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" ... Perhaps the collaboration between midwives and women is really the way to produce successful organizational change, and WHO and EBM to encourage doctors to increase their expertise on the disease rather than the low-risk obstetric .... "
From a commentary on Peter Lombard Conference ANDRIA Cosenza of 27/09/2008.
are available on the website of Acts.

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Dagli USA qualcosa si muove...

After a couple of months after France's Le Premier Cri, America Another documentary film about the birth becomes the cult of the year: The Business of Being Born . A complaint to 'where the American side of the industry, citing an article in the New York Times hospitals are businesses that thrive on high turnover, with extensive use of drugs to induce and speed labor (which often make it more intense and painful) allowing the system filling and emptying beds at a faster rate "..." obstetricians are trained chiurgica and the film contends that many have never seen a fully natural birth and so are unprepared to follow a . .. " The cost of our blind trust in hospital technology, according to il film, si riflette nel tasso di mortalità infantile negli Stati Uniti, la seconda più alta nei paesi industrializzati "Vedi il trailer .

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...l'ossitocina è un ormone timido...

19.09.08 Convegno a Parma " Michel Odent e il percorso nascita-le competenze del neonato e della madre ".Ben organizzato, bravi i relatori e complimenti per il lavoro in atto all' AOSP di Parma. Per l'intervento di Michel Odent, lo si ritrova tutto nel suo libro "La scientificazione dell'amore".

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Circoncisione maschile e MGF


Dal protocollo di intesa tra il Ministero del Lavoro, della Salute e delle Politiche Sociali con la Federazione Italiana dei Medici Pediatri, sulla circoncisione ritual illegal :
" E 'must promote , at the point of birth ... initiatives of information and awareness of parents, directed at ethnic groups culturally oriented these practices ..."

On the website (link above) you can find documents with interesting data on circumcision maschile.Nel world
Arab Countries:> 90%
Africa:> 80%
USA: 60%
Canada: 25%
Australia 10%
Western Europe: between 2% and 4%

>> For Female Genital Mutilation see the 2007 Guidelines Ministry of Health (36 p. in pdf ).

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Pannolini ecologici


courses to accompany the birth can be a good opportunity to raise awareness among mothers use of cloth diapers, or at least ecological (not bleached with chlorine, or biodegradable facts with thermoplastic material or biodegradable corn starch).
WHY the washable? in brief ... Due to the nature
:
On average a child in Italy in three years will consume about 4,500 disposable diapers, made from cellulose of 20 trees, producing a ton of non-recyclable waste that will need 500 years to decompose, 34,000 gallons of contaminated water, 100 gallons of oil. Try to multiply for about 550,000 births each year in Italy alone!
For health :
For chemicals contained in disposable diapers and the negative consequences of the "super": increasing irritation from diapers and raising of the transition from diaper to potty.
To save water (37%) and money (about 1500-1800 € in three years).

As Good News is there to say that some Italian municipalities have allocated already sensitive topic incentives to facilitate the purchase of cloth diapers. We can also do much during the course of our midwives to accompany the birth and within nests in hospitals.


discussion groups are a source of information-ultilissima sostegnoreciproco-socialization for mothers. Among the three present in Italy I prefer to Yahoo: Yahoo
PannoliniLavabili (if you do not have a Yahoo account, you must first register and then you join the group)
Promiseland-PannoliniLavabili
Google-PappaNannaCacca

retailer of Italian cloth diapers.
list of stores that sell diapers throughout Italy washable. Created and constantly updated by two moms ecoimpegnate. Printer friendly version.

commercial sites that sell cloth diapers / ecological:
Ecobaby (also contains useful information and a forum for mothers)
BabyNatura (also contains useful information for mothers)
Tabata-natural items for mom and baby
NewBaby
BelliComeIlSole
Bottega della Luna
Popolini
Mariluna
Nidodigrazia
The Little
MOltexEco
Universe Ecological
Lotties
Naturaè
BimboeNatura
Sites English (lower prices than in the UK):
PocketBots
BabyKind
Babypur
From America:
gDiapers the nappies ... used by Julia Roberts (that is fine if it serves "the cause"))

MANUALS AND LEAFLETS
Manual Ecogenitori created by mothers for mothers (77-page PDF): Mondonuovo
From the town of Ferrara Help "I'm coming as the place?" Brochure and
From newbabyberry a statement on PL (5-page pdf)

03/11/2008 For more information visit the new site www.pannolinilavabili.info

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Streptococco di gruppo B

Here you can find really everything on GBS. Collection of the latest guidelines, British and international, links to scientific literature, informational brochures for parents ...

maggio'08 the power point presentation on the prevention of precocious
" Preventing early-onset group B Streptococcal infection in newborn babies .


