Hi all,

Looking at the 2004 NSW Mothers and Babies report, there was 1 maternal
death in 2003 and 1 in 2003 from amniotic fluid embolism.  In 2004 (for
NSW), 44.1% women had a spontaneous onset of labour, 15.3% had no labour,
and the remaining 40.6% were induced or augmented.  Also, let's not forget
that AFE can occur with caesarean sections too.  

Cheers,
Melissa.


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Wendy Thornton
Sent: Tuesday 24 October 2006 07:33
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Drug-induced labour raises complication risk

adamnamy wrote:
>
> Hmm..interesting.
>
> Am I right in thinking the induction/augmented rate is much higher 
> than 10-20% here in Australia?
>
> Anyone know any stats off hand?
>
> Amy
>
> ------------------------------------------------------------------------
>
> *From:* [EMAIL PROTECTED] 
> [mailto:[EMAIL PROTECTED] *On Behalf Of *Kelly @ 
> BellyBelly
> *Sent:* Monday, 23 October 2006 6:00 PM
> *To:* ozmidwifery@acegraphics.com.au
> *Subject:* [ozmidwifery] Drug-induced labour raises complication risk
>
> From 
>
http://www.iol.co.za/index.php?set_id=1&click_id=117&art_id=qw1161328141968B
243
>
> *Drug-induced labour raises complication risk*
>
>
> October 20 2006 at 10:56AM
>
> Women who are given drugs to induce labour are nearly twice as likely 
> to suffer an amniotic fluid embolism, a rare but potentially fatal 
> complication of pregnancy, according to a study published on Friday.
>
> Researchers for the Maternal Health Study Group of the Canadian 
> Perinatal Surveillance System studied more than three million 
> deliveries of babies in Canada over a 12-year period.
>
> In 185 cases, women experienced the rare complication in which the 
> amniotic fluid that surrounds a baby in the womb enters the 
> bloodstream and causes a blockage, they wrote in the Lancet medical 
> journal.
>
> In 24 of those cases, the mothers died.
>
> The women had been given drugs to induce labour in just 17 percent of 
> the deliveries. But those accounted for 52 of the amniotic fluid 
> embolisms - 28 percent - and 10 of the fatal cases, or 42 percent.
>
> "We should emphasise that the absolute risk of increase of amniotic 
> fluid embolism for women undergoing medical induction of labour is 
> very small: four or five total cases and one or two fatal cases per 
> 100,000 women induced," the authors wrote.
>
> "However, with 4 million births per year and induction rates 
> approaching 20 percent in the USA, this practice could be causing 
> amniotic fluid embolism in 30-40 women per year in the USA alone, 
> including 10-15 deaths," they wrote.
>
> "Although the small absolute risk of amniotic fluid embolism is 
> unlikely to affect the decision to induce labour in the presence of 
> compelling clinical indications, women and physicians should be aware 
> of the risk if the decision is elective."
>
> Best Regards,
>
> **Kelly Zantey**
>
> Creator, **BellyBelly.com.au** <http://www.bellybelly.com.au>**__**
>
> Conception, Pregnancy, Birth and Baby
>
> **BellyBelly Birth Support** 
> <http://www.bellybelly.com.au/birth-support>**__**
>
> ------------------------------------------------------------------------
>
> Internal Virus Database is out-of-date.
> Checked by AVG Free Edition.
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>   
You are absolutely right to suspect induction and augmentation rates are 
soaring! Sorry cant quote stats ( someone will be able to im sure) as i 
dont work in hospital system , but i closely communicate with hospital 
midwives and they ALL say figures are escalating.As the control is taken 
away even more for women and the cascade of intervention climbs, more 
women are traumatised, more babies wounded and fear attached to birth 
grows!And our society becomes more silent....... Wendy.
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