Two years ago I had a woman with a planned homebirth that ended in the hospital. She was there treated very rude and the gyn took the baby (4.180gr) out in one action of the vacuum. She had a terible tear of vagina wall and perineum.
She gave birth 2 months ago, at home. Baby was 4.300gr, she gave birth on her own in the bath on her knees, we were just there to watch it. We never touched her , I also helped her through labor without vaginal examinations. She didn’t have any tear at all.
So I would sugget to go for a vaginal delivery because then you have the chance that there is no damage at all. In case of a cs, you are sure of damage. Maybe the stretching of the vagina and perineum also can help to stretch the scar tissue and solve the problems afterwards with sexual dysfunction.
For labor and birth, it is important that she can take the positions she feels are good. No suggestions, just let her do what she feels. Of course will in a home situation listen more to her body, in hospital they tent to wait for instructions, maybe you can work on that part during your contacts with her. If it’s possible, water can be a great help to soften the tissues. So if she has the chance to go for a waterbirth or using a bath during labor it would be perfect.
I hope my comments will be of some help
Warm greetings
Lieve
On 29-05-2003 03:07, "Jo & Dean Bainbridge" <[EMAIL PROTECTED]> wrote:
I know there has been discussion in the past about this but I am in a hurry to get some information for a woman whom had a positive vaginal birth that turned ugly when she "tore badly inside and out" (in quotes because that is what she said and I have no further knowledge of what sort of tearing it was.) She has had incontinence problems and sexual dysfunction for the last 16 months. Her first OB said to have a cs (of course) and then yesterday she was told that she should not have a cs and that a vag birth would be the best option. She is now very confused and scarred as hubby wants her to have cs and her fear is that a vag birth will increase problems they already have.
She is willing to have a vag birth if she can optimise her chance of reducing the damage if a tear happens again.
Can anyone offer midwifery woman focused care and positions etc that she could use during a vag birth? She would have a home birth but she can not afford it. I suggested an independent mw to take with her to hospital but that was dismissed without reason. She is an intelligent woman and if she can read evidence to support the chance of her not having further damage caused then she will opt for a vag birth I think. She wants to make her choice in three weeks so I would appreciate some help in gaining information and not waste time surfing around
cheers wonderful women! Hope you can help me help a woman avoid putting herself and her baby through a cs.
Jo Bainbridge
founding member CARES SA
www.cares-sa.org.au <http://www.cares-sa.org.au>
[EMAIL PROTECTED]
phone: 08 8388 6918
birth with trust, faith & love...
