The Nursing Post - Issue 17: Midwifery

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The Career and Education Magazine for Nurses and Health Professionals

INSIDE THIS ISSUE:

Midwifery

3 September 2012

- ISSUE 17

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Editor’s note...

Hi Readers, Welcome to Issue 17 of The Nursing Post magazine.

Work has officially begun at the Midland Health Campus in Perth with the laying of the first foundation on Wednesday 8 August. The $430 million project will deliver a range of new and expanded services to the community and a choice of public and private health care when the hospitals open in late 2015.

This issue, midwife Vicki Chan shares with us her journey to FreMo Medical Centre, Nairobi, Kenya on a mission to improve facilities and bring dignity, compassion and safety to the birthing population. With kind donations, Vicki has made remarkable changes to the FreMo Medical Centre, and within this community.

Her story is inspirational.

I recently attended the Pregnancy, Babies and Children’s Expo in Perth. There were endless products on offer and information available to parents. It was great to meet with Midwives Australia, the KORA Organics team and guest speaker for Cell Care Australia, all of which are featured in our latest issue.

Towards the back of our magazine, make sure you check out our new Healthy Recipes and Arts and Culture features.

Visit our website for latest health news, courses, conferences and events. Join us on Facebook, and continue sending in your stories sharing your experiences with our readers.

Our next issue is out on Monday 17 September featuring Aged Care Nursing. Until then, take care.

Naomi Byrne Editor

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On the Cover: Health Heroes Margaret Martin, midwife at Armadale-Kelmscott Memorial Hospital in Perth. Feature article on pg. 24

Next Issue:

Aged Care Nursing ABN: 28 105 044 282 PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: artwork@nursingpost.com.au W: www.nursingpost.com.au Next Publication Details: Issue 18: 17 September 2012 Material Deadline: 10 September 2012 Printed by Westcare Pty Ltd Editor and Graphic Designer Naomi Byrne Sales and Marketing Manager Michael Kuhnert

Send in your photos and stories to... artwork@nursingpost.com.au

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Foundation: Curve Lurve 6 McGrath National Breast Awareness Initiative of God 8 StWorkJohnhas officially begun on the Midland Health

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Campus

Institute for Child Health Research 10 Telethon WA leads world’s biggest study of language development

Organics 12 KORA Miranda Kerr’s secret to a stretch mark free body for Cancer 14 Cupcakes Decorate cupcakes and donate to a worthy cause Yoga Studio, Leederville, Perth 17 8limbs The Benefits of Prenatal Yoga

18 Vicki Chan (midwife) shares her vision for change at FreMo Medical Centre, Nairobi, Kenya “A Passionate Life”

20 The Therapeutic Potential of Gestational Stem Cells Australia 22 Midwives Supporting Midwives, Supporting Women Health Feature 24 Indigenous Health Heroes Campaign: Margaret Martin relishes her rewarding role as a midwife Cell Care Australia

Courses, 31 Educational Conferences and Events: • • • • •

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Contents...

Career Advertising: Inside Front Pg 3 Pg 4 Pg 10

Continental Travel Nurse CQ CPD TR7 Health RNS Nursing Agency

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Miwatj Health Aboriginal Corporation RCNA Royal College of Nursing Australia Medacs Healthcare Nursing Agency PULSE International Mediserve Nursing Agency

Back Cover

Mediserve Nursing Agency

List of courses, conferences and events PRIDoC 2012 Indigenous Doctors Congress ‘The Journey’ Conference, Childrens Healthcare Australasia Oceania University of Medicine ICN 25th Quadrennial Congress

Recipes 36 Healthy Emily Tan of Fuss Free Cooking shares her delicious healthy recipes

and Culture 38 ArtArtsGallery of South Australia

Anna Platten: The devil in the detail

Review 40 Book Colic and Sleep Secrets by Alison Williams

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McGrath Foundation

Hooters, Boobs, Knockers, Melons, The Twins There’s a touchy subject we need to discuss...

Breast awareness is an important part of a woman’s overall health, but for many young women, it’s not a priority. To help young women be breast aware and be proactive about their health, the McGrath Foundation has developed a national breast awareness initiative called Curve Lurve.

Curve Lurve encourages young women to be comfortable with their breasts right from the start, and to make caring for them an important part of their health regime. The goal of Curve Lurve is to establish good breast health habits as a key part of every woman’s routine.

Available on the McGrath Foundation’s website, Curve Lurve is packed with breast and body awareness content 6

including a teaching and learning resource for high school teachers to use in the classroom setting and a facilitator’s guide for anybody interested in breast health to run their own session in their workplace or community setting.

Developed in consultation with leading health professionals, teachers, students and parents, all information delivered through Curve Lurve is age appropriate and detailed to provide the most benefit to young women.

Australian model, MTV VJ and Curve Lurve Ambassador, Erin McNaught, knows firsthand how important it is to be confident and comfortable with your body.

“Now that I’m 30, I’m proud to say that I am finally

comfortable with who I am and my curves. But I wasn’t always this confident, it’s taken me till now to really embrace my body and be proud of what I have.

“Curve Lurve is so important because it’s about being breast and body aware, learning to accept your curves and also how to look after them. Breast awareness needs to be an important part of a woman’s regular health routine and Curve Lurve provides young women with the information they need to feel empowered to do so,” said Erin.

