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Forum: Homebirth   05-20-2013, 08:16 PM
Replies: 16
Views: 498
Posted By mwherbs
I think that hemorrhage is a yes or a no . I can...

I think that hemorrhage is a yes or a no . I can either help promote contractions and help mom to stop bleeding. Either through natural means or with meds if natural fails... But the time frame I am...
Forum: Homebirth   05-20-2013, 02:49 PM
Replies: 16
Views: 498
Posted By mwherbs
Here is a facebook page you can like ...

Here is a facebook page you can like

https://www.facebook.com/ProtectYourBirthRightsAz
Forum: Homebirth   05-18-2013, 11:16 PM
Replies: 16
Views: 498
Posted By mwherbs
Long story about lack of funding... They had us...

Long story about lack of funding... They had us turning in detailed quarterlies that they had no funds or staff to collate or data enter...
Forum: Homebirth   05-18-2013, 12:40 PM
Replies: 16
Views: 498
Posted By mwherbs
Yes rhogam too It doesnt look ok. We...

Yes rhogam too

It doesnt look ok.

We did a practice survey and about 30% of the midwives that replied are skilled in breech birth and are willing to teach/assist others, other things are...
Forum: Homebirth   05-18-2013, 09:02 AM
Replies: 16
Views: 498
Posted By mwherbs
It applies to LMs and state licensed CPMs, and...

It applies to LMs and state licensed CPMs, and it does apply no matter what setting they may be working in there are several free standing birth centers in the Phoenix area that have LMs/CPMs...
Forum: Homebirth   05-17-2013, 08:00 PM
Replies: 16
Views: 498
Posted By mwherbs
in looking over the draft rules is isnt quite as...

in looking over the draft rules is isnt quite as clear, when the committee met and clarification was asked for- it was said the intent is going in clients know what are rules are and that if they...
Forum: Homebirth   05-17-2013, 07:28 PM
Replies: 16
Views: 498
Posted By mwherbs
yes the are removing administration of all meds...

yes the are removing administration of all meds including ones for hemorrhage, rhogam shots, vitamin k for babies...
 
here is the page that has links to the newest draft and a link to the current...
Forum: Utah, Arizona   05-17-2013, 02:47 PM
Replies: 6
Views: 477
Posted By mwherbs
Good to know my neighors have a CSA and sell...

Good to know my neighors have a CSA and sell eggs, I will have to let them know, they may already know as they do feed their chickens organic.
Forum: Utah, Arizona   05-17-2013, 02:43 PM
Replies: 3
Views: 400
Posted By mwherbs
I put this on the homebirth forum too you need...

I put this on the homebirth forum too you need to be aware of the new rules revisions are being finalized are are planned to be in effect starting July this year- A step back to the 1800's for...
Forum: Homebirth   05-17-2013, 02:16 PM
Replies: 16
Views: 498
Posted By mwherbs
A step back to the 1800's for midwifery, the...

A step back to the 1800's for midwifery, the improvements proposed by the department of health is to strip midwives of medicines that they have been administering to mothers and babies , at the same...
Forum: Birth and Beyond   05-16-2013, 01:06 AM
Replies: 12
Views: 500
Posted By mwherbs
Sorry tried to edit previous post but my ipad...

Sorry tried to edit previous post but my ipad just isnt connecting right

Meant to say no increased damage due to increased blood volume, some early higher bili levels that seem elevated but they...
Forum: Birth and Beyond   05-16-2013, 01:01 AM
Replies: 12
Views: 500
Posted By mwherbs
Were term , it mostly reflects to some degree...

Were term , it mostly reflects to some degree the differing management styles and hosptial policies... My first was born in a smaller hosptial, the second at a big Kasier hospital in a city.


In...
Forum: Homebirth   05-15-2013, 11:21 PM
Replies: 59
Views: 2,037
Posted By mwherbs
Since i looked at the wonder pages for the years...

