Re: [ozmidwifery] Caesareans!

[Aviva Sheb'a]

Hey, Pinky, Bruce Sutherland was at Rosie's birth in Vaucluse! I'd have had 
a homebirth, only I didn't have a home. Peter Lucas was to have been there, but 
was trekking in Nepal. 
Bruce was excellent...did virtually nothing but respect my wishes. 
Please say hello to him for me, not that he'd probably remember, unless you 
remind him about my work with Kerry Gray & CEA.
Love,
Aviva
- Original Message - 
From: Pinky 
McKay 
To: [EMAIL PROTECTED] 
Sent: Saturday, December 07, 2002 9:38 PM
Subject: [ozmidwifery] Caesareans!

Hi ,
Yesterday I had a wee chat to Bruce Sutherland - he 
started the Hawthorn Birth Centre and still has a few births there each month as 
well as his other obstetric practice. He was telling me - utterly mortfied - 
that the previous day a well known private hospital in Melbourne had a busy 
day, according the the midwives there . Yes, they said - 13 births!!! - TEN 
of these births were caesareans!!
Bruce was beside himself - "Thats 70 percent - what 
IS going on??" He also told me how he had refused to do a caesarean for a mum 
having her 3rd baby =apparently the woman had two straightforwod births 
previously but her 'friends' had convinced her a csection would be the 'easy 
way'. Eventually he 'compromised' and gave this woman an epidural and induction 
that she was demanding - she had a 3 hr labour and easy birth. 
 
 
Bruce is a legend but I am thinking he must be 
utterly baffled by the present trends for intervention He would have seen 
so many changes over the years - he is now helping women whose mothers went to 
him!
He has fought enormously hard to give women 
natural births - introducing Leboyer births, then later setting up Hawthorn 
Birth Centre and including a large Birthing pool so women could 
labour/birth in water as he wasnt comfortable with the mother/ baby separation 
when Leboyer babies were put into a bath - mothers and babies 
(and partners/ support people) can be together in the tub at the birth 
Centre .
 
An interesting 'chat'.
Pinky
 
 
 
---
 
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Re: [ozmidwifery] Caesareans!

[Ann green]

Dear List,
Wasn't caesar's palace?Or has this hospital now a
rival for that title?Friends from Singapore have told
me in Singapore the induction rate is almost 100% and
the c/section rate is 80%.I am not surprised with an
attitude of Mon-Fri 9-5 obst/ics.Ann--- Pinky McKay
<[EMAIL PROTECTED]> wrote: > Hi ,
> Yesterday I had a wee chat to Bruce Sutherland - he
> started the Hawthorn Birth Centre and still has a
> few births there each month as well as his other
> obstetric practice. He was telling me - utterly
> mortfied - that the previous day a well known
> private hospital in Melbourne had a busy day,
> according the the midwives there . Yes, they said -
> 13 births!!! - TEN of these births were caesareans!!
> Bruce was beside himself - "Thats 70 percent - what
> IS going on??" He also told me how he had refused to
> do a caesarean for a mum having her 3rd baby
> =apparently the woman had two straightforwod births
> previously but her 'friends' had convinced her a
> csection would be the 'easy way'. Eventually he
> 'compromised' and gave this woman an epidural and
> induction that she was demanding - she had a 3 hr
> labour and easy birth. 
> 
> 
> Bruce is a legend but I am thinking he must be
> utterly baffled by the present trends for
> intervention He would have seen so many changes over
> the years - he is now helping women whose mothers
> went to him!
> He has fought enormously hard to give women natural
> births - introducing Leboyer births, then later
> setting up Hawthorn Birth Centre and including a
> large Birthing pool so women could labour/birth in
> water as he wasnt comfortable with the mother/ baby
> separation when Leboyer babies were put into a bath
> - mothers and babies (and partners/ support people)
> can be together in the tub at the birth Centre .
> 
> An interesting 'chat'.
> Pinky
> 
>  

__
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Re: [ozmidwifery] Caesareans!

[Carolyn Donaghey]

Hi Pinky
I had a similar gut-renching experience recently at Burnside War Memorial
Hospital in Adelaide.  A Friday afternoon, had to see the CNM to give her
the caesarean awareness day info.  She was still in theatre scrubs and when
I asked her if she had just come back from a cs, she said breathlessly and
calmly 'oh yes, its just been caesar after caesar today!'.  I walked out
of there and literally felt physically ill and crying - those poor women
and they probably all believed they saved their babies lives.
Christmas time is also the worst time for caesareans.  Glad tidings we bring,
to you here today.
Carolyn
CARES SA

Pinky McKay wrote:

  
  