Foundation Ambassador and Director, Tracy Bevan says Curve Lurve is the result of Jane McGrath’s legacy, as she was only 31 when she was first diagnosed and believed passionately about educating young women to be breast aware.

“The aim of Curve Lurve is to communicate the importance of breast awareness and empower young women to care for their bodies and embrace their curves.

“In developing Curve Lurve, we’ve made sure the content is tailored for the different age ranges, with the breast awareness messaging directed at teenagers being very different from what we suggest for women in their early 20s.

“With teenagers, we talk to them about puberty and breast development, but for women in their early 20s onwards, we talk about the importance of knowing your breasts so if you do notice a change, you know what to do.

“Our motto is that if you grow ‘em, know ‘em,” Tracy concluded.

People wanting to find out how they can get involved individually or get their community, workplace or school involved, should visit www.mcgrathfoundation.com.au.

ABOUT THE MCGRATH FOUNDATION The McGrath Foundation was co-founded by Jane and Glenn McGrath after Jane’s initial recovery from breast cancer.

The McGrath Foundation raises money to fund McGrath Breast Care Nurses in communities right across Australia and increase breast awareness in young women.

To find out more about the McGrath Foundation and how you can make a difference, please visit the website.

Curve Lurve Ambassador, Erin McNaught

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St John of God

Work has officially begun at the Midland Health Campus...

Work has officially begun on the 367-bed St John of God Midland Public and Private Hospitals with St John of God Health Care laying the first foundation on Wednesday 8 August at the Midland Health Campus.

Dr Kim Hames, both attended the foundation laying ceremony in recognition of their Governments’ joint $360.2 million investment in the construction of the 307bed public hospital.

The $430 million project will deliver a range of new and expanded services to the community and a choice of public and private health care when the hospitals open in late 2015.

St John of God Health Care’s Group Chief Executive Officer, Dr Michael Stanford, said after years of preparation and planning St John of God Health Care, along with design and construction partners Hassell and Brookfield Multiplex, was delighted that construction was underway.

Federal Minister for Health, the Honourable Tanya Plibersek, and State Minister for Health, the Honourable 8

“We will be placing great focus on meeting our

commitments with the State Government to build the hospitals on time and within budget as well as ensuring we meet all our contractual obligations and performance criteria.”

Dr Stanford said the contract was a major milestone for St John of God Health Care.

“This enables us to become a significant provider of public health care in Western Australia and gives us the opportunity to serve the eastern suburbs of Perth for decades to come.”

The Career and Education Magazine for Nurses and Health Professionals

In June, the State Government signed a 23-year Public Private Partnership agreement with not-for-profit health care provider St John of God Health Care to build and operate the Midland Hospitals.

Located in the heart of Midland, the new hospitals will ensure access to high quality health care close to home for the people of Midland and surrounding areas.

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Health Minister Kim Hames said, “This will be the first new hospital in the area for more than 50 years and deliver world-class health care in a modern, purpose-built facility.”

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“The design of the facility is patient centred and inpatient wards will have 80 per cent single rooms. The campus will have about 1,000 staff and for the first time deliver cancer services, intensive care and high dependency care to the eastern suburbs.”

For Media Kits, contact Michael marketing@nursingpost.com.au

“Generous courtyard areas will be provided for respite and family interaction.”

“This is a major part of the reform of WA Health which includes the construction of new and expanded hospitals to meet the State’s future health care needs,” the Minister said.

The St John of God Midland Public Hospital will offer many new and expanded services, free of charge to public patients, compared with those presently provided at Swan District Hospital and have 50 per cent more beds than the existing hospital.

The $70 million 60-bed private hospital is wholly funded

by St John of God Health Care.

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Telethon Institute for Child Health Research

WA leads world’s biggest study of language development...

Western Australia will lead the largest, longest and most comprehensive study of language and literacy development in the world after being awarded a prestigious international grant.

affiliated Telethon Institute, Kansas University and the University of Nebraska Medical Center.

The Looking at Language study at Perth’s Telethon Institute for Child Health Research has been extended for a further five years following the third successive renewal of its funding from the USA based National Institutes of Health.

The research group has followed the development of 1000 sets of West Australian twins from their first words.

This extension will enable researchers to continue to monitor this group as they develop through adolescence.

In addition to formal language tests, researchers have collected genetic and environmental data as well as assessments with the twins’ siblings.

The project, which began in 2002, is an international collaboration between the University of Western Australia

Principal Investigator UWA Professor Cate Taylor said the study will answer some fundamental questions about how

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and when children learn to talk, and what can be done to help those who struggle.

“At the moment we know that most children start to talk between 12 and 24 months, yet we have no idea why some children begin much later,” Professor Taylor said.

“This is the first study that will be able to compare early language development with language ability in adolescence, when we know that language is at nearadult levels.

“If we could predict those language difficulties that were going to persist, then we could be much more focussed and helpful in providing effective early therapies for children.”

Professor Taylor said she was overwhelmed by the commitment of the families involved in the study.

“By looking at twins and their families, we have an unprecedented amount of data around genetic and environmental influences on language. We will also be able to look at the effect of being a twin in how language emerges,” she said.

