----- Original Message -----
Sent: Monday, March 25, 2002 8:59
AM
Subject: VBAC help
Hi everyone,
Found this on a site I browse and lurk on, I know everyone's
really busy, but I thought i'd post it here and see if anyone had any
suggestions for this enterprising (and gutsy!) young woman...
I am currently trying to get into the
Brisbane Birth Centre at RWH for the birth of my 3rd child who will be my 2nd
natural delivery (my first child was a csec).
I am currently being denied
on the basis of a policy which will not allow any woman with a uterine scar
(regardless of cause or subsequent obstetric history) access to the birth
centre because of the risk of uterine rupture. This means that there are a
group of women who have a risk of uterine rupture that varies between 0.2% (1
in 500) and 6% (6 in 100) who do not have access to the birth centre. The risk
of uterine rupture is directly related to the cause of the uterine scarring,
the location of the scar and subsequent obstetric history. For women such as
myself who had a lower segment ceasarean and a vaginal birth since the risk is
only 0.2% which is actually less than the risk of fetal distress, cord
prolapse and placental abruption; all conditions that could happen to any
woman in labour in the birth centre regardless of history and all of which
require similar emergency action to uterine rupture.
I have used this information and the fact that this
policy contradicts two other policies to which RWH are signatory to develop my
arguement for allowing me to the birth centre. The midwives at the birth
centre have indicated they would be happy to take me (and women like me). I am
yet to receive an answer from RWH.
The primary reason I am writing is two fold. Firstly to
find out if there are any women out there who had a VBAC (vaginal birth after
caesarean) delivery in the Birth Centre (as the midwives have told me they
have done some of these in the past but arn't allowed to give me names because
of medical in confidence)
Also to find other women who have recently been turned
away from the Birth Centre because of this policy. I am aware that there has
been at least one other in the past couple of weeks with a similar history to
me but do not know her name.
If there are also women out there who have had VBAC
deliveries in other public Birth Centres in Australia I would appreciate your
stories.
I can be contacted at [EMAIL PROTECTED] or on this
board.
The link is at http://www.essentialbaby.com.au/ubb/ubbhtml/Forum12/HTML/000355.html
Thanks in advance
Tania
