Two Years of Kindred. Time has flown and it has been a magnificent 2years of welcoming many people into our family as New mothers, mothers to be and mothers of mothers. Thank you to everyone within Kindred and all those that I have seen as their doctor or supported with their own personal needs. It truly is a pleasure and I look forward to many years of committed resolve to provide the best Obstetric and Gynaecological care there is. So Proud.
Before anyone says anything I know the anniversary is in February but I am just using this time to reflect, and I have been sooooooooo busy, so many babies.
For those of you that have not been watching or even been aware, there is a revolution in womens football happening. The womens world cup 2019 has been an amazing spectacle of athletic prowess and artistry. It is now at the semi final stage.
The rise of womens football is a story of realisation, belief and commitment. It is a story of empowerment and breaking constricting perceptions.
Watch this Optus advert promoting the empowerment of our sisters and daughters and be inspired...
I am not a huge football fan but I enjoy watching the games both my husband and son watch. Die hard LEEDS United fans and I have shared some time watching previous world cups with them.
But it is this world cup, where the world is listening and open to the power of womens sport.
The worlds game has recorded record audiences, over 1billion tickets sold, tv audiences inc average viewers per match of France av.10.106 million, Brazil 22 Million, Italy 7million, USA up to 40 million and England V's Norway broke the record at 7.6million viewers watching at home in England! I include the last one as my husband is religiously cheering on the 3 Lionesses (England). Viewing figures in Australia have also been the highest they ever have been and sponsors have flooded in to take advantage of the epiphany, for some, that womens football has truely arrived!
There are the detractors, the nay sayers and general dismissive individuals with their blinkered perspectives, my son was told by a peer he must be "gay" when he glowing reported some of the excellent football he had witnessed. A befuddling slur being a pubescent boy watching women play extremely athletic sport is surely the opposite, but he rises above it and sees it for what it is, ignorance. My husband defends the game online faced with short sited followers of the male game that can't open to see another beautiful facet of the sport they profess to love. But, more and more it is embraced by the football masses as another facet of this enticing game. Watch if you will the passionate display of energy, fans and players of the recent France v's USA game to see magnificence.
Why am I writing about this, because it reflects broader perceptions of women in society. I have the pleasure and honour of supporting women at all stages of their womanliness, be it reproductive or restoratively, and I never ceased to be amazed at the courage, strength and commitment of the women I meet. Perhaps I am reflecting a hope that instead of rhetoric the world is open to equality, no more, no less, equality! Free from pre-conceptual prejudice based on gender, sexuality, age, ethnicity or belief.
I am basking in my husbands undiminished support of the game he watches, blind to the gender just basking in the delights of watching football as he shouts on England with our son and daughters by his side. England play the USA on Wednesday morning at 5am and then on to the final. Whatever the score, whichever team hoists the cup aloft. Football, choice, men and women have won! Equal pay, equal rights
Getting up to date information would appear so easy in the internet age, but this perception is sometimes flawed. The wealth of information can blind you to the quality, appropriateness and accuracy of accessed information.
In the information pages on this website it was the original intention of providing a quick go resource for those seeking general but trustworthy advice. Of course all the pages carry a warning about seeking specialised support, either from myself or another suitably qualified professional but nevertheless a resource pool to aid in the provision of general information. To counteract misleading resources of dubious objective advice that people are often inadvertently subjected to.
The moment I post a link or recreated a publicly accessible .pdf however I fear it may contribute to the misinformation, this is because whilst trying to pool a large single repository one may subject a person to a less than "latest" publication. It is my opinion that there is a benefit of shared, collected knowledge at least found from authoritative resources but even this still requires a caution on taking the information at face value.
Rest assured I am always working at expanding the resources available on this site and will endeavour to afford the latest links if not direct downloads of found resources online.
If you have any suggestions for links to either PDF's Videos or other sources of support or information I welcome you to get in touch either directly or indirectly.
We all struggle with time management, we all struggle with costings and quality but these famous quotes provide inspiration and guide me in several ways.
“It's unwise to pay too much, but it's worse to pay too little. When
you pay too much, you lose a little money - that's all. When you pay
too little, you sometimes lose everything, because the thing you
bought was incapable of doing the thing it was bought to do."
