RE: [ozmidwifery] Question of the week.
Pretty much similar. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Mary MurphySent: Friday, 4 August 2006 6:37 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Question of the week. Would this be any different to a gastrochesis, where loops of bowel are hanging out of the abdominal cavity. A clients baby was born this week with quite a lot of bowel protruding. Other than the need for sterility, it was a normal birth. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ken WardSent: Friday, 4 August 2006 2:27 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Question of the week. I have seen large and small spina bifida's birthed normally. It is important to keep the membrane intact to prevent infection. These babies are usually operated on very quickly. -Original Message-From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Mary MurphySent: Thursday, 3 August 2006 10:03 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida?
Re: [ozmidwifery] Question of the week.
Like all these things we can all tell stories that support both sides of the equation. I personally know of a baby whose spinal defect was at the base of the skull. The a/n ultrasounds showed that the brainstem was herniating into the meningocele and the parents were told it was incompatible with life and 'advised' to terminate the pregnancy. They declined and at term were advised to have an elective LUSCS for the reasons stated. They again declined and when the baby was born she didn't die at birth despite the dire predictions and they took her home. When at 10 days she was thriving they took her to RCH for assessment where they found that the spinal cord and brain stem had been returned to the correct position during the birth process without damaging it. The defect was closed and Alice is now a thriving 5 year old who is defying all odds as to her potential.As in all things the parents need to be given both sides of the story and then their decision respected because no two situations are exactly the same and you dont get to do it both ways and decide which one works best. Most practitioners are biased by their past experiences and often dont make objective recommendations to parentsJust another side to the storyAndrea Quanchi.On 05/08/2006, at 10:45 PM, Susan Cudlipp wrote:Mary, I would say that the meningocele is far more delicate than the bowel and if it is ruptured the long term prognosis for the child with spina bifida is compromised, whereas if it is kept intact the child stands a far better chance of living a normal life. I know of a child, now 7years old, who was born by el C/S with us because of spina bifida. He has done extremely well and you would hardly know that he had been born with a quite large neural tube defect. He has fully functioning motor system, and just a few fairly minor toiletting issues which are improving. He was handled very carefully by a very experienced midwife and doctor and has really had the best outcome possible. I saw him at birth and know his parents so have had opportunity to follow his progress.During vaginal birth it is not possible to guarantee protection of the meningocele, which could easily rupture with the pressure of even the gentlest passage through the birth canal, and therefor, for the child's sake, C/S is probably a better option.Gastrochises I have seen and birthed vaginally are much more robust, while they still require careful handling there is not so much danger of long term, permanent damage. The bowel is not in the same ball game as the spinal cord. Regards, Sue- Original Message -From: Mary MurphyTo: ozmidwifery@acegraphics.com.auSent: Friday, August 04, 2006 4:36 PMSubject: RE: [ozmidwifery] Question of the week.Would this be any different to a gastrochesis, where loops of bowel are hanging out of the abdominal cavity. A clients baby was born this week with quite a lot of bowel protruding. Other than the need for sterility, it was a normal birth. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ken WardSent: Friday, 4 August 2006 2:27 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Question of the week. I have seen large and small spina bifida's birthed normally. It is important to keep the membrane intact to prevent infection. These babies are usually operated on very quickly.-Original Message-From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Mary MurphySent: Thursday, 3 August 2006 10:03 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Question of the week.An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 3/08/2006
RE: [ozmidwifery] Question of the week.
Two wonderful stories that show how tuff, delicate human beings really are. Thanks for those stories. MM From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Saturday, 5 August 2006 9:27 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Question of the week. Like all these things we can all tell stories that support both sides of the equation. I personally know of a baby whose spinal defect was at the base of the skull. The a/n ultrasounds showed that the brainstem was herniating into the meningocele and the parents were told it was incompatible with life and 'advised' to terminate the pregnancy. They declined and at term were advised to have an elective LUSCS for the reasons stated. They again declined and when the baby was born she didn't die at birth despite the dire predictions and they took her home. When at 10 days she was thriving they took her to RCH for assessment where they found that the spinal cord and brain stem had been returned to the correct position during the birth process without damaging it. The defect was closed and Alice is now a thriving 5 year old who is defying all odds as to her potential. As in all things the parents need to be given both sides of the story and then their decision respected because no two situations are exactly the same and you dont get to do it both ways and decide which one works best. Most practitioners are biased by their past experiences and often dont make objective recommendations to parents Just another side to the story Andrea Quanchi. On 05/08/2006, at 10:45 PM, Susan Cudlipp wrote: Mary, I would say that the meningocele is far more delicate than the bowel and if it is ruptured the long term prognosis for the child with spina bifida is compromised, whereas if it is kept intact the child stands a far better chance of living a normal life. I know of a child, now 7years old, who was born by el C/S with us because of spina bifida. He has done extremely well and you would hardly know that he had been born with a quite large neural tube defect. He has fully functioning motor system, and just a few fairly minor toiletting issues which are improving. He was handled very carefully by a very experienced midwife and doctor and has really had the best outcome possible. I saw him at birth and know his parents so have had opportunity to follow his progress. During vaginal birth it is not possible to guarantee protection of the meningocele, which could easily rupture with the pressure of even the gentlest passage through the birth canal, and therefor, for the child's sake, C/S is probably a better option. Gastrochises I have seen and birthed vaginally are much more robust, while they still require careful handling there is not so much danger of long term, permanent damage. The bowel is not in the same ball game as the spinal cord. Regards, Sue - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Friday, August 04, 2006 4:36 PM Subject: RE: [ozmidwifery] Question of the week. Would this be any different to a gastrochesis, where loops of bowel are hanging out of the abdominal cavity. A clients baby was born this week with quite a lot of bowel protruding. Other than the need for sterility, it was a normal birth. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ken Ward Sent: Friday, 4 August 2006 2:27 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Question of the week. I have seen large and small spina bifida's birthed normally. It is important to keep the membrane intact to prevent infection. These babies are usually operated on very quickly. -Original Message- From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Mary Murphy Sent: Thursday, 3 August 2006 10:03 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 3/08/2006
Re: [ozmidwifery] Question of the week.
I think you'll find there's only one piece of research that said this. No others ever backed it up. You should look into it really carefully before the woman decides for herself what is best for her and her baby. Lisa Barrett - Original Message - From: Synnes To: ozmidwifery@acegraphics.com.au Sent: Friday, August 04, 2006 12:04 PM Subject: Re: [ozmidwifery] Question of the week. They need to keep the menigiocele intact, C-section is the best way to ensure this as it is outside the body and is very fragile. They then will perhaps perform an operation to repair it which will help the child to walk and have function in the future. Amanda - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 03, 2006 9:33 PM Subject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 8/3/2006 No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 8/3/2006
RE: [ozmidwifery] Question of the week.
I have seen large and small spina bifida's birthed normally. It is important to keep the membrane intact to prevent infection. These babies are usually operated on very quickly. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Mary MurphySent: Thursday, 3 August 2006 10:03 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida?
[ozmidwifery] Question of the week.
An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida?
Re: [ozmidwifery] Question of the week.
i think that is so the menigiocele doesnt rupture during birth as it is outside the body of the baby. - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 03, 2006 9:33 PM Subject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/406 - Release Date: 2/08/2006
Re: [ozmidwifery] Question of the week.
They need to keep the menigiocele intact, C-section is the best way to ensure this as it is outside the body and is very fragile. They then will perhaps perform an operation to repair it which will help the child to walk and have function in the future. Amanda - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 03, 2006 9:33 PM Subject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 8/3/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/407 - Release Date: 8/3/2006
