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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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