I think too that if there are women who don't want a VBAC who are placed in
that group... as soon as the going gets tough... they are going to request a
C/S and of course their wishes should be respected.. so the outcomes will
not be as good as the women who want to VBAC as they are so amazingly
willing to work to achieve their goal.

Love Sally Westbury
----- Original Message -----
From: "Marilyn Kleidon" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, October 24, 2003 9:00 PM
Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald


> I just had this thought while having the morning shower:
>
> I think the idea of a RCT for Vaginal vs c/s birth is flawed (as we have
all
> said) not only ethically but in a true epidemiological sense, I mean
> isn't/wouldn't it be comparing the proverbial apples and oranges?  Isn't
it
> a bit like randomising a group of healthy people (who agreed to be in such
a
> trial??) to prophylactic appendicectomy (sp) or appendicectomy for
symptons
> only to see if elective removal of the appendix was a safer procedure? Now
> wouldn't the prophylactic group have better outcomes at least in the
> immediate post surgery period than those who waited for onset of acute sx?
> fewer post surgery infections etc?? I mean for such a trial to have any
> meaning over the life time wouldn't you also need a group of healthy
people
> who never had an acute episode which needed an intervention? Even so it is
a
> fruitless meaningless trial which could only prove that prophylactic
surgery
> was better?
>
> The same with the c/s trial. It has to be stopped. It is a set up.
>
> marilyn
> ----- Original Message -----
> From: "*G and S*" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Thursday, October 23, 2003 12:34 AM
> Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald
>
>
> > 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
> >
> >
> > *I think we'll be at the same fishing spot and in the same boat!*
> > Sonia.
> >
> > --
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> >
>
>
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