RE: [ozmidwifery] Reply required urgently: determining risk of uterine rupture?

[Vicki Chan]

Title: Message

Dear Becky, I am not currently taking clients but have attended quite a few women over the years having homebirths after their previous cesarean sections. It has never been my practice to request a scan or ob/gyn advice (we can guess that without paying all those$$). Independent midwives are a rare breed in this part of the world and if you have spoken to two, that may be it! Another alternative is to consider Selangor Hospital at Nambour who are very supportive of VBAC. All the best, Vicki Chan -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of paul dunwell Sent: Friday, October 11, 2002 10:33 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Reply required urgently: determining risk of uterine rupture? Importance: High Thank you Robyn.   I agree with you to go with my instincts but I needed to check if the ultrasound is a standard procedure of c-sectioned women who are interested in homebirthing.     I'm left with a feeling of uneasiness to know that the 2 random midwives (from Sunshine Coast and Brissy area) that I called, would suggest that to me unless   are to go by the insurance crisis is really getting a hold of the independent midwives as well.   I still have several midwives to call or await replies.  And I was hoping that someone on this website can suggest other midwives that I can contact.  So far, the 2 midwives, mentioned above, were the only 2 who called back.   Becky   ----- Original Message ----- From: Robyn Thompson To: [EMAIL PROTECTED] Sent: Thursday, October 10, 2002 8:16 PM Subject: RE: [ozmidwifery] Reply required urgently: determining risk of uterine rupture? Hi Becky No tests are conclusive.  Each makes a total picture like a jigsaw.  The real test will be to say no and not accept to much medical input.  There are a few really good books with statistics about Natural Birth after Caesarean Section.  Contact Acegraphics.com.au for the current authors and be guided by your instincts in the main.  You would be better to labour and birth at home away from the fear of intervention and have a backup booking at a hospital of your choice and try to find a cooperative obstetrician of a GP with obs/gyn to be availabe if you decide you need medical opininion or assistance.  Keep interviewing you will find the right people to empower you.  There is a lot of information on the net under the title VBAC - Vaginal Birth After Caesarean Section.  Hope this is helpful   regards,  Robyn www.melbmidwifery.com.au    -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of paul dunwell Sent: Thursday, October 10, 2002 3:37 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Reply required urgently: determining risk of uterine rupture? Importance: High Greetings to everyone on the list.   I'm new to the list.  I'm expecting my third child due in March.  I've had 2 c-sections previously and was automatically told that consequtive pregnancies will be c-sections.  I am not comfortable with this and have started searching for midwives who will attend homebirths.   Until recently, I suppressed the past experiences and am now endeavouring to gather my hospital notes to ascertain the reasons for the previous c-sections.   In the meantime, I'm ringing around to arrange "interviewing" potential attendants.  Thus far, I was able to contact two out of my list and both suggest getting an ultrasound and having an ob/gyn advise on the percentage risk of uterine rupture.  I was under the impression, like pelvimetry, this kind of test is inconclusive as well.   Can anyone tell me if this test is standard or even required in order to proceed with interviewing for homebirth midwives?   I'm prepared for the possiblity of a c-section; however I am cynical about getting a test done if it is in aid of condoning another c-section in the environment of insurance crisis.   I am not sure the "right questions" to ask and do hope I am not offending anyone on the list by my concerns.   Your advise would be greatly appreciated as a pursue my birthing options.   Kind regards, Becky