“This type of research is only possible because hundreds of families have committed their time and energy to helping us unlock the mysteries of language.

“We are very grateful for their support and hope they are as thrilled as we are to be involved in a study of such international significance.”

Find out more about the Looking at Language project at childhealthresearch.org.au

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Cupcakes for Cancer

Decorate cupcakes and donate to a worthy cause...

Founder, Sara Winter (center) pictured with volunteer mums on the management committee

People all over Australia are encouraged to register and host their own ‘Donate and Decorate Event’ in their home, workplace or community organisation in September or October. The concept is for hosts to provide plain cupcakes (baked or bought), some icing and a few decorations, so guests can decorate cupcakes and donate to the cause.

All money raised will go towards minimising the impact of cancer on young adults (age 18-40) through funding cancer research and support programs.

“Cupcakes for Cancer not only encourages children to have fun and be creative in the kitchen, but teaches them about giving and helping others. I am delighted to be on board this year and am looking forward to cooking up a storm for such a worthy cause,” says Anna Gare, celebrity 14

cook and TV personality launching the first national campaign for this newly-formed fundraising association.

Cupcakes for Cancer Inc. Founder Sara Winter experienced a traumatic time a few years ago when her husband was diagnosed with cancer. With the help of five volunteer mums on the management committee, Sara has now dedicated her efforts towards the cause, determined to spread cancer awareness, inspire a spirit of giving and compassion in younger generations, and reduce the impact of cancer on young adults.

“My husband was young and healthy with two small children when he was diagnosed with cancer. Thankfully, with treatment, he is now cancer free but there are so many young adults in Australia that are still suffering

and need help. I have trialled a few Donate and Decorate events in my home with mums and toddlers. They have been heaps of fun and a huge success,” said Sara.

Sara said she has been amazed at how generous people are, especially if they have a friend or family member touched by cancer.

“My dream has always been to make Cupcakes for Cancer bigger than just me, bigger than my backyard, so anywhere in Australia will be able to host a ‘Donate and Decorate Event.’ Through lots of little events, we can make a BIG difference to the lives of young adults affected by cancer,” explains Sara.

Sara has researched and found that young adults (aged 18-40) have so many unique needs and issues when faced with cancer but there is a significant lack of support and research in this area, so all money raised will go specifically towards this age group.

For 2012, the chosen beneficiaries are The Warwick Foundation who provide support for young adults affected by cancer, and Peter MacCallum Cancer Foundation, whose OnTrac@PeterMac centre is a leader in young adult cancer research.

“I believe our two beneficiaries are invaluable in the area of cancer support and research for young adults. Most

people under 40 years would never contemplate facing such a terrible disease at such a young age – in fact, many young adults feel almost invincible and that they can take on the world with education, career, travel, a new home, love, relationships and possibly, children, having lots of new experiences and good times. Cupcakes for Cancer also aims to help educate and spread cancer awareness and understanding in the 18-40 age group through the events,” says Sara.

Everything a host needs to make their event a sweet success will be available on the Cupcakes for Cancer website including cupcake recipes and decorating ideas.

There is even a specialty ‘Natural, Nutritious and Delicious’ range for hosts passionate about good nutrition and low fat options, or for those with specific dietary requirements such as gluten or dairy-free.

So, if you fancy a cupcake (with a cuppa or champagne!) please consider being a host during September or October 2012 and support Cupcakes for Cancer in their inaugural year.

For more information, please visit the Facebook site, www. facebook.com/cupcakesforcanceraustralia All information including registration, testimonials and ingredients for success, will be on the Cupcakes for Cancer website at www.cupcakesforcancer.org.au

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PERTH

Sunday, September 9, 2012 Sunday 9 September 2012, 11am to 3pm * (Yoga Aid Challenge is 12-2pm) 8:00am – 11:00am

Kings Square, Fremantle (Opposite to Town Hall), Perth, Western Australia

The *11am Domain, djacent to t(Opening he RSpeech, oyal BDemo, otanic Garden onwards Prea Challenge Entertainment Yoga Kirtan Blessing) *12 ‐2pm Yoga Aid Challenge accompanied with DJ music *2pm onwards (Closing Speech, Kirtan, Drummers)

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Midwifery

The Benefits of Prenatal Yoga...

Yoga helps you physically, emotionally and mentally. Doing yoga whilst pregnant helps combat fatigue, backache, digestive problems and can help calm any anxieties you may have about pregnancy and the birthing process.

“

Yogic breathing techniques can aid the endurance a mother-to-be needs during the birthing process as well as teaching you the important skills of staying focused...

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Whether you are new to yoga or already an experienced practitioner, you can enjoy the benefits of yoga during and after pregnancy.

The postures are designed to build strength and improve flexibility, which is important throughout pregnancy, for giving birth and with the demands of motherhood.

Yogic breathing techniques can aid the endurance a mother-to-be needs during the birthing process as well as teaching you the important skills of staying focused whilst being able to let go and surrender. Additionally, Yoga is a wonderful way to maintain balance and to replenish ourselves so we can give our children and families the best of ourselves.