In Italian there is a little something:
Institute of Health-Report " Infections Group B streptococcal "- (2007, pdf)
Health Protection Agency," How swabs of the carrier of Group B Streptococcus "National Standard Method (2006, in pdf).

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La prescrizione ostetrica

To do so many miles from Italy, for example, here is drugs which are authorized to prescribe the French midwives:

Lista di farmaci prescrivibili.
List of drugs containing poisonous substances or not allowed to use your professional or your prescription with women:
1. Gastric antacids local action and gastro-intestinal plasters;
2. topical antiseptics;
3. local anesthetics: lidocaine-containing medications;
4. oral antibiotics in the treatment of lower urinary tract infections or vaginal Mandatory sensitivity; non-renewable prescription for a specific infection;
5. Local anti-infectives used in the treatment of vulvovaginitis: antifungal trichomonacidal, antibacterial and antiherpetic;
6. antispasmodics;
7. antiemetics;
8. Analgesics:
- paracetamol ;
- association of paracetamol and dextropropoxyphene;
- association of paracetamol and codeine;
- tramadol;
- nefopam;
- nalbuphine, 20 mg dosage vials; use is limited in early labor and a single bulb per patient;
9. Contraceptive
- spermicides;
- Emergency contraception: levonorgestrel alone or combined with ethinylestradiol;
- hormonal contraceptives: combined oral oral, transdermal and vaginal ring, progestogen oral, injection or implant;
10. laxatives;
11. vitamins and minerals orally;
12. Topical in feeding activity and protective;
13. Drug proctology: topical corticosteroids with or without local anesthetic and,
14. infusion solutions:
- glucose solution of any concentration;
- isotonic bicarbonate solution at 1.4% and semi-molar to 4.2%;
- solute isotonic sodium chloride 0.9%;
- solute calcium gluconate 10%;
- Ringer's solution;
15. oxytocin: oxytocin-containing products;
16. providing drugs blocking lactation
17. monovalent vaccines in the form or associates against the following diseases tetanus, diphtheria, poliomyelitis, pertussis (acellular), rubella, hepatitis B and influenza
18. immunoglobulin D;
19. nicotine replacement products.

drugs licensed for prescription
nicardipine, nifedipine
;
labetalol;
salbutamol orally and rectally.

In an emergency, pending the physician, the midwife may prescribe and use the following drugs:
plasma substitutes hydroxyethyl starch compounds in shock states;
ephedrine injection in the limit d'une ampoule dosée à 30 mg par patiente ;
adrénaline injectable par voie sous-cutanée dans les cas d'anaphylaxie.

Farmaci prescrivibili per il neonato .
Liste des médicaments renfermant ou non des substances vénéneuses autorisés pour votre usage professionnel ou votre prescription auprès des nouveau-nés :
1. antiseptiques locaux ;
2. anesthésiques locaux : crèmes ou patchs contenant une association de lidocaïne et de prilocaïne ;
3. antalgiques : paracétamol par voie orale ou rectale ;
4. drops antiseptic, antibacterial and antiviral drugs without anesthetics without corticosteroids and without vasoconstrictors;
5. vitamins and minerals orally: the injectable form is authorized for vitamin K1;
6. topical protective and trophic activity;
7. infusion solutions:
- glucose solution (any concentration);
- isotonic bicarbonate solution at 1.4% and semi-molar to 4.2%;
- solute sodium chloride isotonic 0.9%;
- Solution of calcium gluconate 10%;
8. vaccine and hepatitis B immune globulin;
9. BCG.

In an emergency, and waiting for the doctor, a midwife may prescribe and use the following drugs:
adrenaline by injection or intratracheal in resuscitation of the newborn;
naloxone (neonatal form bulbs dosed at 0.04 mg).

Stupefacenti. Drug
classified as a narcotic can you prescribe to your patients or you buy for your own use professionnel :
chlorhydrate de morphine,
ampoules injectables dosées à 10 mg, dans la limite de deux ampoules par patiente .

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In Libreria

Nuova edizione 2008 per "Guida all'esercizio della professione di ostetrica" pagine 824 -52/62 euro. Sono passati 5 anni dall'ultima edizione. Ci voleva.

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Linee guida NICE

Ultime Linee guida del National Institute for Health and Clinical Excellence di interesse ostetrico con link alla versione pdf :
luglio 2008 - Induction of labour
marzo 2008 - Antenatal care: routine care for the healthy pregnant woman
March 2008 - Diabetes in pregnancy: management of Diabetes and Its Complications from pre-conception to the postnatal period
September 2007 - Intrapartum care: management and delivery of care to women in labor
February 2007 - antenatal and postnatal mental health: clinical management and service guidance
July 2006 - Postnatal care