We have all bought the cheaper item only to find it breaks and costs us more in the long run, or paid for a service that is woeful in comparison to the providers promises, but we have also balanced obscene prices that do not reflect a quality commitment.
In private practice one charges for ones time, commitment and expertise. Many charge vast amounts and have their own conscience to answer to, whilst others undercut and undervalue or accurately represent the quality they provide. Getting the balance as in all things in life is for me the right choice.
“We think, mistakenly, that success is the result of the amount of time we put in at work, instead of the quality of time we put in.”
I often sacrifice the time with my family to provide exceptional quality care, to ensure the best start for women and their families. This commitment and determination is essential to provide care I am proud of. I am fortunate to have an understanding and accepting family that support me in my commitment, and I thank them everyday for letting me support women as they deserve to be supported.
There are inevitable times where work and life in general can get you down. There are times when your hand is in your head in disbelief at the world and peoples reactions within it.
Today was a day that I was feeling down with no specific reason, a fatigue from a busy workload, pressures on family time and a chronic health condition flaring up , no doubt all contributing. Whatever the reason I was down. Then I received this gift of the mug pictured here. The smile at not only the humour of the gift but the appreciation of someones effort to show appreciation. I do receive notes of thanks and gifts of appreciation and often their timings are impeccable and definitely can change my day.
As I reflected on this, whilst consuming the rather weak tea from the vessel I was exposed to another gift, this time not a gift of a physical sense but words from a survivor from the dark day, expressing love for ALL, representing us as a garden that is more than its parts but together a wonderful tapestry existing as one garden.
March 15th was a horrid, black day but it was a day that also positively shone the light and showed a response of love and togetherness. A gift that if we take onboard and learn from can enhance our day.
My gift to you is a snippet from the memorial from the inimitable Steven Demetre Georgiou aka Cat Stevens, Aka Yusuf Islam. The words spoken by survivors and leaders really deserve to be viewed by everyone but my indulgent gift is this piece of music performed this morning.
"Kia Kaha We Stand Together"
There are many pressures on people involved in the pregnancy and childbirth. There is the pressure of ensuring optimum outcomes, of being objective and informed, of being appropriate and true to philosophy and ethics.
It often seems like a confrontation between disciplines, a them and us depending on your perspective. For the individual a view can be a confirmation or challenge to their value structure depending on the answer to the original enquiry.
On the whole, Obstetricians, doctors, midwives and women ALL want an outcome which optimally includes a physiologically, mentally and emotionally well infant, mother and family. It appears if you start off on that premise, that that it is a good working foundation on which to build. Unfortunately the avenues and navigations made on the journey to these optimal outcomes are thwart with subjective, political and emotionally charged biases and in this age of a wealth of information being provided without any substantiation it is an impossible task.
Obstetricians are often touted on one side as being the controlling self interested misogynistic discipline that focuses on control rather than the natural marvels of reproduction, whilst on the other side Obstetricians are the saviours of rational against absurdity, the purveyors of truth in a suspicious and superstitious world. On the opposite side of the coin midwives and doulas are perceived as being the stalwart bastions of all that is natural and empowering, the feminine struggling against the misogynistic control of patriarchal medicine whilst on the other hand being seen as being the unscientific, flowered up, rose tinted nature at all cost ignorant practitioners who rely on faith and trust. Women on the other hand are the flotsam and jetsam to be gathered collected and collated, whilst all the time celebrated as being the singular force in the decision making process. Unfortunately we ALL as health professionals encounter this in our working careers, witness it through our peers and experience it through ourselves and families.
Going back to the singular, on the whole truth, that we ALL want optimal holistic outcomes at the end of our care we should embrace all perspectives and empathies whilst being courageous to speak truth within the framework of respect. We should NEVER be scared of the word death as a reason to recommend an intervention, an extra observation etc. Whilst we embrace the overwhelming potential for uncomplicated "natural birth" and bathe in the miracles of childbirth we should always do so from an empowered position of being informed and trusted. We have to earn that right, which we do so by maintaining respect, inclusiveness and clarity of reasoning.
