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Re: OB:Home Births in Australia From: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU) Thu Aug 27 17:24:57 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: Gyn: OCPs" Previous message: George M. Grunert: "Re: OB: Progesterone support" In reply to: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia" Next in thread: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia" Reply: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia" > Non-reassuring fetal heart rates not responsive to therapy (or even if, early in labour) and thick >meconium are definite reasons to move into a hospital, Without CTG, how do you know that the fetal heart rate is "non-reassuring" - or do you carry this around as well? >We also have practice standards about transport time from the home setting. I understand Canada is a big country like Australia - and probably has the same traffic problems in the big cities - how do you cope with rural settings and peak hour traffic? > >We are mandated to, and *must* carry two tanks of oxygen, portable >suction (not DeLee's but a machine), infant bag and mask, IV set-up and >oxytocics (among other things). And we are trained how to use them. In >fact, we can't maintain our registration and *be* midwives unless we are >yearly certified in Neonatal Resuscitation, and provide evidence of that >to our College (unlike physicians who provide obstetrical care). But then the physicians who provide obstetric care do so in hospitals where there are pediatricians. And the article made the point that not all home birth practitioners are registered midwives - nor is there any requirement for them to be registered. > >-- >Kathi Wilson BHSc RM >Thames Valley Midwives >London, Ontario, Canada >mailto:wilsonk@gtn.net > -- Peter Wein Senior Lecturer Department of Obstetrics and Gynaecology University of Melbourne, Mercy Hospital for Women Clarendon Street, East Melbourne 3002 Australia Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690 Next message: Betsy Hyde: "Re: Gyn: OCPs" Previous message: George M. Grunert: "Re: OB: Progesterone support" In reply to: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia" Next in thread: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia" Reply: Kathi Wilson, BHSc, RM: "Re: OB:Home Births in Australia"

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