[ozmidwifery] fyi

[Jennifairy]

To see this story with its related links on the Guardian Unlimited site, go to 
http://www.guardian.co.uk

Further pregnancy less likely after caesarean
James Meikle, health correspondent
Tuesday August 02 2005
The Guardian


Women who have their baby by caesarean section are less likely to have another 
pregnancy, a 17-year study following 25,370 women revealed yesterday.

Researchers also found that the average amount of time between births was 
greater for those who had undergone caesareans than those who gave birth 
naturally.

More than one in five women in England have caesareans and the rate is rising, 
provoking concern over risks to women and babies.

The latest study, based on the Aberdeen maternity hospital between 1980 and 
1997 and published in the British Journal of Obstetrics and Gynaecology, was 
not able to determine whether the women's fertility was being compromised by 
having a caesarean, by suffering tubal damage for instance, or whether women 
who had undergone the experience just did not want to do so again.

However, lead researcher Jill Mollison, of Aberdeen University's medical school, 
highlighted the importance of the findings against the background of rising caesarean 
rates. "Future studies should focus on exploring whether failure to conceive is due 
to voluntary or involuntary factors and compare this across different modes of 
delivery."

Peter Bowen-Simpson, from the Royal College of Obstetricians and Gynaecologists, said: 
"Those involved in the delivery of obstetric care should be aware of the association 
and consider its implications when making a decision to perform a caesarean section."

The study found 66.9% of women who had a caesarean went on to have another 
pregnancy, against 71.6% who had instrumental vaginal delivery and 73.9% who 
had a spontaneous vaginal birth.

The average length of time between pregnancies in the three groups was 36.3 
months, 31.8 months and 30.4 months.

Women who had a caesarean were also more likely to have an ectopic pregnancy 
the next time, a dangerous complication where the fertilised egg becomes 
implanted outside the womb.

Copyright Guardian Newspapers Limited

cheers
jennifairy



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Re: [ozmidwifery] Fw: [UCbirthnews] Unassisted Childbirth on the Discovery Health Channel

[Janet Fraser]

I'm afraid I don't know, 
Yvette. I hope you get to see it : )
J

  - Original Message - 
  From: 
  Lindsay 
  & Yvette 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, August 02, 2005 11:43 
  AM
  Subject: Re: [ozmidwifery] Fw: 
  [UCbirthnews] Unassisted Childbirth on the Discovery Health Channel
  
  Janet is this on Australian tv?  We have 
  foxtel digital with discovery health but can't find it.
  Yvette
  http://www.babiesonline.com/babies/t/twingirlslb/
  
- Original Message - 
From: 
Janet 
Fraser 
To: ozmidwifery@acegraphics.com.au 

Sent: Monday, August 01, 2005 12:21 
PM
Subject: [ozmidwifery] Fw: 
[UCbirthnews] Unassisted Childbirth on the Discovery Health Channel


Given our recent 
discussions about this brilliant dvd, I thought it might interest people to 
see this.
Best,
J
 
 
Dear Friends,
Mindy Goorchenko and her family will be appearing in an episode of 
"Amazing Babies" this Tues., Aug. 2nd at 8pm and 11pm Eastern Daylight Time 
on the Discovery Health Channel (see web site for additional dates and times 
- http://health.discovery.com/schedule/episode.jsp?episode=2&cpi=111205&gid=0 ).  

 
As some of you know, Mindy is the woman who delivered her own twins 
unassisted while her husband tended to their two-year-old, 
and calmly captured the event on video.  The result (other 
than two beautiful babies!) was the inspiring DVD "Psalm and Zoya: The 
Unassisted Homebirth of Our Twins" - http://unassistedbirth.com/bookshop/videos/bv2_psalm_zoya.html
 
Mindy said the production crew was very nice.  However, be 
prepared for the usual dramatics those of us who have watched these shows 
have come to expect.  The description of the episode 
on Discovery's web site reads as follows: 
 
"A plan for homebirth with a midwife goes terribly wrong when the 
pregnant mom has to deliver her twins on her own; and one of the babies is a 
breech birth."  
 
