Re: [ozmidwifery] VBAC/ twins/lotus

[Mary Murphy]

Syntocinon infusion has been linked with greater risk of rupture.  I am a bit restrictive with the women I care for... "Go into labour spontaneously, labour & birth."  Otherwise have a repeat C/S. It helps their resolve too.   There is too much research data pointing to inductions and augmentations increasing the risks of rupture for me to be comfortable with it. MM   I think once we switched to lower dose epidural medication it became acceptable to combine epidurals with VBAC, even with Sytocinon infusion Kirsten   ----- Original Message ----- From: Judy Chapman To: [EMAIL PROTECTED] Sent: Sunday, February 29, 2004 5:09 PM Subject: Re: [ozmidwifery] VBAC/ twins/lotus The last few places I have worked also used epidurals with VBAC. Just need to monitor properly. In the old days they said an epidural could not be used as the woman would not have the pain cues to impending uterine rupture. At least that is what I was told. Cheers Judy mh <[EMAIL PROTECTED]> wrote: Where I work, twins are encouraged but not forced to have epidurals and EDB is used liberally whether VBAC or not... I remember when I was a student (>20yrs) they were thingy about EDB in VBAC but not for at least the past 15 years- no increase in rupture etc. What is the reason for limiting them in VBAC? Just out of curiosity.   As our policy is VBAC regardless of mothers wishes, in such a case we would plan an attempt at least for a labour at term, especially after a previous normal birth. Monica ----- Original Message ----- From: JoFromOz To: [EMAIL PROTECTED] Sent: Saturday, February 28, 2004 1:01 PM Subject: Re: [ozmidwifery] VBAC/ twins/lotus Where I work, twins automatically have epidurals, and epidurals are contraindicated in VBAC's...   I can look it up for you on Monday though - I have the weekend off.   Jo   ---- Original Message ---- From: Mary Murphy To: list Sent: Saturday, February 28, 2004 9:42 AM Subject: [ozmidwifery] VBAC/ twins/lotus > So far I have had no reports of studies or data re Lotus.  there are > lots of pictures, anecdotal experiences, but no data.  Is it out > there?  or is it so infrequent that no one has done the work. As we > would expect, the baby in question is healthy & non septic.  Re VBAC: > Another midwife's client had a C/S for her first birth, a vaginal > birth for her second and is now pregnant with twins.  She wants to > have a vaginal birth with her twins later this year.  What do you > know about the policies in hospitals for this situation?  All > feedback gratefully accepted.  thanks, Mary M        -- Babies are Born... Pizzas are delivered. Find local movie times and trailers on Yahoo! Movies.