At 8limbs Yoga Studio in Leederville, Perth WA, our prenatal yoga classes are conducted by Carmel Lacey & Sarcha Thurston. Carmela offers a wealth of knowledge and experience on pregnancy yoga as well as useful advice on other areas of pregnancy. Sarcha combines her expertise as a yogini and mum of three. She has been a yoga practitioner since she was 17 years old. She also teaches our Mums with Bubs class on Tuesdays at 9:45am, which caters for prenatal mums and mums with new bubs.

Although we do not offer a crèche facility, newborn bubs are welcome. Come and enjoy the benefits of yoga in a nurturing and supportive environment.

Classes are on every Saturday 11.30am - 12.30pm and Tuesdays & Thursdays at 9.45-11.00am. Classes are run on a casual basis, so you can join in whenever you need. Bookings are not necessary. Please be sure to get a clearance from you medical doctor that it is suitable for you to perform prenatal yoga exercises.

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Midwifery

“A Passionate Life” - Vicki Chan

Vicki Chan pictured with Fred (left) and Moffat (right)

“Moffat’s face is aglow. He is a special one. He is 28 and looks 15 but has the wisdom and presence of the Dalai Lama. He has a vision of service and will not permit the possibility of failure to enter the picture. I have travelled from half a world away on the essence of that vision and I have that deep conviction of being in exactly the right place at exactly the right time. And now to work...”

So I wrote after my first day in the FreMo Medical Centre in the slum of Kawangware, Nairobi, Kenya on June 24th 2011. I had read earlier in the year, of the work of brothers, Moffat and Fred and their little clinic where with few resources they strive to provide health services to this impoverished community. The story told of the visit to the clinic of an Australian woman, describing a birth she had witnessed there. It was in the reading of this story and immersed in the sheer awfulness of the birth that I inexplicably ‘knew’ that my life was bound up with theirs and that I would be going to Kenya.

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I found Moffat on Facebook. It sounds so trite and ordinary to say it like that but the connection has been nothing but ordinary. Our Facebook chats exposed a commonality in our desire to bring dignity, compassion, and safety to the birthing population. And so I went.

Eighteen months down the track and I am just back from my second trip to Kawangware. I have forged strong bonds with Moffat, Fred and the FreMo team and, with donations from friends and family, we have transformed both the clinic, and the way birth happens there.

It is easy from afar to recognise the physical transformation of the place. We now have water on tap, electricity without constant fear of fire or blackouts, flush toilets, linen, beautiful birth-rooms, new floors, windows, and a paintjob inside and out. We have also set up the place with instruments and equipment that makes their daily work easier and more effective, such as the surgical lamp for

Harder to see, but the most amazing transformation at the clinic has been in the way we care for women in pregnancy, birth, and the post-partum period.

There was a huge amount of work to be done to change the birthing culture of both the women and their practitioners.

Poor Kenyan women will often choose to birth without trained assistance rather than face the harshness of the “health care system”. In-hospital maternity care seems to encompass the very worst of the Western practices, many long abandoned in the West itself. Women tend to be left alone, bereft of company or comfort, not allowed food or water, forced to lie flat, usually in stirrups, and harangued both verbally and physically, by overworked, underpaid staff. Many labours are artificially forced with oxytocin infusions (as “fast” is equated with “good”) but often without the facilities for monitoring or the emergency births often associated with induction and augmentation.

Meanwhile, mothers and babies die; in and out of hospital.

As in the rest of the world, women’s bodies and birth take the brunt of the blame as though childbirth is fundamentally faulty rather than recognition that malnutrition, poor sanitation, malaria, anaemia, HIV, inadequate maternity care, and politics are the real tyrants here. In the West, there are other tyrants but that is another story.

My premise as a midwife is “keeping birth simple wherever possible, honouring women and babies no matter what.”

I believe that the vast majority of women can safely birth their babies without medication or instruments and wherever I have worked, as a homebirth midwife, and in hospitals public and private, this has been confirmed by the birthing women.

The FreMo clinic has been no exception. In the first 12 months, with over 100 births, the complication rate dropped to almost zero. No women died. One had a caesarean after transfer to the city hospital and there were no instrumental births. There have been no serious bleeds or perineal damage. One baby of a very sick mother died soon after birth. 100% of women successfully breastfed.

How could this be? What could have changed things so dramatically that this little clinic in the heart of a sprawling slum now has birth outcomes not only comparable but perhaps better than anywhere in the world?

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I am just glad I followed where life led me, am honoured to be a part of this team, and look forward to a future growth of the centre, spreading of its principles, and better birth for all women.

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suturing and sonic aids for listening to the babies in utero.

Attention to details: As the stories of the clinic grow in the community, more women trust enough to come for antenatal visits. Time is spent with each woman to explore social and financial as well as medical issues. Developing relationship and trust along with antenatal treatment of anaemia, malaria, HIV are essential factors in birth safety.

We are working hard on skill development with workshops on facilitating the more challenging birth (posterior, breech, pre-labour rupture of membranes, prolonged labour etc), recognising complications and referring appropriately, vaginal examination, infant and adult resuscitation, prevention and treatment of haemorrhage. Post-natal visits have been instigated to follow mothers and babies up at home. Most importantly, we love what we do.

Kindness: This trip, I overheard one of the clinical officers talking to a prospective client and nearly burst with pride. “We know” he said gently “that women’s bodies work better when they are loved” as he explained that she would be nurtured through her birth experience, that she would be encouraged to have alongside her, someone that loved her deeply, that she would have freedom to move, eat, drink, and birth as she desired.

