The potential for placental problems does not seem to be discussed with women when they are booking in for repeat caesareans. When I speak with women who are having elective repeat caesareans, they seem unaware that this may be a consequence of this choice. As a result of this, this information is included in antenatal classes when discussing caesarean birth and also in the VBAC and caesarean class. ----- Original Message ----- From: "Marilyn Kleidon" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, March 30, 2003 1:33 AM Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial feeding
> Hi Sarah: I just wanted to add a note about the increased risks of placenta > previa, accreta, and percreta which are real risks to a populatiuon of women > who have had prior cesarean birth(s). However they really don't tell us > anything about this woman's actual risk. If she has had problems with > removal of the placenta after her previous cesareans then maybe this can be > checked out with u/s as this would tell us valuable info. We had a mum in > for an elective repeat caesar the other week who had a known placenta > percreta (had been checked by u/s as having not grown through to the > bladder). There were extensive precautions taken to avoid an obstetric > disaster and they did. I think the risk of women having these placental > problems after c/s is a bit like women's risk of developing kelloid growths > after ear piercings: some of us will never develop them (0% actual risk) and > others will always develop them (100% actual risk), but we don't know an > individuals actual response until after the event, so all we can give is a > population risk. > > I think an outcome of the increasing number of caesars occuring right now is > this increased risk of retained placentas (accretas etc..) due to uterine > scarring. Since we have not done this before I think we simply don't know > what the risks of this particular outcome occuring will be. > > marilyn > ----- Original Message ----- > From: "Lynne Staff" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Friday, March 28, 2003 1:16 AM > Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial > feeding > > > > Hi Sarah - has she considered labouring and giving birth? > > ----- Original Message ----- > > From: "sarah.darling" <[EMAIL PROTECTED]> > > To: "Ozmidwifery" <[EMAIL PROTECTED]> > > Sent: Thursday, March 27, 2003 4:03 PM > > Subject: [ozmidwifery] risks of 4th c/s and support for artificial feeding > > > > > > > Recent new subscriber here. I'm a community midwife in England and am > > really > > > struggling to find research on the risks of a 4th c/s as opposed to any > > > other number c/s (i.e. what are the increased risks of a 4th c/s, if > any, > > so > > > that one of 'our' women can make a decision whether to try for a 4th > baby > > as > > > she has been told that 4 x c/s is 'too dangerous' - her quote). Also > does > > > anyone know of any research asking women whether, if they chose to > > > artificially feed their baby, they received support/teaching in making > up > > > feeds, etc., singly or in groups. This is for a senior student and her > > > dissertation. Really enjoying all the wisdom out there! Best wishes > > > Sarah Darling > > > [EMAIL PROTECTED] > > > Community midwife > > > > > > > > > -- > > > This mailing list is sponsored by ACE Graphics. > > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