While it's true that Mindy had planned to have midwives at the birth, 
anyone who has seen the DVD knows that she was not the least bit worried 
when they didn't make it in time.  In fact, she was fully prepared to 
give birth alone and had planned for an unassisted birth throughout much of 
her pregnancy.  As she wrote in her birth story:
 

"Since we had conceived our babies naturally, we had no reason to think 
we couldn't give birth to them naturally as well.  We started looking 
for a midwife.  This was easier said than 
done.  We interviewed several yet none quite meshed with how we wanted 
this experience to be.  Rather than trusting in the process, most of 
the midwives had fear about the birth of the second twin and I did not feel 
comfortable having that attitude around me during birth.  We decided to 
simply go it alone.  I had always wanted an unassisted home birth...I 
just didn't think it would be with twins!  My husband trusted me to 
make that decision and felt comfortable being the only 'attendant' at the 
birth.  I knew in my heart, soul, and bones that these babies needed to 
be born at home into the safest environment possible and that the birth 
would go well."
 
Once again, I am somewhat disappointed (but not 
surprised) that the production company chose to put a 
dangerous spin on the birth - at least on their web site.  Let's hope 
Mindy's optimism, enthusiasm and confidence comes through in the 
actual episode.
 

Re: [ozmidwifery] Fw: [UCbirthnews] Unassisted Childbirth on the Discovery Health Channel

[Lindsay & Yvette]

Janet is this on Australian tv?  We have 
foxtel digital with discovery health but can't find it.
Yvette
http://www.babiesonline.com/babies/t/twingirlslb/

  - Original Message - 
  From: 
  Janet 
  Fraser 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Monday, August 01, 2005 12:21 
  PM
  Subject: [ozmidwifery] Fw: [UCbirthnews] 
  Unassisted Childbirth on the Discovery Health Channel
  
  
  Given our recent discussions 
  about this brilliant dvd, I thought it might interest people to see 
  this.
  Best,
  J
   
   
  Dear Friends,
  Mindy Goorchenko and her family will be appearing in an episode of 
  "Amazing Babies" this Tues., Aug. 2nd at 8pm and 11pm Eastern Daylight Time on 
  the Discovery Health Channel (see web site for additional dates and times - http://health.discovery.com/schedule/episode.jsp?episode=2&cpi=111205&gid=0 ).  
  
   
  As some of you know, Mindy is the woman who delivered her own twins 
  unassisted while her husband tended to their two-year-old, 
  and calmly captured the event on video.  The result (other 
  than two beautiful babies!) was the inspiring DVD "Psalm and Zoya: The 
  Unassisted Homebirth of Our Twins" - http://unassistedbirth.com/bookshop/videos/bv2_psalm_zoya.html
   
  Mindy said the production crew was very nice.  However, be prepared 
  for the usual dramatics those of us who have watched these shows have come to 
  expect.  The description of the episode on Discovery's web site 
  reads as follows: 
   
  "A plan for homebirth with a midwife goes terribly wrong when the 
  pregnant mom has to deliver her twins on her own; and one of the babies is a 
  breech birth."  
   
  While it's true that Mindy had planned to have midwives at the birth, 
  anyone who has seen the DVD knows that she was not the least bit worried when 
  they didn't make it in time.  In fact, she was fully prepared to give 
  birth alone and had planned for an unassisted birth throughout much of her 
  pregnancy.  As she wrote in her birth story:
   
  
  "Since we had conceived our babies naturally, we had no reason to think 
  we couldn't give birth to them naturally as well.  We started looking for 
  a midwife.  This was easier said than 
  done.  We interviewed several yet none quite meshed with how we wanted 
  this experience to be.  Rather than trusting in the process, most of the 
  midwives had fear about the birth of the second twin and I did not feel 
  comfortable having that attitude around me during birth.  We decided to 
  simply go it alone.  I had always wanted an unassisted home birth...I 
  just didn't think it would be with twins!  My husband trusted me to make 
  that decision and felt comfortable being the only 'attendant' at the 
  birth.  I knew in my heart, soul, and bones that these babies needed to 
  be born at home into the safest environment possible and that the birth would 
  go well."
   
  Once again, I am somewhat disappointed (but not 
  surprised) that the production company chose to put a dangerous 
  spin on the birth - at least on their web site.  Let's hope Mindy's 
  optimism, enthusiasm and confidence comes through in the actual 
  episode.
   