The staff still express regularly, their surprise at the smiles on women’s faces. I am told “We had never considered birth as something to smile about”.

As for me, I am not surprised at the smiles. I am just glad I followed where life led me, am honoured to be a part of this team, and look forward to the future growth of the centre, spreading of its principles, and better birth for all women. And now, to work…

To donate and for further information about Vicki Chan’s work and the FreMo Medical Centre, visit vicki-chan. blogspot.com 19

Midwifery

Cell Care Australia

The Therapeutic Potential of Gestational Stem Cells

Expectant parents have many decisions to make during pregnancy. Do they want to find out the sex of the baby before the birth? Does the mother want to have a natural birth or opt for pain relief? These days, they also have the option of either donating or privately banking their baby’s umbilical cord blood and tissue.

Why would they want to?

Cord blood contains haematopoietic (blood) stem cells (similar to those found in the bone marrow) which have therapeutic value in the treatment of blood disorders and immune system conditions such as leukaemia, anaemia and autoimmune diseases. Cord blood is also being researched for use in regenerative medicine where stem cells may help heal or regenerate cells to repair damaged tissues. This research has led to clinical trials using cord blood to treat cerebral palsy, brain injury and type 1 diabetes.

Because both cord tissue and blood are rich in stem cells that may be used for future medical treatments.

The tissue of the umbilical cord contains different types of stem cells (mesenchymal stem cells) not generally found

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in the cord blood.

These cells can give rise to many of the ‘support tissues’ in the body, including bone, cartilage, fat and muscle. They also have the potential to develop into nerve cells and are known to have a positive impact in reducing inflammation.

Medical clinical trials are still at an early stage; however, early results are reported to be promising.

blood and tissue. She first heard about the procedure after having her eldest daughter in the USA. She says in the US, people will contribute for cord blood and tissue banking at the baby shower. “I like the potential of it,” she says. “It’s exciting what could happen in my kids’ lifetimes.”

It is important that expectant parents are informed about cord blood and tissue banking options so they are able to make the right choice for their family.

Should parents bank privately or donate to a public bank?

In Australia, expectant parents have three choices with their baby’s cord blood: •

•

•

Store their blood privately with a family cord bank for future individual or family use. There is a fee for the service but ownership of the blood and tissue remains with the family. Many parents choose to pay for private cord blood and tissue banking “just in case” someone in the family might need it for medical treatment one day. Cord blood from another family member might be an ideal match.

Donate their baby’s cord blood to a public bank for use by anyone needing a transplant. There is no fee for this service. Collections are carried out at a small number of hospitals and not every sample collected is banked.

Allow their baby’s cord blood to be discarded.

How is cord blood and tissue collected?

After the baby is born and the umbilical cord is clamped and cut, the cord is cleaned and the cord blood collected into a sterile collection bag. Cord tissue is collected after the cord blood has been collected by simply cutting a short section of the actual cord itself, washing it and placing into a storage vial. The blood and tissue are then labelled and packaged in the collection kit and transported to the banking facility where the cord blood is processed to concentrate the stem cells and then frozen. The process is quick, painless and safe and the procedures do not alter the birthing process.

“Obviously, no-one ever wants to think about the possibility of their child getting sick and I really hope that we never have to use the cord blood, but it makes us feel safe to know that it’s there if we do ever need it. Also, in the future if one of our other children needed stem cell therapy, and Frankie’s blood was a match, it could potentially be used to treat them. By banking Frankie’s blood Michael and I feel we are doing our bit to potentially protect all our children’s health.”

Michael & Lindy Klim, VIC For further information about family cord blood and cord tissue banking contact Cell Care on 1800 071 075 or visit www.cellcareaustralia.com. For further information about public cord blood banking visit www.abmdr.org.au

Deborah Gardner-Berg, 42, of Kooralbyn in Queensland, recently banked her newborn daughter Anabella’s cord 21

Midwifery

Midwives Australia pictured at the Pregnancy, Babies and Children’s Expo, Perth WA

Midwives Australia

Supporting Midwives, Supporting Women Midwives Australia guides and connects with private practice Medicare midwives and continuity of care midwives transitioning to private practice. They work to provide information about this option in maternity care so women can more easily make the choice of their own midwife.

in a hospital.

Midwives Australia was established to support midwives wanting to move in to self-employed and private midwifery group practice in 2010.

Midwives Australia’s main role has been to share information with midwives making this change in the way they work and has included workshops, website information, mentoring, business skills and marketing opportunities.

Some midwives have been able to obtain a Medicare provider number since November 2010. This has enabled many more midwives to be able to work in selfemployed practices. In some areas midwives now have visiting access to public hospitals and women are able to employ a midwife to provide antenatal care, birth care and postnatal care including the option to have birth care 22

This is new for self-employed midwives as previously they have only be able to provide birth care in the home or work with the woman in hospital alongside the hospitals own midwives.

Through workshops, internet and online learning, Midwives Australia has assisted a number of midwives to obtain notation as “eligible” midwives with AHPRA. This is the first step in becoming a Medicare provider

midwife. Gaining notation as an eligible midwife requires the midwife to have three years’ experience over the full scope of midwifery practice, having completed a professional review process and having had an additional 20 hours of continuing professional development.

