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How sad for this woman - that red tape and politics are going to scar
her for life in so many ways.
This is the sad reality of our free and lucky country.
Now speachless..
Rhonda
-------Original Message-------
Date: Thursday,
November 07, 2002 19:05:58
Subject: Re:
[ozmidwifery] VBAC
Thank you for your reply Lynne. Unfortunately, the model
of care where I
practice is 95% medical, so consequently, options are
rather limited. All
obstetricians here would veto the choice of
VBAC...litigation being foremost
in their minds. One GP incorporates
Team Midwifery into his practice, but
even there we are still "under
his banner" so to speak.
A midwifery model of care has been bandied
about for many years here. This
has been met with great resistance
from the obstetricians who view the model
as being one where they get
to clean up the mess as one so delicatly put
it.(We should
wish!)
This particular woman has been advised that the only option
was caesarian
section. She has seen her obstetrician privately
throughout her pregnancy
and as a consequence, our only 'access' to
her is when she was admitted as I
said at 36 weeks gestation, although
the cry..."Its never too late" could be
used in this instance.
She
is certainly aware of her options though, being advised by the midwives
who have met her since her admission.
Unfortunately, because
she would have to change hospitals (none of the other
obstetricians
would take on her care at this stage, in support of the other
obstetrician), it is all too much of a bother to have to address the
issues
of booking else where etc etc apparently, and woe betide the
midwife who is
found culpable of directing this woman to an
alternative hospital, let alone
another doctor!
Hope this is
not too long
winded.
Regards,
<br><br><br><html><DIV><FONT
color=#cc3333 face="Lucida Handwriting,
Cursive" size=5>Jenny
<IMG height=12
src="http://graphics.hotmail.com/emrose.gif"
width=12></FONT></DIV></html>
>From:
"Lynne Staff" <[EMAIL PROTECTED]>
>Reply-To:
[EMAIL PROTECTED]
>To:
<[EMAIL PROTECTED]>
>Subject:
Re: [ozmidwifery] VBAC
>Date: Wed, 6 Nov 2002 10:03:48
+1000
>
>Hi Jenny - How does this woman feel about the
decision to have another
>caesarean? Does she know that she is
entitled to a second (and third...)
>opinion? Or will she be
jumping out of the frying pan and into the fire
>with the other
opinions she seeks (if all of the obs are like-minded)? And
>not
just obs either. I remember many years ago at a homebirth meeting, a
>woman approached me who had had three caesareans and asked me
whether I
>thought she could labour and give birth vaginally, and I
said "No, it is
>unlikely". In my ignorance and naievety, and
working within a system where
>no woman was encouraged, nor mostly
"allowed" to have a "trial of scar"
>(ugh...), I did not know, nor
had the experience to support a woman through
>this experience. I
had therefore never seen what women could do, except for
>those who
were dripped and monitored continually and told if they hadn't
>dilated x centimeters by x time they would 'need' a caesarean.
Talk about
>setting them up for one!
>
>Anyway, years
have gone by when I have been able to be with women choosing
>this
option and yes, it was at home. I got to know women who had done
>amazing things to get their babies born, and I remember telling ab
ob I
>know about these experiences, and others I had heard about.
He asked me why
>he had never heard of women achieving these
incredible births after one and
>more caesareans. I can remember
just looking at him, and asking back "Would
>you or colleagues of
yours have listened to them had they requested support
>for this?"
He could not answer me.
>
>I was at two amazing births a
fortnight ago where the woman had had
>previous caesareans - I am
fortunate enough to work in a hospital now with
>people who support
the concept of vaginal birth following caesarean, and
>our "stats"
are exceptional. But what is far more important than stats is
>how
the woman planning to give birth vaginally feels about it, whether she
>gives birth vaginally or by caesarean (or as a friend of mine and
I hear
>"from above, or from below" - WHAT mesages does that
give!!!).
>
>She is the 'liver' of the experience - the giver
of birth, and what she
>feels as she moves through it and into the
rest of her life may be cruicial
>to how she sees herself, her
relationship with the infant, with her
>partner, and with her other
children. And incidentally - I have learned
>more than you could
know, or I could have possibly believed from these
>women - many go
through agony before they get to the point of actually
>giving
birth, and the agony begins long before the labour...and often
>doesn't include the labour either.
>
>Some women go a
long way, both emotionally and distance wise to find that
>support,
but it is a fact that most have no or little support from family
>or friends for their decision, and less from the medical
profession on the
>whole. A well know ob in Bris is often quoted as
saying "you will never get
>sued for doing a caesarean but you will
if you don't". I happen to
>disagree, and the really unfortunate
thing about this is that either a
>woman or a baby, or both, will
have to die or be badly injured during the
>course of an
uneccessary caesarean for this to occur.
>
>My tuppence
worth....
>
>
>
>----- Original Message
-----
> From: Jenny Balnaves
> To: [EMAIL PROTECTED]
>
Sent: Wednesday, November 06, 2002 8:22 AM
> Subject: [ozmidwifery]
VBAC
>
>
>
> Just a query...the hospital I work in
has a fairly high caesarian
>section rate unfortunately. I admitted
a woman for rest last week (at 37
>weeks) who is expecting
twins...second pregnancy...first was an elective
>luscs because of
'high head at term'- otherwise known as cephalo pelvic
>disproportion.
>
> This time, both twins are cephalic,
first twin's presenting part is very
>low in the pelvis and is well
and truly engaged. Is such a shame that this
>woman's obstetrician
will not even discuss the concept of vaginal birth
>after caesarian
don't you think?
>
> I welcome any comments anyone would like
to make please.
>
> Regards,
>
>
>
>
Jenny
>
>
>------------------------------------------------------------------------------
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