I like the point you make. People should be able to do it their way. And I see and hear midwives annoyance at manipulative behaviour by doctors. But I can also see it from a medical point of view. If it goes wrong the patients become "victims" and they and their lawyers come running looking for someone to blame.
rgds mike On 1/23/06, brendamanning <[EMAIL PROTECTED]> wrote: > Jo, > > I would absolutely agree with your first statement, heard it many times, > "got in & saved/rescued your baby, just in the nick of time" ! > I am such a hero! > > With the second part: whilst very supportive of BAC I think labouring with a > uterus which has already dehisced & is subsequently heavily scarred is > really pushing the boundaries of safety. > However: as long as the mother is well informed ( & being well informed > means knowing the down side as well as the up side) about the risks & not > intending to allocate blame if the outcome is unfavourable ie a second UR ( > hysterectomy etc, plus or minus a fetal death) then she can do what ever she > chooses. > > I have seen in OT the uterus of a woman booked for a repeat EL LUSCS, not in > labour, 38/40 with a dehisced area easily 5 cms in the old scar & no > apparent ill effects for mother or baby. Normal obs, normal CTG, normal > fetal mvmts. Absolutely no sign before OT that there was anything amiss. > Amazing. > She had been offered BAC & chose > LUSCS...............................what if ? > > With kind regards > Brenda Manning > www.themidwife.com.au > > ----- Original Message ----- > From: Dean & Jo > To: ozmidwifery@acegraphics.com.au > Sent: Monday, January 23, 2006 11:15 PM > Subject: [ozmidwifery] VBAC afterdehsicence or UR? > > not trying to be controversial (honest!) just wanting to think outside > norm...how many times have I heard the story of an ob saying to a woman when > giving her the repeat cs (for a 'failed vbac attempt not linked to a > rupture) "oh the scar was so thin it could have ripped open at any > second...lucky I saved you from it". (well I am TRYING not sound too > facetious) > > I suppose like anything we must look at rationale for the first event. IF a > rupture did occur you could conclude that the repair to the uterus would be > quite extensive IF she managed to not lose the uterus- hence the risks for > future rupture would increase. But a dehiscence has not been proven to be a > serious concern according to the investigation I have done in the last > almost 9 years. There is speculation that a scar can slightly part with no > harmful effects. > > Just asking questions....don't they just HATE informed consumers! ;o) > love Jo > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of > Janet Fraser > Sent: Monday, January 23, 2006 8:40 PM > To: ozmidwifery@acegraphics.com.au > Subject: *****SUSPECTED SPAM***** Re: [ozmidwifery] VBAC afterdehsicence or > UR? > > You made all my points, Jo. > : ) > J > ----- Original Message ----- > From: Dean & Jo > To: ozmidwifery@acegraphics.com.au > Sent: Monday, January 23, 2006 8:46 PM > Subject: RE: [ozmidwifery] VBAC after dehsicence or UR? > > I would have to look for the research (we all know how 'fair' research can > be!) but the stated contra-indicators for vbac is previous rupture. Now it > doesn't actually state if the chances of another rupture are higher than a > normal scar or whether it is a case of "dam! Not going to let that happen > again!" attitude. You could argue I suppose that even a dehiscence that > required repair would be considered the same as a repeat cs....?? Perhaps > no vbac after one rupture/dehiscence would be based on fear and/or > presumption. Similar to the situation where a woman loses a baby during > labour there is the assumption that she will want a cs next time.??? > > jo > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of > Janet Fraser > Sent: Monday, January 23, 2006 3:37 PM > To: ozmidwifery@acegraphics.com.au > Subject: [ozmidwifery] VBAC after dehsicence or UR? > > Hi all, > does anyone know of research on VB after UR? I was asked this: > > So if you've had a scar come apart to the point where the baby was on its > way out via the DIY sunroof, and the ob says he would have had to cut me > open to stitch it up even if I had pushed the baby out, would that make > VBA2C too risky? > > Thanks in advance, > J > > Joyous Birth > Home Birth Forum - a world first! > http://www.joyousbirth.info/forums/ > > Attending births is like growing roses. You have to marvel at the ones that > just open up and bloom at the first kiss of the sun but you wouldn't dream > of pulling open the petals of the tightly closed buds and forcing them to > blossom to your time line. > > ~Gloria Lemay~ > > > > > > > -- > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 > > > > -- > No virus found in this outgoing message. > Checked by AVG Free Edition. > Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 > > > > -- > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 > > > > -- > No virus found in this outgoing message. > Checked by AVG Free Edition. > Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 > -- My photos online @ http://community.webshots.com/user/mike1962nz My Group online @ http://groups.yahoo.com/group/PSP_for_Photographers "Life is a sexually transmitted condition with 100% mortality and birth is as safe as life gets." Unknown -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