Midwives Australia’s team are experienced in talking through this process with midwives and aiding midwives to complete the documentation required by AHPRA. Once midwives have received their notation as an eligible midwife, they are able to apply for a Medicare provider number.

Over the last 12 months Midwives Australia has developed and piloted a mentoring program for midwives working in midwifery continuity of care models. This project has provided support for midwives new to continuity and those who are making the transition to self-employed practice.

We are currently evaluating this project and look forward to rolling this program out more broadly.

A major role has been to support midwives who are promoting their new practices through the Pregnancy, Baby and Children’s Expo’s nationally. Smaller midwifery group practices are supported by the Midwives Australia team to provide pregnancy and baby checks at the Expo.

This has provided a valuable marketing opportunity for midwives as women may not be aware of this option in care.

The Midwives Australia team combines experienced self-employed midwives and midwives with experience in education and continuity of care with expertise in the areas that midwives may need assistance – finances, marketing and administration.

Our team understands that working in private practice and in continuity of care are emerging models of midwifery care in Australia and that midwives who work this way are a very valuable resources in the maternity workforce.

The website provides a wealth of information about how to obtain a Medicare provider number and the pathways to self-employed practice.

Please see www.midwivesaustralia.com.au for information and membership details.

Without the support and encouragement we received from Midwives Australia our transition to private practice would have been so much more difficult. We joined Midwives Australia in 2010 after attending a workshop on eligibility for midwives and private practice. While we had been discussing the possibility of starting a private midwifery practice we were uncertain how to progress our plans. Immediately after the workshop we registered our business name and commenced the process of gaining notation as eligible midwives with AHPRA. Midwives Australia provided support, advice, and encouragement during the three months it took for us to gain the notation from AHPRA. We also received extensive advice on how to set up our practice. The knowledge and experience the Midwives Australia staff proved to be invaluable.

Over the next few months we spent many hours talking through each obstacle we faced with the Midwives Australia team. Their willingness to share information about all aspects of private practice saved us from making many mistakes common to those moving into their own practice. We attended several workshops run by Midwives Australia which proved very beneficial and provided an amazing networking opportunity.

We continue to receive advice and mentoring from Midwives Australia as we work towards gaining an access agreement with our local hospital. We are excited to be so close now to this important milestone to enable us to admit our clients to hospital as their primary carer. As midwives who have successfully moved into private practice, we would encourage any other midwives considering seeking notation as an eligible midwife or setting up a private practice to join Midwives Australia.

By Rosemary Blyth 23

Indigenous Health

Margaret Martin at work

Health Heroes Margaret Martin relishes her rewarding role as a midwife “You can be a Health Hero too” is the message of the Australian Government’s Health Heroes campaign, which aims to increase the number of Aboriginal and Torres Strait Islander people working in health. One of the ‘Health Heroes’ featured in the campaign is Perth based midwife, Margaret Martin.

Margaret is a midwife at Armadale-Kelmscott Memorial Hospital in Perth, and says that the best thing about being a midwife is the feeling she gets from helping a “mother become a mother”.

“Being the first person to touch a child is a miracle,” she says.

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“The look on a mothers’ face when she sees her baby for the first time is an amazing thing to experience; seeing the excitement, the relief and the joy all at once.”

Graduating from Curtin University’s Bachelor of Science (Midwifery) at the start of the year, Margaret is Australia’s first Aboriginal direct entry midwife, and says it’s important that more Aboriginal and Torres Strait Islander students take up jobs in health, especially in midwifery.

“I am a Nyikana Yamitji woman, born and raised in Derby, Western Australia.”

“One of my patients came down to Perth from the Kimberly

“Having more Aboriginal midwives in the system will help ensure that care is more culturally sensitive. It will also help us lower the bad statistics that Aboriginal women have for childbirth.”

“It is also important that we have more Aboriginal people working in all areas of health, so we can see more Aboriginal people getting the care they need, and more health information reaching families and communities.”

Margaret didn’t finish high school but was able to do a tertiary entrance program to get into university, and says the support she received along the way made a real difference.

“I had to work hard to get to where I am today, but the financial support I received through ABSTUDY was great, and I was also a recipient of the Rotary Health Scholarship for Indigenous students. Most universities have centres and services that are a great help to Aboriginal students as well.”

Although she only graduated from her degree in February, Margaret already has big plans for the future.

“My future is a big future. I really want to start an Aboriginal birth centre, where women come and have their classes and care, in a culturally appropriate and sensitive place where it is all women, for women’s business,” Margaret says.

“For me, midwifery is more of a calling, rather than a career choice. I couldn’t imagine doing anything else.”

“

The look on a mothers’ face when she sees her baby for the first time is an amazing thing to experience; seeing the excitement, the relief and the joy all at once.

“

region. She had a very complex pregnancy and was telling the doctor to go away, in her language. I knew what she was saying. She was pushing him away and I said to her, ‘Sister we need you to stop. We need you to do this for us so we can save your life’. I believe that my bond with her made the difference to both her, and her baby,” she says.

As part of the campaign, a website (www.australia.gov. au/healthheroes) has been developed to inform students about the range of health jobs, training options, career pathways and support available.