Since i looked at the wonder pages for the years that were compared in the MFM journal to see what range of risk births were recorded and atributed to midwives other than CNMS
They included preterm...
Forum: Birth and Beyond   05-15-2013, 10:43 PM
Replies: 12
Views: 500
Posted By mwherbs
Here you can see what the range is, there is a...

Here you can see what the range is, there is a tool I am trying to locate, they may have turned it into an app
...
Forum: Birth and Beyond   05-15-2013, 03:30 PM
Replies: 12
Views: 500
Posted By mwherbs
There are caculations that have been gathered...

There are caculations that have been gathered over time, historically during all this early cord clamping so that on hour 15 the bili should be this and at 27 hrs the bilirubin should be this...
Forum: Homebirth   05-15-2013, 03:14 PM
Replies: 59
Views: 2,037
Posted By mwherbs
Twins have a higher death rate in the hospitals...

Twins have a higher death rate in the hospitals with the management that is provided there. what would need to be compared is twin births and deaths in each setting deliberate home births to...
Forum: Birth and Beyond   05-15-2013, 02:55 PM
Replies: 28
Views: 800
Posted By mwherbs
I see the distinction, since I have had celiacs...

I see the distinction, since I have had celiacs diagnosed for the last 25 years I really havent kept up with terminology changes /distinctions. I have used the terms interchangably. It is just...
Forum: Birth and Beyond   05-15-2013, 02:24 AM
Replies: 28
Views: 800
Posted By mwherbs
So there is also a potential for gluten...

So there is also a potential for gluten intolerance to effect the spleen and platelets, it would be something to rule out. Infact any one with a problem that may be autoimmune in origin could also...
Forum: Birth and Beyond   05-14-2013, 10:53 PM
Replies: 11
Views: 4,936
Posted By mwherbs
Placenta accreta/increta have been reported in...

Placenta accreta/increta have been reported in the lit as still being found 6 months after birth when conservative management was used... So I guess it could be possible that there would be some...
Forum: Birth and Beyond   05-14-2013, 10:34 PM
Replies: 28
Views: 800
Posted By mwherbs
On platelet levels, the local birth center will...

On platelet levels, the local birth center will still do a birth in the center with platelets at 75. My cut off is 100...
Something to mention that is in the hemotology textbooks is folate . Low...
Forum: Homebirth   05-14-2013, 10:06 PM
Replies: 22
Views: 798
Posted By mwherbs
In attending births now for over 30 years I have...

In attending births now for over 30 years I have done full resuscitation 1 time. I have done PPV maybe 5 times, i have practiced it more than I have ever used it. I attend births with atleast one...
Forum: Homebirth   05-14-2013, 09:55 PM
Replies: 59
Views: 2,037
Posted By mwherbs
For me the women that interview me have known...

For me the women that interview me have known the difference. When i talk about my scope and training and experience and define the differences they know CNMs may have worked with them or are even...
Forum: Unassisted Childbirth   05-13-2013, 02:27 PM
Replies: 21
Views: 1,872
Posted By mwherbs
The resuscitation card is not good advice. ...

The resuscitation card is not good advice.
Take a cpr for infants class... Has much better advice.
Or a neonatal resuscitation class. This information has been floating around and been past around...
Forum: Homebirth   05-13-2013, 01:11 PM
Replies: 59
Views: 2,037
Posted By mwherbs
A BSc is how these midwives who move here still...

A BSc is how these midwives who move here still only can become RNs.
Thanks for sharing that info,
I think that it would be reasonalbe to have a direct entry midwfe have equavalent to a BS.
But...
Forum: Homebirth   05-13-2013, 12:23 PM
Replies: 34
Views: 1,947
Posted By mwherbs
Just because we are reading it in the papers...

Just because we are reading it in the papers doesnt mean they are accurate in their accounts. And yes it did look like they were cautious with her in how they approached information. She was in the...
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