Drs. will collectively be more involved in complicated pregnancies and births, this is because their skill set is rightfully focused on when the natural journey through pregnancy takes a detour. With obstetric involvement does not come the surrender of the individuals views or rights, through trusted communication and consideration ALL parties will come to the decision and plan for care that embraces truth, understanding and acceptance of evaluated risks.
The provision of truthful, unbiased and accepted information is hard, it is organic and as such changes sometimes acutely, those promoting their own personal agendas on all sides can, subjectively use objective information to further their perspective. This is the crux of the dilemma, a dilemma that has both an easy and yet difficult solution, without surrender, trust and respect your client, doctor, midwife or woman. If it is not possible to do that, challenge yourself to why such a distrust exists and rectify it by asking questions, securing answers, restating opinions, challenging your own position and its origins, seeking objective information.
Recent events (Natural Childbirth Group Shuts down after stillbirth, Undiagnosed twins at home controversy, The alarming rise of Free-birth ) have shown how subjective views with political or philosophical agendas can promote inappropriate courses of actions/inactions and outcomes. As usually there are shocked and reactionary statements, criticisms and calls for actions. I lament the pressures on people to exist in a suspicious and paranoid care environment but ignoring its existence is to bury ones head.
Self analysis and reflection, openness, and the cultivation of productive, respectful relationships is the key to informed decision making. It's all communication really!
On a personal note, I love the challenges of my vocation. The people I meet have their hopes and dreams, their problems and challenges and we face them together as a team. Agendas are dropped as we work through options and solutions. There is no exclusionary aspect, the woman advises me of her preferences based on all considerations and recommendations. How privileged I am to be trusted by these women with their care, may I long deserve and receive such respect.
My husband shared with me the above video it had stayed with him since he saw it many years ago. It was for the Guardian newspaper and won awards. When reflecting on the the simple premise that perspective has the power to change one's views I began to extrapolate to my practice and relationship to clients.
One of the most, if not the most important aspects of quality care provision is effective communication. Clarity in expressive and receptive dialogue, transparency of influence and agenda. Without this fundamental aspect of care all other facets become suboptimal, ineffective and at times disruptive.
To see the other persons view requires one to listen and engage, it is not sufficient to be simply skilled and knowledgable, it is essential that ones practices truely engages and encompasses the clients perspective in relation to your own.
He still reads the Guardian to this day, in a time of questionable muddled infomercials posing as truth, he has found his.
Back from a wonderful and much needed and anticipated holiday, I was expecting to feel a little blue as I returned back to work. Of course, I was anxious to meet up with all the families that have trusted me to care for them, catching up on their pregnancy journeys and experiences but nevertheless still lamenting the back to the 24hr 'phone on' and accessibility required to provide the care which I am passionate to provide.
In the midst of this I was exposed once more to the potential of the hidden face of depression. Depression that can lay as undercurrent in an individual's with far reaching consequences.
I am lucky to foster and benefit from mutually open and nurturing relationships with all my clients and welcome the opportunities to celebrate their abilities and achievements as well as aiding in recognising and supporting them through the inevitable challenges that they encounter.
Not everyone feels depression in their pregnancy or puerperium but there is a significant percentage to cause concerns. A Conservative estimate identifies that one in seven women experience depression during pregnancy and after birth. Depression negatively impacts on mothers, children and families. It can affect birth outcomes, bonding and long term mental health. When untreated, depression can also lead to tragic outcomes, including but not limited to suicide and infanticide.
Of course depression isn't just encountered as an aspect of pregnancy, I endeavour to support, nurture and encourage openness and awareness of all women who have trusted me with their with Gynaecological, and sexual health needs or concerns.
I love working with the women and their families that seek my care and enjoy the personal and trusting relationship that is fostered and afforded.
For anyone reading this that has any issues, I would encourage them to foster a relationship with your own health care providers, be they doctors,midwives or other health practitioners. Ensure a trusting, open and comfortable relationship that fosters an environment where you can explain your feelings and concerns and plan for more personalised support.
If this raises any concerns for you and you feel helpless or in need of support please consider the following:-
Moderate alcohol consumption is safe for mothers breast-feeding their infants. Moderate alcohol consumption is defined as about one drink per day. At this level, research shows there are no known harmful effects to the infant. However, more than one drink per day is not recommended.