The website includes videos of the stories of some real life ‘Health Heroes’ like Margaret – Aboriginal and Torres Strait Islander people currently working in the health sector. Also included is a career quiz designed to provide a selection of recommended health jobs based on the skills and interests of participants.

There are a number of resources that have been developed for students and their influencers such as a Health Heroes teachers kit (including posters, brochures, lesson plans and a DVD featuring interviews with 20 real-life ‘Health Heroes’), a series of lesson plans to encourage students to interact with the campaign website and a ‘Genie’ comic book developed to inspire young Aboriginal and Torres Strait Islander people to take up careers in health and community services.

To view the full list of resources available or to place an order, please visit the campaign website at www.australia. gov.au/healthheroes or email healthheroes@health.gov. au.

Margaret’s story features as part of the Health Heroes campaign, which aims to encourage Aboriginal and Torres Strait Islander secondary students to consider a career in health. It forms part of the Attracting More People to Work in Indigenous Health campaign, and supports the Australian Government’s commitment to close the gap in life expectancy between Aboriginal and Torres Strait Islander people and other Australians.

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Educational Courses, Conferences and Events 2012 APAC Forum on Quality Improvement in Health Care Sky City, Auckland, New Zealand

The Journey Towards Excellence in Children’s Heathcare Conference Doltone House, Jones Bay Wharf, Sydney

19 - 21 September 2012 www.ihi.org

22 - 24 October 2012 www.thejourneyconference.com.au

Cultural Safety and Palliative Care

37th Annual ANZICS/ACCCN Intensive Care Annual Scientific Meeting (ASM)

Cancer Council WA Seminar Room 15 Bedbrook Place, Shenton Park Perth 25 - 26 September 2012 cancerwa.asn.au

Sydney Cancer Conference 2012 New Law Building, University of Sydney 27 - 28 September 2012 sydney.edu.au

ACMHN’s 38th International Mental Health Nursing Conference ‘The Fabric of Life’ Darwin Convention Centre

3 - 5 October 2012, Optional workshops 2 October conventionhouse.com.au/acmhn2012/

Convention and Exhibition Centre, Adelaide 25 - 27 October 2012 www.intensivecareasm.com.au

Australasian Society for Psychophysiology 2012 Conference Tyree Room, University of NSW 28 - 30 November 2012 www.asp.org.au

2012 National Indigenous Health Conference: Many Pathways, One Outcome Watermark Hotel, Gold Coast 5 - 7 December 2012 www.indigenoushealth.net

7th World Conference on the Promotion of Mental Health and the Prevention of Mental and Behavioural Disorders

Palliative Care Nurses Australia 2012 Conference

Perth Convention and Exhibition Centre

10 - 11 December 2012 pcna.org.au

17 - 19 October 2012 www.perth2012.org/index.html

RCNA Community and Primary Health Care Nursing Conference 2012 The Vines Resort, Swan Valley, Perth 17 - 19 October 2012 www.rcna.org.au

The Sebel Albert Park, Melbourne

ICN 25th Quadrennial Congress Equity and Access to Health Care Convention and Exhibition Centre, Melbourne 18 - 23 May 2013 www.icn2013.ch 31

PRIDoC 2012

6TH PACIFIC REGION INDIGENOUS DOCTORS’ CONGRESS

h October 2012 3rd to 7t gs Alice Sprin

C O NNE C T E

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D NE S S

The Journey

Towards Excellence in Children’s Healthcare 22-24 October 2012 Doltone House, Jones Bay Wharf, Sydney www.thejourneyconference.com.au

kers...

Check

al spea n io t a n r e t out our in

Muething Dr. Stephen iate Professor ss A ian & oc Paediatric Children’s Hospital n n Cinci ati ntre Medical Ce

Dr. Peter Lachman Deputy Medical Director London Great Ormond Street Hospital

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What I like about OUM is that I can continue to work part time and continue my studies in medicine.

Vivian Ndukwe, RN from Melbourne, OUM Class of 2012

RN to MBBS

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With the course structure and support network of OUM, I am going to make my goal of becoming a physician.

A good physician.

Paris Pearce, Paramedic from Mackay, OUM Class of 2016

call fOr abstracts nOw Open

18–23

equity and access to health care

18–23

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Online abstract submissiO

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RCNA Australian member of ICN

35

Healthy recipes...

Eggless Coconut, Walnut & Banana Bread (with Chia Seeds As An Egg Replacer)

What you will need: • • • • • • • • • •

1 tbsp chia seeds 3 tbsps water (used tap water) 2 bananas, peeled 2 tbsp maple syrup 1/2 cup dessicated coconut (unsweetened) 1/4 cup caster (superfine) sugar 1 cup all-purpose flour 1 tsp baking powder 1/4 cup low fat milk 50g/ 1.7 ounces walnut, roughly crushed by hand

* Serves 8

Note 1: If you don’t have desiccated coconut, you can increase the sugar quantity to 3/4 cup.

Note 2: If you have self-raising flour, replace the all-purpose flour and baking powder with 1 cup of self-raising flour.

Method: To make the egg substitute:

(2) Add bananas, maple syrup, and sugar to a bowl and mash everything together with a fork.

