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Dear Isis
I hope you can continue to effectively channel your
rightful response to this incident.
I feel you need to consider doing the following
1) Write a letter of complaint to the hospital
where this doctor works if he is an employee
If not to your state health complaints commission
and medical board as this is intimidation and contrary to your right and his
duty to give respectful treatment and informed consent, let alone
evidence based practices!\
Ask for a letter of apology or the evidence
that supports any of his contentions let alone his
intimidatory presentation as professional let alone therapeutic!
2) withdrawing from the care of
the institution that accepts such treatment.
If you want the highest likelihood of a natural
vaginal birth then go to those who deliver such outcomes the most,
midwives.
As Lois said Is there a midwifery only program
where you are or a midwife in private practice?
If you truly want this why
are you where this is not offered and it seems not recommended and therefore
probably not produced??
Denise Hynd
----- Original Message -----
Sent: Tuesday, July 15, 2003 4:56
PM
Subject: RE: [ozmidwifery] vaginal wall
tearing
I apologize in
advance for rehashing an old topic of discussion, but I need to get this off
my chest.
I had a 36 week ANC
appointment with one of the hospital OB�s yesterday and I
left the appointment shaking with anger. I also left questioning my own wishes
and plans. I was asked if I realized the risks of a VB due to my tear. I
answered to the affirmative. I was asked if I truly appreciated the �great�
possibilities of incontinence if I had a VB. I answered yes, but didn�t engage
in a debate over the actual research done and what may cause the
incontinence.. I was then asked how I felt in the event of a successful VB,
with no tear, still meaning that 10-20-30-40 years down the track I would most
likely still need a colostomy bag due to the damage to the perineal
nerves/muscles- all linking back to my �ungiving� scar tissue and my adamant
wish to have a VB. How does he expect me to feel, with this doom and gloom
prediction being spouted in an extremely patronizing tone of voice? He
went on and on for about 6-7 minutes about how I must realize the risks that
my choices could entail. I felt my face getting hot, I felt sweat beading on
my upper lip, I started shaking. The only part of my wishes that he actually
�approved� was the possibility of an episiotomy.. Then he started on my
wish for a physiological 3rd stage- again predicting doom and
gloom. His exact wording was �Sure it is great to have a natural delivery of
the placenta, but you can also die naturally from massive blood loss. Did you
know that a PPH can mean that blood is running with the speed of a household
tap and before you know it you have lost 3000cc of blood?� I just nodded
dumbly in shock and disbelief..
Today I doubt myself,
my abilities, my wishes, my knowledge, my body. I feel physically sick,
thinking of all the women who go to see a doctor and end up being scared into
submission. No wonder the rates of intervention are so high, no wonder the
concept of a normal, natural birth doesn�t actually mean what it sounds like..
I am scared of this
birth, I am wavering in my resolve to not have a c-section just in case. I
feel empty.
-----Original
Message-----
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lois Wattis
Sent: Friday, 6 June
2003 10:15
AM
To:
[EMAIL PROTECTED]
Subject: Re: [ozmidwifery] vaginal wall
tearing
Dear Isis - I
am impressed with your response to Jo, and the way you have worked through
your own experiences. Congratulations. You display courage and
wisdom in your choice to birth (again) as naturally as possible.
I applaud and endorse the advice given by the private OB. Being
upright through labour and especially the use of water immersion which assists
the process of softening and stretching the perineum, and 'feeling' your
own progress in the expulsive stage. Most importantly, allowing the
time for the crowning and birth of the baby's head and body to be
SLOW, and not forced in any way - YOU WILL PROBABLY NOT NEED AN
EPISIOTOMY!! Many birth practitioners (midwives
AND ob's) get very anxious when the birth is slow, and feel compelled to
intervene, especially if the birth is in water. Birth in water is gentle
on baby and on you...Be guided by your instincts. Best wishes, and let
us know how it goes. Kind regards, Lois
----- Original Message -----
Sent:
Wednesday, June 04, 2003 6:19 AM
Subject: RE:
[ozmidwifery] vaginal wall tearing
Hi
Jo,
I tore
to the 4th degree with my daughters birth. A mix of factors
caused it- very fast labour, compound hand and forced pushing while on my
back with my legs braced on midwives hips.. My poor perineum didn�t stand a
chance.. Unlike your lady, I have had no problems healing, with incontinence
or sexual dysfunction.
This
birth I have been advised by hospital OB�s to have a c-section. Any midwife
I speak to disagrees with that recommendation. A private OB agreed that a VB
was indeed possible, but to keep upright, active during first stage. During
second stage, no forced pushing as such. Follow my urges and to
breathe/grunt with the uncontrollable urges. An episiotomy may be advisable
while babe�s head is crowning to �take the pressure off� the peri scar
tissue. This same OB mentioned being in a bath, peri massage, hot
compresses, having my hands on my peri to �feel� what is happening- but most
important, stay off my back J
I wish
your lady luck and strength. It is a hard decision to make and only one that
we (as the mother) can make. We are the ones that have to stick up for
ourselves and take the bit between our teeth.. Then we have to be the one to
climb back on the horse and ride again if we fall off..
I
shall keep you all posted as to how this birth goes. Less then 10 weeks till
birth time finds this family again J
Cheers-
Isis
-----Original
Message-----
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of M & T
Holroyd
Sent: Thursday, 29
May 2003 10:35 PM
To:
[EMAIL PROTECTED]
Subject: Re: [ozmidwifery] vaginal wall
tearing
I don't know if this will help,
but as a midwifery student I cared for a woman who had had a previous 3rd
degree tear (I think... can't remember all the details as it was 5 years
ago). She had to have it repared in OT at the time & I think maybe
one more op later down the track... as you can imagine she was very worried
this time around. The Dr's notes stated that she was to have an
episiotomy at even the slightest indication that she might tear.
Looking at her perineum the scar was large & there was a dint in it like
someone had removed a piece. Anyway, from memory she stayed
mostly active & only just made it back onto the bed in time for me to
catch the baby (I know better now with regards to the bed thing) & I
didn't even have time to call the registered midwife until the baby was
almost all the way out. The woman did not have even a graze to her
perineum / vulva. She was absoulutly happy (& so was I ).
She followed her own instincts & no coaching from me or her
husband. Good luck to this woman for whatever she
chooses.
----- Original Message -----
Sent:
Thursday, May 29, 2003 11:07 AM
Subject:
[ozmidwifery] vaginal wall tearing
I know there has been
discussion in the past about this but I am in a hurry to get some
information for a woman whom had a positive vaginal birth that turned ugly
when she "tore badly inside and out" (in quotes because that is what she
said and I have no further knowledge of what sort of tearing it was.) She
has had incontinence problems and sexual dysfunction for the last 16
months. Her first OB said to have a cs (of course) and then
yesterday she was told that she should not have a cs and that a vag birth
would be the best option. She is now very confused and scarred as
hubby wants her to have cs and her fear is that a vag birth will increase
problems they already have.
She is willing to have a vag
birth if she can optimise her chance of reducing the damage if a tear
happens again.
Can anyone offer midwifery
woman focused care and positions etc that she could use during a vag
birth? She would have a home birth but she can not afford it.
I suggested an independent mw to take with her to hospital but that was
dismissed without reason. She is an intelligent woman and if she can
read evidence to support the chance of her not having further damage
caused then she will opt for a vag birth I think. She wants to make
her choice in three weeks so I would appreciate some help in gaining
information and not waste time surfing around
cheers wonderful women! Hope
you can help me help a woman
avoid putting herself and her baby through a cs.
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