  Hi ,
  Yesterday I had a wee chat to Bruce Sutherland
- he  started the Hawthorn Birth Centre and still has a few births there
each month as  well as his other obstetric practice. He was telling me -
utterly mortfied -  that the previous day a well known private hospital in
Melbourne had a busy  day, according the the midwives there . Yes, they said
- 13 births!!! - TEN  of these births were caesareans!!
  Bruce was beside himself - "Thats 70 percent
- what  IS going on??" He also told me how he had refused to do a caesarean
for a mum  having her 3rd baby =apparently the woman had two straightforwod
births  previously but her 'friends' had convinced her a csection would be
the 'easy  way'. Eventually he 'compromised' and gave this woman an epidural
and induction  that she was demanding - she had a 3 hr labour and easy birth.
  
   
   
  Bruce is a legend but I am thinking he
must be  utterly baffled by the present trends for intervention He would
have seen  so many changes over the years - he is now helping women whose
mothers went to  him!
  He has fought enormously hard to give
women  natural births - introducing Leboyer births, then later setting up
Hawthorn  Birth Centre and including a large Birthing pool so women could
 labour/birth in water as he wasnt comfortable with the mother/ baby separation
 when Leboyer babies were put into a bath - mothers and babies  (and partners/
support people) can be together in the tub at the birth  Centre .
   
  An interesting 'chat'.
  Pinky
   
   
  
  
  
  

Re: [ozmidwifery] Caesareans

[Belinda Maier]

what is interesting is the RCT in the 
BMJ which showed water was effective in decreasing the need for 
intervention/augmentation in women with 'dystocia'. So in these cases maybe 
getting the women i to water would have encouraged their labour to progress and 
avoid CS altogether
Belinda

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: list 
  Sent: Wednesday, March 03, 2004 7:24 
  PM
  Subject: [ozmidwifery] Caesareans
  
  From the USA- An Agency for Healthcare Research and Quality (AHRQ) 
  retrospective study of 733 women who delivered fullterm, nonbreech infants by 
  unplanned cesarean found that as many as 24% of c-sections for "lack of 
  progress in labor" are performed too early. This group comprises women who 
  undergo a c-section when their cervix has dilated 0 to 3 centimeters. The 
  American College of Obstetrics and Gynecology (ACOG) guidelines recommend that 
  dilation should be 4 cm or more before a failure to progress diagnosis is 
  made. The researchers postulated that many doctors are more comfortable with 
  the risks of c-section than they are with labors that do not progress as 
  rapidly as expected. In addition, many doctors either do not agree with ACOG 
  guidelines or interpret them differently. - Obstetrics and Gynecology, 
  April 1, 2000

Re: [ozmidwifery] Caesareans

[Mary Murphy]

What I find interesting is that it has 'always' been said that the best 
time to get in the water is after 5cms dilated.  Personally, I have always 
encouraged labouring  women to use the water for releif of pain 
&/or fatigue whenever they wanted.  I don't believe there is a magic 
number.  In view of the BMJ report, maybe I have been doing the right thing 
all the time?  MM

  
  what is interesting is the RCT in the 
  BMJ which showed water was effective in decreasing the need for 
  intervention/augmentation in women with 'dystocia'. So in these cases maybe 
  getting the women i to water would have encouraged their labour to progress 
  and avoid CS altogether
  Belinda
  
- Original Message - 
From: 
Mary 
Murphy 
To: list 
Sent: Wednesday, March 03, 2004 7:24 
PM
Subject: [ozmidwifery] Caesareans

From the USA- An Agency for Healthcare Research and Quality (AHRQ) 
retrospective study of 733 women who delivered fullterm, nonbreech infants 
by unplanned cesarean found that as many as 24% of c-sections for "lack of 
progress in labor" are performed too early. This group comprises women who 
undergo a c-section when their cervix has dilated 0 to 3 centimeters. The 
American College of Obstetrics and Gynecology (ACOG) guidelines recommend 
that dilation should be 4 cm or more before a failure to progress diagnosis 
is made. The researchers postulated that many doctors are more comfortable 
with the risks of c-section than they are with labors that do not progress 
as rapidly as expected. In addition, many doctors either do not agree with 
ACOG guidelines or interpret them differently. - Obstetrics and 
Gynecology, April 1, 2000

Re: [ozmidwifery] Caesareans

[Jen Semple]

Belinda, I'd love to read that article.  Do you know the reference?
 
Cheers, JenBelinda Maier <[EMAIL PROTECTED]> wrote:




what is interesting is the RCT in the BMJ which showed water was effective in decreasing the need for intervention/augmentation in women with 'dystocia'. So in these cases maybe getting the women i to water would have encouraged their labour to progress and avoid CS altogether
Belinda
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