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Midwife to midwife: breast creams

By Kollis, A
on Thursday, 01 Apr 1993 in New Zealand College of Midwives Journal - Volume: 8

The author expresses her concern about a postnatal ward encouraging women to use Bepanthan Cream on their nipples and areolas to help prevent cracking, promote healing and keep the area soft.

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Editorial: new president Sally Pairman

By Pairman, S
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

Preparing the College's case for the Maternity Benefit Tribunal.

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Letter to the editor re: blocked ducts

By Campbell, G.M.
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

...I have had white spots a couple of times and most recently about two months ago when Amber was about 20 months old. I noticed my breast was hard and sore and becoming painfully engorged at one point.

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Letter to the editor re: Midwifery Practice paper

By Smythe, L
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

In 1993, the Auckland Institute of Technology will have a paper available for registered midwives, called 'Midwifery Practice'. ...The paper encourages the student to reflect on her own practice of midwifery.

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Current ethical considerations

By Pelvin, B
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

Is there a 'Midwifery Ethic'? Earlier this year, I was privileged to take part in the midwifery education workshops which took place at Victoria University... There were thirty-three midwives from all over New Zealand from all spheres of practices...joining with us were two consumers...and representatives from the New Zealand Nurses' Association and the Nursing Council. We worked hard and determinedly to articulate the beliefs that midwives hold about themselves, their profession, the women that they serve and the childbearing process itself. I want to explore some of those beliefs. I want to look at where those beliefs have come from and the framework from which they operate as well as the framework in which they operate.I will consider whether the set of beliefs that midwives hold form a midwifery 'ethic' for the whole profession and the effect that 'ethic' has on our relationships with women, with colleagues both midwifery and medical and with the world at large.

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Political comment: Protocols?

By Donley, J
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

At the recent Second International Homebirth Conference (Sydney), Professor Marsden Wagner, that gadfly of the obstetricians, spoke about the battle raging throughout the western world between the medical and midwifery model of childbirth. The issue, he said, is fundamental: freedom of choice versus totalitarian repression. To maintain their power, doctors raise the issue of 'safety' to generate fear and uncertainty. They also use the old tactic of divide and conquer - separating the woman from her fetus and fostering antagonism between different groups of midwives, between nurses and midwives, doctors and midwives and women providers agains women consumers. So what's new?

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Midwifery issues

By Pelvin, B
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

There are a number of issues for midwives to consider when looking at the events surrounding the case involving Sian Burgess which was highlighted on the 'Frontline' programme - 11 October 1992. These are: the decision to have a hombirth under the care of a midwife and who made it; the issue of induction; artificial rupture of membranes; meconium-stained liquor; monitoring of the fetal heart; mechanism of transfer to hospital; and midwifery accountability.

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Nursing Council of New Zealand's Complaints Procedures

By NZCOM
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

When a complaint about a midwife is received it is acknowledged by the Registrar and referred to the Convenor of the Preliminary Proceedings Committee (PPC).

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Conference opening speech

By Upton, S
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

The Hon. Simon Upton, Minister of Health The Health and Disability Services Bill which was introduced to the House last week will pave the way for a system that puts the user first. Not the purchaser, not the provider - but the user... People are living longer, and requiring more services. Currently an estimated 44 percent of the health budge is spent on those 60 and older. ... It is the Government's view that there is lilttle room for more public expenditure on health. We're already planning to spend $3.3.billion more this year than we receive in taxes. What we can and must do is change the way we fund and provide health services.

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Vitamin K in relation to haemorrhagic disease of the newborn

By Donley, J
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

Haemorrhagic disease of the newborn was described almost 100 years ago in 1894, by Townsend, as a bleeding syndrome in newborn babies, not due to trauma or an inherited bleeding disorder, e.g. haemophilia. A 1955 textbook (1) says, 'spontaneous haemorrhage from the mucous membrane of the alimentary canal is a rare disease', usually occurring within the first three days of life. 'In the vast majority of cases the haemorrhage is associated with a very low prothrombin level in the infant's blood.' It also notes, the normal infant has a lower prothrombin level than the average adult. At that time the classical treatment of giving the infant intramuscular injections of whole blood had been replaced by administration of daily 5 mgm injections of synthetic vitamin K until the bleeding stopped. Prophylaxis consisted of giving the mother vitamin K (either by mouth or intramuscularly) at the onset of labour, which resulted in 'a high prothrombin level in the blood of the infant at birth'. Occurrence of the disease between 2-5 days is referred to as the 'classic' form. Today, very early onset (within 24 hours) and late onset (after one month) are also recognised.

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