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Hear Hear Denise!
----- Original Message -----
Sent: Wednesday, September 25, 2002 12:07
PM
Subject: Re: [ozmidwifery] vbac
Dear All
Can I please suggest we do not create new
patterns and labels for women inn labour to fit.
Vbac is like a primip??
The more you go where
women and their bodies and babies want to go the more you will come to
realise that individuality is every where
There are and wil always be
Primip have quick ("preciptate") labours
Grandmultips who have slow ("delayed" fail to
progress") labours
Because they may share their aprity with other
women but little else and so much can influence a woman, her body and baby in
laour and the art of midwfeery is about being with the woman with all her
complexities trying to understand and work with them, no some
preconceptions!
Denise
----- Original Message -----
Sent: Tuesday, September 24, 2002 9:32
PM
Subject: Re: [ozmidwifery] vbac
Hi Veronica
Wow, you seem to have your work cut out
for you. I will give you some good information to back up the validity
and the antiquity of the term VBAC.
Refer to the book Silent Knife:
Cesarean Prevention and Vaginal Birth after Cesarean (1983) Nancy Wainer
Cohen & Lois J Estner New York. This book is a must in the library
of any midwife supporting vbac women.
"In the 1970s, more studies
substaintiated the safety of VBAC; yet women were still being sectioned more
than 99percent of the time. Still, the winds of change were blowing.
In 1974, Nancy coined the term "VBAC" and by 1975 she was hearing the
acronym being used all over the country and was seeing it in medical
articles as well. " page 94 Silent Knife
The book is
getting quite old now, but most of what is written still holds true today,
and it is a confronting and challenging book to give food for
thought.
Congratulations Veronica on being informed and up-to-date
with the last 3 plus decades ;-)
.
Carolyn
PS I was under the impression that a woman who
had never experienced pushing stage, would indeed push just like a first
time mother. Certainly was the case for my vbac, took me ages to work
out that oh this was pushing not more posterior labour DERR!
Veronica
Herbert wrote:
004701c262fc$55ed7060$9245d0cb@pbncomputer
type="cite">
Dear all,
Once again I had to "explain" and defend the use of the
word VBAC. The response I got today was "Well I'm not going to
change what I say!" When I said the term had been around since the late
70's (somebody said that on here so I hope it's right lol) they said they
had never heard of it. Well they have now!!! I went home on my tea break
and printed off copies of the paper that Carolyn (hope you don't mind
Carolyn) wrote and I placed a copy in the postnatal ward, labour
ward, special care nursery, and the tea room.
Another thing, we had a woman who was trying to have a
VBAC today and the Registrar that was on said she was only allowed to push
for 20 minutes and then she was to have a vaccuum extraction, if she
hadn't pushed it out. Now I'm no expert on VBAC's but I thought that
that was a little unfair, since in her last labour she had only got to 4cm
dilated, and she had never been through second stage. Any thoughts?/?
By the way, she got to about 5cms and was in good established labour
managing well, had a V.E (was quite disappointed that she was "Half way"),
had pethidine, contractions eased off and she went for a C/S!
from Veronica Herbert
(Midwifery Student, University of Ballarat)
-----
Original Message -----
Sent:
Monday, September 23, 2002 8:36 PM
Subject:
Re: [ozmidwifery] vbac
Dear Lynne
It is good to hear that you don't use ECG
for vbac. Could you send me some policies regarding this (I hate
policies but they seem to be the 'in thing' at the moment and we need
those who LOVE policies to start to listen.) Where do you
work?
We would also like some stats to back the
success of vbac without ECG.
Could I send you a petition for your
(obviously intelligent, well run, women focused) place of employment to
sign. Our RANZCOG state committee are trying their DARNDEST to get
vbac out of the realm of normal and back into the good old High Risk
category.
Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED]
phone: 08 8388 6918 birth with trust, faith & love...
-----
Original Message -----
Sent:
Monday, September 23, 2002 7:09 PM
Subject:
Re: [ozmidwifery] vbac
We don't use continuous EFM for
women planning vaginal birth following caesarean, and they use the tub
too. Yes, it IS a safe and 'viable' option for women, and the
percentage of women giving birth vaginally (since numerical values
seem to have more street cred than the experience, as far as
you-know-who is concerned) at our unit has consistently been in the
high 80's to 90's.
Passion of mine!!!
-----
Original Message -----
Sent:
Monday, September 23, 2002 3:57 PM
Subject:
[ozmidwifery] vbac
hi
everyone,
I am wanting to know if anyone can help with a petition
being conducted
through CARES to maintain vbac is a safe and
viable option in birth
centres. The word is that the new
perinatal protocols will be calling
for all vbacs to be
monitored by ECG and thus will remove them from
birth centre
care.
I have a hard copy petition and we are working on an online
version but
need to know if there is anyone out there that I can
send the hard copy
to get some signatures? I am calling on
the maternity coalition
although I know everyone is busy with
NMAP -I am too!!, and also others
who are willing to keep vbac
safe from induction, augmentation and the
other wonderful types
of care that can increase the rates of rupture and
decrease the
woman focused care.
Please help as we need to move quickly on
this!
cheers
Jo Bainbridge
founding member CARES
SA
email: [EMAIL PROTECTED]
phone: 08 8388 6918
birth
with trust, faith &
love...
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