Dear Lynne and others on this subject I agree this information needs to be given to women antenatally in whatever location they can be accessed. Problem is, women planning C.S. for whatever reason frequently don't attend any antenatal education because they consider they do not need it (not planning labour), so they are missed. Their total exposure to 'education' is what they get from the ob (!!!) usually scant at best.
Another common situation is that they are not 'planning' another pregnancy so discount the potential consequences abnormal placental implantation in a subsequent pregnancy. We all know some pregnancies occur - unplanned.... Women tend to hear what they want to, and discount the info they feel does not apply to them. I also find they (elective C.S. candidates) often know NOTHING of the potential risk for endometrial problems related to their scarred uterus.... another subject infrequently discussed in the "ob. education" process. Unfortunately, so many of the elective C.S. women are NOT making truly informed choices. (sigh) Lois ----- Original Message ----- From: "Lynne Staff" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, March 29, 2003 6:53 AM Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial feeding 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. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
