could you email me off list Lynn? cheers 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: "Lynne Staff" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Cc: "Lynne Staff (Mayne)" <[EMAIL PROTECTED]> Sent: Friday, April 04, 2003 7:05 AM Subject: Re: [ozmidwifery] C.section education to do or not to do?
> Hi Alesa > We provide both where I work. The VBAC classes are getting bigger and > bigger - even to the point where we have had one woman come who wasn't even > pregnant yet. I love facilitating them - always teaches me something else > about women, and as for accompanying them in their birthwork! Well - can't > describe it - their strength, commitment and desire. > > The caesarean information classes have been a recent addition to our > antenatal and parenting program. It was decided that women who were choosing > caesarean birth (less), or who required one clinically (more) should have > the opportunity to connect with midwives at their intended place of birth > the same as any other woman. Woman who are having a planned caesarean also > access the midwives clinic, and appreciate the service as well. > > The caesarean class is a gret opportunity to discuss the womans choice, or > the situation she has found herself in - transverse lie, # pelvis, praevia - > whatever, and enables us to talk about what happens if she goes into labour > for her specific situation. It is great to be able to walk her through the > day, to show slides and discuss things such as the large number of people in > the OT, and what their roles are, the possible use of forceps for the birth > of the babe's head (most couples aren't aware of these things and they find > it very helpful to know), the fact that they have their baby with them ALL > THE TIME (being separated from their baby comes across as a big fear for all > couples in the groups so far). > > If she has chosen a caesarean for her own reasons, then it is also an > opportunity to explore the effect that this decision will have on her > "obstetric history" (because it will change it forever), and the possible > consequences of the surgery, now and in the future. Anaesthetic of choice is > also discussed, including the procedure of epidural, because the majority of > women have no idea what having an epidural entails > > Post operative recovery and care are discussed, including options for > analgesia, and their affects, what they can expect in the first few days > following, support they will need, etc. > > We also take the opportunity to look ahead to the next pregnancy, and > discuss the fact that most caesareans are for non-repeatable reasons, etc > and talk about the VBAC classes. They have the support of the obs, and they > will also discuss future pregnancies too and VBAC. > > Because a woman is having/choosing a caesarean birth, for whatever reason, > (whatever our personal thoughts about the overuse/misuse/abuse of them) > doesn't mean she should not have the same support from midwives. > > I chafe at the rate of interventions in this country - it is totally > unacceptable, and I constantly work to reduce them in any way I possibly > can. But women having a planned caesarean still need to be cared for with > respect, and be central in their care. This is still their decision to make. > > My thoughts.... > > > ----- Original Message ----- > From: "Alesa Koziol" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Thursday, April 03, 2003 12:44 PM > Subject: Re: [ozmidwifery] C.section education to do or not to do? > > > > Hi Julie > > I believe that if we are to provide women with enough information to make > a > > truly informed choice that all the information pertaining to C/S needs to > be > > included in antenatal classes. Including the current ethical debates on > C/S > > as a birth choice. I have yet to come across any hospital which provides > C/S > > or VBAC specific classes, but would be interested in hearing about any > that > > do > > Cheers > > Alesa > > > > Alesa Koziol > > Clinical Midwifery Educator > > Melbourne > > > > -- > > 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.