RE: [ozmidwifery] ventouse information

[Lindsay Kennedy]

Title: Message








I have seen a subgaleal hemorrhage.  The
baby died.  It was awful.  It was the first neonatal death I had ever
witnessed.  Baby had cord round neck and after the cord was cut turned out to
have shoulder dystocia.  I cant remember whether they attempted ventouse…
I think so, but unsuccessfully, finally was forceps delivery, but unfortunately
baby was severely damaged, we did CPR, transfused it, intubated, ventilated…etc
etc. but no good.  I will remember that for a long time.  The swollen head was
unbelievably large and went down its neck.  

Lindsay  

 









From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Gloria Lemay
Sent: Monday, 1 August 2005 8:31
AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
ventouse information



 



I have a video of a 20/20 segment from here in N. America which shows two severely injured babies after
a ventouse extraction.  The pediatrician on the film talks about how
subgaleal hemmorhages can cause the infant to lose his/her entire blood
volume.  One of the baby girls in the film required extensive surgery in
her first year of life and the other died from the trauma.  The one who
lived was presenting by the brow and the ventouse was applied over the front
fontanelle.  She looked like someone had hit her with a baseball
bat---black eyes and huge swelling on the forehead.  It's quite astounding
that babies actually can take that kind of punishment and live.  I'd love
to send it to Australia---do
you have players for VHS??   They were very critical in the film of
drs applying it for longer than 30 minutes.





 





Of course, one of the deadly things about both
forceps and ventouse is the greatly increased risk of shoulder dystocia and all
it's trauma.  It's one thing to bring that unwilling head out that has not
properly molded but then, the fundus doesn't have a chance to firm up and
piston the rest of the baby out.  Personally, I'd go for a cesarean before
I'd allow these implements on my child's head.  Not that that's any
guarantee, because the ventouse and forceps are often used to help get babe's
head out during surgery.





Gloria







- Original Message - 





From: Robyn
Thompson 





To: ozmidwifery@acegraphics.com.au 





Sent:
Sunday, July 31, 2005 1:59 AM





Subject:
RE: [ozmidwifery] ventouse information





 



Babies are affected by
Ventousse and Forceps.  Many babies in my years of breastfeeding data are
unable to feed properly for up to 7 days due to trauma around the
tempro-mandibular joint. If you watch carefully the baby is tentative, the pain
is obvious as he/she avoids stretching the joint to allow the mandible to move
downwards. They reduce the movement to protect themselves from the pain of
extension.  It is hard to imagine the pressure on their tiny little heads,
the soft tissue bruising and extensive oedema.  They often have difficulty
breastfeeding and because of the ‘magic’ 10% weight loss, many are
teat fed.  These little babies often need very gentle finger feeding with
a periodontal syringe for the first 5 to 7 days to encourage gentle joint
movement by the small ‘let down’ from the long tapered tip of the
syringe which flows gently over the back of the tongue creating the swallow
reflex.  In cases where these little babies are offered a teat it
should be long and soft, definitely not teats attached to those narrow
disposable hospital bottles, nor anything like the ridiculous Avent style wide
neck teat with short nipple. Very gentle coaxing to move the joint with small
amounts of milk at a time until the joint, soft tissue, muscles, ligaments and
never endings recover. If cup feeding is used then small amounts gently given
so the baby can cope with the flow when trying to co-ordinate the use of the
painful tempro-mandibular joint. 

 

Robyn

 

  

-Original
Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Nicole Carver
Sent: Sunday, 31 July 2005 12:00
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
ventouse information

 



One of the presentations at ICM was about ventouse. There are known
side effects. Minor ones include caput succanadeum which is swelling of the
scalp and cephal haematoma which is bruising between the skull bone and its
membrane covering. The major one was a sub apponeuretic haemorrhage which I
think is inside the skull and so the bleeding is less limited because there is
more space, and the baby can lose quite a bit of blood. It can also cause
pressure on the brain. The midwife suggested that hourly head circumferences
after a ventouse might pick these up early. However, they are very rare. The
higher the baby when the ventouse is applied, and the longer the time it is
applied seems to be important. The pressure should not be on continuously for
more than ten minutes, and the obstetrician should not use it for more than 2-3
contractions. I have had a quick look through the program, but can't find th