Of course, not drinking alcohol while breast-feeding is the safest option. Avoiding alcohol while nursing will prevent any exposure to alcohol in your infant. It's also the best way to prevent possible drinking-related nursing issues, including reduced milk production.
While it is safe to nurse and drink in moderation, it's important to understand how long alcohol is present in your breast milk after you drink and what you can do if you want to avoid sharing any alcohol with your infant.
Alcohol and breastmilkAlcohol can be detected in breast milk for two to three hours after drinking. Research shows that only about 5 to 6 percent of the amount of alcohol in the mother's bloodstream enters the baby's bloodstream via breast milk.
That's very low. Even if a mother were binge drinking, one study found that the levels of alcohol in her breast milk would not reach clinically significant amounts. Of course, binge drinking is not advised.
Alcohol levels typically peak 30 to 60 minutes after drinking an alcoholic beverage. The alcohol can be detected in breast milk for two to three hours.
If you're concerned about transferring alcohol to your infant, you can wait two hours after a single drink before you nurse. This will give your liver time to filter the alcohol.
The more alcohol you drink, the higher your blood alcohol level will climb. The level of alcohol in your breast milk is equivalent to the alcohol level in your blood. Extra drinks prolong the duration that alcohol will be detectable in blood and breast milk.
Does pumping remove alcohol from milk?
Alcohol is in breast milk as long as alcohol is in your bloodstream. Once the blood alcohol level peaks, it will slowly dissipate as your liver is able to process it.
You may have heard of women pumping breast milk immediately after drinking alcohol and discarding it. This "pump and dump" practice is not necessary, and it doesn't reduce the amount of alcohol present in your milk more quickly. It can help reduce engorgement, though, if you've been drinking alcohol and are unable or unwilling to breast-feed to avoid potentially passing alcohol to your baby.
If you plan to drink alcohol and know your baby will be hungry within the two-hour window after you drink, you can always pump ahead of time. However, unless you are experiencing discomfort, there is no need to pump breast milk until your infant is ready to nurse again, even if you've been drinking.
As your blood alcohol level falls, the level of alcohol in your breast milk will fall, too.
If the baby is hungry within two hours after you drink a moderate amount of alcohol and you did not pump ahead, it is likely safe to breast-feed. Again, the amount of alcohol transferred to your baby through breast milk is so low there are no known problems, complications, or issues.
Effects of alcohol on babiesAt moderate levels (one drink per day), alcohol has no known complications or side effects for babies, especially if the mother waits two hours after drinking to breast-feed or pump. Exposure to alcohol above this moderate level, however, may lead to delayed development, growth problems, and interrupted sleep patterns for the infant.
Despite the all-clear from leading health organizations, some studies have raised concerns that low-level drinking may cause issues for babies, even if they are not long-term and chronic. For example, one very small, older study from 1998 found that infants who had alcohol via breast milk slept for 25 percent less time than infants who did not have breast milk with alcohol.
Another study from 1989, which is often cited among groups who do not think mothers should drink while breast-feeding, concluded that 400 one-year-olds who had been exposed to alcohol via breast milk in their first year of life had lower scores in motor skill development than children who were not exposed to alcohol. However, the researchers were unable to replicate those findings in a follow-up study six months after their initial findings.
In short, research does not suggest that infants experience any negative side effects or complications if their mothers have a drink occasionally. Of course, it's important to keep in mind that higher levels of alcohol consumption may be problematic for both mother and baby.
How long do you need to wait after drinking?Alcohol will be in breast milk as long as alcohol is in your blood. The length of time alcohol will be in your blood and breast milk will increase as you drink more alcohol.
In moderate drinking terms, one drink is defined as:
If you drink alcohol, this guide will help you know how long you should wait to breast-feed if you're concerned about passing alcohol to your infant.
Is it safe?It's likely safe to drink when you're nursing as long as you're drinking no more than one drink per day. Not drinking alcohol is the safest option, of course.
If a mother does drink while breast-feeding, their infant may experience some changes to sleep, but research hasn't linked moderate drinking to any long-term complications, risks, or adverse health outcomes.
Source and Link
Petrina Duncan, Obstetrician, Gynaecologist, and mother. Writes about events, news issues and health issues.