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I was talking to a woman the other day who is booked in for a second
C/S because - she is having her tubes tied at the same time. Easier
that way!
Her first was booked due to 'disproportion' and so she was booked in
as soon as she fell pregnant although they have given her 4 different due
dates so she is hoping that they have booked the c/s soon enough --
"Gee, If I have one contraction with this one I will be so
cross. I didn't have any with the last and if they are wrong and I
go into labour I will be really pissed off!"
I was a little taken back by her attitude and pointed out that i
had wanted to deliver my son and that labour wasn't as bad as a c/s and
she sort of grunted about this being easier and having her tubes tied
being her main reason.
"Once the baby is born they can do a full hysterectomy for all I care
just so long as I don't have any more!"
I guess it has all been said before but I thought that the tubes tied
as the reason was a bit of a convenient reason - can't they do that
through keyhole surgery latter? Had they told her that it was not a
great big cut if she went back for that? I wonder what advice she was
given and what sort of facts they presented her with?
Rhonda
-------Original Message-------
Date: Saturday, 29
March 2003 07:30:47 PM
Subject: [ozmidwifery]
repeat cs candidates
I come across a number of women whom have had more than
one cs and when I
talk to them about the risks of repeat cs, the ones
who don't go off mad at
me for bringing it up, say that their concerns
are for the babies safety
only. I find this incredible that they firmly
believe that a cs is safer
for child. When I ask about respiratory
disorder and so on, their response
is that they would prefer baby to be
in a nursery for a few hours for
monitoring for breathing problems
rather than neo-natal intensive care unit
for weeks/ months with brain
damage. They seriously believe that an event
like that is common with
vaginal births! Mind you, if you look at our
Australian society's
attitude towards birth being fraught with danger, it is
easy to
understand how these women think that it is true.
When asked about the
risks to themselves, they say things such as "I am only
having one/two
child/ren anyway" or they would prefer to have a cut on
their tummies
rather than a huge tear from their vaginas to their
anus....again
skewed view points showing through. (I usually say "well I
can tell you
19 staples in the tummy hurts like hell" "what do you mean
staples???"
but now it is a dissolvable stich in many cases so it is even
more
trivialised by some care providers)
Not really saying anything you guys
haven't already heard but just thought I
would put the anecdotal
information that I have come across with CARES.
How many hospitals
have a cs antenatal class?
How many have VBAC classes?
I
have had a discussion with Marc Keirse (effective care) about
introducing
VBAC models of care (in the form of VBAC clinics eg)
however his first
thoughts were that it would marginalise VBAC. But my
retort was that we are
already marginalised as high risk (no birth
centre, continuous monitoring
time restrictions etc) but if we were
cared for by educated supportive and
caring care providers who focus on
our 99.7% chance of our scar rupturing
and not the 0.3% that it could,
then being marginalised would be a good
thing.
Any thoughts on this
suggestion?
Jo Bainbridge
founding member CARES SA
www.cares-sa.org.au
[EMAIL PROTECTED]
phone: 08 8388
6918
birth with trust, faith & love...
----- Original Message
-----
From: "Lois Wattis" <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent:
Saturday, March 29, 2003 10:14 AM
Subject: Re: [ozmidwifery] risks of
4th c/s and support for artificial
feeding
> 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.
> > >
> > >
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> > >
> >
>
>
> > --
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>
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