(1) Mix 1 tbsp chia seeds with 3 tbsps of water. Let sit for 15 to 20 minutes until the mixture becomes gooey.

(3) Stir in chia seed mixture. Use a hand mixer or a fork to mix everything well.

To make the banana bread:

(4) Add sugar, desiccated coconut, flour, baking powder and mix the batter. As you mix these ingredients, pour in milk gradually. Stir the batter until smooth. Fold in walnut and transfer the batter in a loaf pan.

(1) Preheat oven to 180 degrees Celsius (356 degrees Fahrenheit) for convection oven) / 160 degrees Celsius (320 degrees Fahrenheit) for fan-forced. Line baking pan with parchment paper and grease the sides without the parchment paper with vegetable oil.

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(5) Bake for 45 minutes or until the cake tester comes out clean.

Banana, Strawberry & Chia Seeds Smoothie... * Makes about 300ml or 2 short glasses

What you will need: • •

• •

• •

2 bananas, peeled & sliced 6 fairly large strawberries (almost 200g/7 ounces), hulled and diced 1 cup low fat milk or soy milk 2 tbsps Greek yogurt (vanilla flavoured is preferred) 2 tsps chia seeds as toppings Use a stick blender and large tumbler to mix

Method: (1) Hull and dice strawberries. Add to a large tumbler.

(2) Peel and slice bananas and add to the tumbler.

(3) Then add milk and yoghurt with the bananas and strawberries.

(4) Blend until smooth. Transfer to 2 glasses and top with chia seeds. Serve immediately.

Emily Tan of Fuss Free Cooking joins us fortnightly to share her delicious healthy recipes... www.fussfreecooking.com 37

Arts&

Culture...

Anna Platten Australia, born 1957 Flower – Dedicated to Mark Conway Walter 2012 Adelaide oil on linen 210.0 x 119.0 cm Courtesy of the artist and Hill Smith Gallery © Anna Platten

Art Gallery of South Australia North Terrace Adelaide

Anna Platten: The devil is in the detail The Art Gallery of South Australia is recognising the work of the great Adelaide-born figurative painter Anna Platten.

The largest and most comprehensive survey of her work Anna Platten: The devil is in the detail opened to coincide with the South Australian Living Artists (SALA) Festival and provided the Art Gallery with an opportunity to recognise Platten’s contribution over more than thirty years to the development of the visual arts in Adelaide, both as an inspiring teacher and as a highly accomplished painter.

Platten is fondly regarded for her many years of teaching at the Adelaide Central School of Art, but it is her arresting personal responses to the human condition for which she has received national acclaim.

Anna Platten: The devil is in the detail includes more than thirty of the artist’s greatest paintings and drawings from 1987 to this year. Key works from the Gallery’s collection feature alongside those from collections across Australia.

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The exhibition showcases Platten’s menacing staged scenes such as Puppets, 1994, and her celebrated archetypes such as Myself as Ms Havisham, 2001. She presents pained scenarios for the outside world that, despite appearing elaborately fabricated and unreal, reveal the artist’s own emotional reality. In Myself as Ms Havisham, we feel the pain of Platten’s entrapment as she presents herself painting a tablecloth but making no mark, a silent statement of anguish over the demands of motherhood and lost opportunities.

Among the highlights from the Art Gallery’s collection is the much-loved painting Woman and man embrace, 1992. This highly charged large double portrait of Platten and her new husband, demonstrates the self-exploration, complex constructs and desires that would define her work in the following decades. The exhibition also marks the first showing of the Art Gallery’s newly acquired Ourselves as Zoe. A dream, a web, a puzzle, 2011 which explores themes of mortality and unrequited love.

Anna Platten’s success as a portrait painter is also highlighted in the survey. Renowned commissions, such as Professor Mary O’Kane, and previously unseen portraits of personal subjects, such as her father, the celebrated architect Newell Platten, demonstrate Platten’s extraordinary artistic versatility.

The artist’s hand-crafted props, costumes and preparatory sketches provide visitors with rare and intimate glimpses into her sophisticated working process.

Her close working relationships with other Adelaide artists is underscored by the inclusion of Julia Robinson’s exquisitely crafted Snake sculpture, specially commissioned by Platten for the exhibition. At scheduled times, this dynamic display also offers visitors the opportunity to enter the creative realm of Platten’s studio and sketch a life-model-activated tableau of Myself as Ms Havisham.

Exhibition closes 18 November 2012 For further information, please visit www.artgallery.sa.gov.au Anna Platten Australia, born 1957 Ourselves as Zoe. A dream, a web, a puzzle 2011, Adelaide oil on linen 186.0 x 166.7 cm (sight) Gift of Michael Abbott AO QC, Carol Adams, Beverley Anderson, Jill Cottrell, Professor Anne Edwards AO, Diana Evans, Frances Gerard, Jennifer Hallett, Anne Kidman, Shane Le Plastrier, Lipman Karas, John Mansfield AM, Professor Jennifer McKay, Pamela McKee, Judith Rischbieth, Patricia Ryan, Janette Thornton, Sue Tweddell, Richard T Walsh and Irena Zhang through the Art Gallery of South Australia Foundation Collectors Club 2011 Art Gallery of South Australia, Adelaide © Anna Platten

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