As far as I know it hasn't been reported in the USA either or if it has it
isn't big news, not even on the radar of the major midwifery/birth groups,
which is scary for Australia.  There is a huge pro c/s push in the western
world and we have to figure out what it really is about. I mean really
about. It feels beyond just the age old birth fear. I hope I am being
paranoid. Please tell me I am. Have heard it said that since most women in
Australia are having 2 children  these days, 2 c/s is not such a bad thing
like why risk a vaginal birth ( said by a woman). It just breaks my heart.
Too many failed inductions, too many interventions, too much fear.

thinking of going fishing

marilyn

----- Original Message ----- 
From: "Rob and Claire Leslie-Carter" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Wednesday, October 22, 2003 7:38 PM
Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald


> There are so many stumbling points for the idea of this research I just
> can't see how they are going to do it.
>
> How will they be able to randomise women, and what will they do with the
> women who cross over from one group to the other, or refuse to be part of
> it?  How will they manage the vaginal births?  There are so many subtle
ways
> of manipulating a vaginal birth to make it fail, I can't see how it will
be
> fair.
>
> What are the implications of the study, if it is going to say that
c-section
> is better, which must be the hypothesis, then what are the implications on
> health policy.  The US has a terrible infant death rate, terrible
inequality
> between rich and poor and a terrible PND rate.  Why would they be
focussing
> on this issue?  It seems to be going all ass about face to try to sort out
> the problem.  In fact it doesnt' seem to be trying to address those
problems
> at all, just ensuring job security for obstetricians and attendant
hospital
> staff.
>
> How would countries such as Australia with it's vast distances, and the UK
> with it's NHS be able to  incorporate this sort of thing.
>
> And my incredulity goes on and on.  I have found when discussing it with
> people that they are quite pro the idea of the research, "Finally
something
> that will stop all the silly debate", and there was a letter following the
> article in the herald that said "My baby was brain damaged in a vaginal
> birth, I would welcome the research etc etc.".  It seems that the public
is
> easily manipulated into believing that this research needs doing, without
> really looking at the problem with any objectivity.
>
> The other thing that has struck me is that this hasn't been reported at
all
> in the UK, I have looked on the BBC, the Guardian and the Telegraph, and
> there doesn't seem to have been a mention.  Why are we so excited about
the
> application for funding, that it gets front page coverage.  After all the
> trial hasn't even been approved yet.
>
> I think it is very appropriate that we are discussing Sonia's story at the
> same time as this,
>
> Yours in wonder at the world
>
> Claire Saxby
> >From: Sandi <[EMAIL PROTECTED]>
> >Reply-To: [EMAIL PROTECTED]
> >To: [EMAIL PROTECTED]
> >Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald
> >Date: Mon, 20 Oct 2003 07:40:42 +1000
> >
> >Yes, I could hardly believe my ears when the obs told us about this trial
> >recently, and I specifically
> >rejoined the list to see what was happening.  Show some pictures Lyn and
> >they'll simply counter with their own
> >messy pictures of tears and shoulder dystocia.  No we need to focus on
how
> >only a mother can draw
> >on all her strength and experience the wonder of birth.  Anyone can have
> >major abdo surgery, but only
> >a mother can labour, discover what a strong person she is and feel that
> >connection with women through
> >the ages.  The medical director coldly told me how much cheaper it would
be
> >having eluscs as opposed to emergency 0200, yes but what about all the
PND,
> >troubled breast feeding, poor bonding and troubled teens. Let's see how
> >much
> >that costs!  Not to mention, it would only take a bad batch of sterile
> >supplies and we could
> >potentially lose a few mums.
> >
> >Best of luck in countering this abhorrent research
> >
> >Sandra
> >
> >----- Original Message -----
> >From: "Lynne Staff" <[EMAIL PROTECTED]>
> >To: <[EMAIL PROTECTED]>
> >Sent: Sunday, October 19, 2003 9:45 AM
> >Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald
> >
> >
> > > "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.
> > > > --
> > > > 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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