into labour at 5am six weeks ago, there was no mad dash to the hospital for this first-time mum.

Instead the 27-year-old had a friend come round and inflate a small plastic pool in her lounge room.

Meanwhile, she lit the fire in the fireplace and an altar of candles and pottered around her cottage overlooking a tree-lined gully and waited.

At 7pm, midwife Suzanne Weir arrived and, as the deaf family pet Red Dog watched protectively over her shoulder, Xan’s healthy baby girl was delivered in the pool.

Lily Pepper Van Veen was the first baby born under a 12-month home birthing pilot program endorsed by the Northern NSW Local Health District.

During the pilot period, which started in April, two women a month are chosen by ballot to take part.

Only low-risk healthy women who live within 40 minutes of Lismore Base, Mullumbimby or Tweed hospitals are eligible.

Xan, who was left with a fear of hospitals after suffering childhood illness, said the birth was an amazing and remarkably serene experience.

Suzanne, who this year was named midwife of the year by the NSW College of Midwives, said mums who gave birth at home were visibly more relaxed.

“There seems to be like a smooth rhythm in labour, whereas in hospital labour can stop and start depending on how busy it is,” the mother of three said.

“It keeps well women out of hospital. It frees up beds for sick people.

The pilot is one of 14 home- birth programs operating in Australia, and if successful, could lead to the establishment of a permanent service in the Northern Rivers.

Rise in planned births tips risk balance

The increasing trend for planned births before due date by caesarean or induction of labour is doing

 more harm than good, an Australian study has shown. Planned births at 33-39 weeks gestation rose

substantially between 2001 and 2009, with accompanying increases in neonatal and maternal morbidity, but no

 offsetting reduction in stillbirths, figures from NSW show. The proportion of planned births before due date increased

 from 19% to 26% of all live births, according to the study in the American Journal of Obstetrics and Gynecology (online

 July 9). Births by labour induction increased from 8.9% to 11.4% between 2001 and 2009, while planned pre-labour

 caesareans increased from 11.4% to 14.9%. Planned birth is indicated if the risk of continuing pregnancy outweighs

Here is the picture from our due date.

Here is the picture from our due date. (Photo credit: hopeandmegan)

 the risk…

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The Midwife as Status Symbol

 

Health

Health (Photo credit: 401K 2012)

http://www.nytimes.com/2012/06/17/fashion/the-midwife-becomes-a-status-symbol-for-the-hip.html?smid=pl-share

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Home birth verses Hospital birth – some research shows

Home - The DriveHome – The Drive (Photo credit: BreckenPool)

Summary: The deaths caused by rare acute condition at planned attended

 low risk homebirth that might have had a better outcome in hospital are

 outweighed by the deaths and morbidity due to common acute conditions

 caused by hospital interventions. Planned attended homebirth outshines

 hospital birth for low risk women in every category of acute emergency.

 Today research wrongly considers hospital birth as the gold standard. Bias

 towards hospital births causes the majority of researchers to ignore the fact

 that women could achieve even better outcomes than hospital birth, at planned attended homebirth.

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Australian Midwives Endorse HypnoBirthing

Happy

Happy (Photo credit: Wikipedia)

Australian College of Midwives
Endorses HypnoBirthing

Some fabulous news: the HypnoBirthing Institute has been awarded by the Australian College of Midwives, MidPlus Points for the HypnoBirthing programme . The number of MidPlus Points for the four-day HypnoBirthing Childbirth Educator Programme is 26 . This has been granted for two years, and the activity advertised in their literature for MidPlus Points will now show “HypnoBirthing Child Birth Educator, 4-day practitioner certification”. They are fully aware that certification is granted in the US and is facilitated by myself on behalf of the HypnoBirthing Institute in Australia.

There are currently 20,000 midwives in Australia, and this is one avenue they are able to use for childbirth education and hopefully creating change in their approach to birthing styles.

A current training in Melbourne, which included Midwives, indicated that the change has already begun with the change in language. The feedback is that they are very happy to support parents who have taken the HypnoBirthing programme and are now better able to understand and support those parents.

Marilyn Colvin Boon CHt.,HBCE

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Natural Childbirth

Photo: Like if your answer is YES! Why is this such a foreign concept to some OBs?