----- Original Message -----
Sent: Thursday, April 29, 2004 11:06
AM
Subject: [ozmidwifery] natural birthing
options in Adelaide
Hi there everyone! This message was
posted on a parenting forum, Ithought Id copy it here to see if anyone could
help.
Thanks in advance!
Melissah
My best friend is pregnant and looking at birthing options - she wanted
to go to the Womens & Childrens birthing centre but lives in Belair so was
told she was 'out of the catchment area'. Does anyone have any info I can pass
on to her for Adelaide ?
----- Original Message -----
Sent: Thursday, April 29, 2004 1:06
AM
Subject: [ozmidwifery] NICE guidlines
for C Section published
The National Institute for Clinical Excellence
(NICE) in the UK have just published their CS guidelines.
Haven't studied them in detail (it's about 60
odd pages), but here are summaries of some of the points I picked up (I
think):
- CS should not be offered before 39
weeks;
- Women should be advised that a homebirth will
reduce their risk of a section, but using midwifery-led units doesn't
!!!
- Continous support in labour reduces risk of
CS;
- Induction should not be offered until after 41
weeks;
- Maternal request should not be a reason for a
section;
- Active managment and early amniotomy should
not be offered, but a four hour partogram should be used !!;
- EFM increases the likelihood of a CS;
- Breech presentation should be offered ECV
before a section is offered;
- Twin pregnancies should try vaginal birth if
first twin is cephalic;
- VBAC should be supported
Interestingly, it says there should be RCT's to
compare vaginal birth and sections !!!
Debbie
Perth,
WA
