we have been discussing this article too, or an offshoot from perth. it seems to me to 
be a further automatic kneejerk reaction to litigation from those experts at strange 
who are from the usa. i can just see some insurance company paying for this research, 
and unfortunately i can even see some women being manovoured into it. can't you see 
some ob. finding a scared pregnant woman who is vasilating over whether she wants to 
suffer pain in labour and saying "there is this trial which gives you a 50-50 chance 
of totally avoiding all this pain........" it just makes you cry. i have run into this 
attitude towards vaginal birth amoung surgeons and anaethatists when i worked in 
theatre so its not too far a stretch of the imagination to see where this came from. 
just the idea of someone being serious aout this research gives me the heeijeebies. it 
would be sooooo immoral to do this to women. i'm sure that the researchers could 
somehow write it to pass an ethics board, how i don't know, but they'd get some ethics 
lawyer involved and before you know it , white isn't white at all, its black.

love Bethany 

-----Original Message-----
From: Justine Caines [mailto:[EMAIL PROTECTED]
Sent: Friday, 17 October 2003 16:00
To: OzMid List
Subject: [ozmidwifery] C/S in Sydney Morning Herald


Hi All

The SMH have confirmed the following letter will appear in tomorrow's paper.

Justine


As soon as safety is mentioned in obstetrics by Obstetricians there's a mad rush.

What they neglect to inform us is that many of their practices are not based on 
evidence and that despite huge medical intervention, safety has not improved in 
Australia.  In fact the latest data on maternal deaths saw an increase.  This study 
represents a very sad fringe of the medical profession.

A woman is 4-5 times more likely to die from a caesarean section than from a normal 
vaginal birth.  A figure quoted in the last Senate Committee report into childbirth 
procedures.  It is also well noted that surgical intervention in birth increases 
post-natal depression.  With a C/S rate 2.5 times higher than the World Health 
Organisation recommends, high incidences of post-natal depression and no report into 
what seems to be a high incidence of maternal morbidity, this study would be highly 
unethical and a denial of a woman's most basic human right.
--
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