"there is this trial which gives you a 50-50 chance of totally avoiding all
this pain........"
A father-to-be I saw the other day, whose wife has had 2 caesareans (and is
having the devil of a time finding anyone to support her for a planned
vaginal birth), made the very pertinent point that 'natural' (read vaginal)
birth is ALWAYS portrayed as the worst pain a woman can ever have - too
terrible to contemplate, unbearable and totally avoidable, while the
portrayal of caesarean birth is ALWAYS pain-free, peaceful, smiles all
round.....etc

Should publish some photos/stories of infected wounds, blood loss, how women
vomit when their uterus is pulled outside their abdominal cavity, because it
is easier to suture, the trouble they have accessing their babies because of
the physical limitation of spinals and post-op pain (although that is
becoming such an art that it is very 'manageable' nowadays), babies with
lacerations on their face or buttocks, babies on oxygen, sometimes for a
week, and the separation that goes with that....as you can see this is a
sore point with me.

This trial disturbs me greatly for many reasons - but it's not just the
trial (although if the findings are that women like it better, that it is as
safe), then God help us! The wholehearted embracing of the findings of the
term breech trial (which scares the living daylights out of me) will pale
into significance compared to this (and the findings from the term breech
trial will be no doubt used to substantiate the rationale of this trial in
the first place........)

As I see it, one of the biggest probblems is the way information is provided
to the women in any 'obstetric' situation. I can imagine the way the
information will be provided for this. Major heebeejeebies.
----- Original Message -----
From: "Neretlis, Bethany" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, October 18, 2003 6:38 PM
Subject: RE: [ozmidwifery] C/S in Sydney Morning Herald


> 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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