Jo, Anyone who is doing there masters in midwifery maybe willing to do qualitative research, that is women's experience of their VBAC, in the women's own words, would be probably what is needed. Perhaps researching what happens and outcomes of those women who chose VBAC rather than just randomising them into 2 groups! A friend of mine here in tassie is planning on doing a qualitative study on VBAC (I'm not sure where she is at with it though). I will let you know more. Those others midwives, doctors and maternity units who support VBAC how about you let us know how you all support VBAC women? At antenatal classes when I am talking about caesarean I take the opportunity to talk about VBAC as well. Women who have had a primary caesarean I chat to them about VBAC for next time while they are in hospital recovering from their caesarean. This way we expose the myth of "once a caesarean always a caesarean" and we can take the opportunity to fully inform women of their options for the next birth. Most women say in this period that they would chose another caesarean again. I let them know that most women chose a VBAC next time because of the difficulties associated with recovery and the women know that it will be easier caring for a toddler and newborn after a vaginal birth. We need to be informing women and their partners about the myths, realities and expose those truths that are hidden. We can all make a difference at an individual level, but if we share our knowledge, then we can all have a wealth of knowledge that will ultimately benefit the women that we provide care to Australia wide. kathy ----- Original Message ----- From: "Jo & Dean Bainbridge" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, May 31, 2003 7:22 PM Subject: [ozmidwifery] KYM VBAC
> Kathy wrote: "It seems to me that women success rate of VBAC increase with > the > woman's determination, partners and midwifery support." > Oh if only we could have some research proof for this! WE know it is true > but those who are determined to compare vbac with repeat cs and only factor > in the medically managed vbacs with little to no support just don't seem to > want to look at it. > I am trying to combat the impending ACTOBAC trial by bringing about some > awareness of vbac and the support needed. The more we hear about the > institutions who do a vbac supportive model of care the better. The > hospitals in Adelaide are resistant to separating vbac from the norm...but > as I keep telling them we are not considered normal anyway....so why not let > us be separated but in a positive way. The critics claim that by having > this sort of vbac focus it is setting women up to fail. I thought the focus > could be a "Welcome BAC" (welcome to Birth After Caesarean and also the fact > that she has birthed before and this is a welcome back to the hospital...) > Therefore the focus is not on a vaginal birth but offers the support most > women need to get one. There could be a element of the care that addresses > the need for a repeat cs and therefore combat the negativity that can be > associated with failing (although we know there is no such thing as failure > in birthing...) > >but I do know that if you keep posting details of what you are > doing them others on the list will benefit too. > cheers > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
