Dear Dr Barbara
As a member of ACMI I feel you do us proud, thank you
Denise Hynd
----- Original Message -----
From: "Barbara Vernon" <[EMAIL PROTECTED]>
To: "Ozmid" <[EMAIL PROTECTED]>
Sent: Thursday, December 04, 2003 11:20 AM
Subject: [ozmidwifery] Today Show's Caesarean birth


> Hi everyone,
>
> For your info I've sent the following message to the Today Show Producers
> this morning.
>
> Barb.
> Dr Barbara Vernon
> Executive Officer
> Australian College of Midwives Inc
> Level 1, 97 Northbourne Ave
> TURNER  ACT  2612
>
> Ph: 02 6230 7333
> Fax: 02 6230 6033
> www.acmi.org.au
>
>
> Dear Today Show producers,
>
> I write on behalf of the Australian College of Midwives to express
> disappointment at your decision to highlight the estimated 20 millionth
> Australian by filming a planned caesarean section birth.
>
> At a time when Australia's rates of both planned and unplanned caesarean
> sections are soaring to 2 to 3 times international standards of best
> practice (10%-15% is recommended by the World Health Organisation as the
> maximum rate at which women and babies benefit from this procedure), your
> article this morning adds further to the popular misconception that
> caesarean section is a safe and appropriate everyday 'choice' for women.
>
> Evidence in medical journals now shows that there is a significant degree
of
> medical over-servicing in maternity in Australia today, driven more by
> concerns about litigation than the best interests of women and their
babies.
> Women themselves are the ones being blamed for high rates of caesarean
> section.  Yet few journalists are asking the important questions - Why is
it
> that women believe major abdominal surgery to be a safer way to have their
> baby than vaginal birth despite research evidence to the contrary?  What
> does this say about the failure of our maternity care systems?  What are
> they being told by their doctors?  Are they being given evidence based
> advice?
>
> The most common reason for planned caesarean sections today is that the
> woman has had a previous caesarean section.  Yet the evidence shows that
> even women with a previous caesarean, with few exceptions, are more likely
> to benefit from vaginal birth than from a repeat caesarean.
>
> A recent UK House of Commons report recommended that all women considering
> CS should be informed that the risk of dying from complications related to
> CS is 4 times higher than for vaginal birth, and 5-6 times for their baby.
> Not to mention the significant increased risks of problems like
> pos-operative infection, respiratory distress for the baby and post-natal
> depression.
>
> One can only hope that today's story highlights to women that it is
> desirable to avoid caesarean section whenever possible.  It graphically
> portrayed that the woman was a bystander to her own babies birth, drugged
> and neglected in the background while her newborn baby's first experience
of
> life was medical procedures from strangers on the infant resuscitation
> trolley.  It is particularly unfortunate for both the baby and the mother
> that the hospital portrayed does not even provide for immediiate
> skin-to-skin contact between mother and baby despite this being accepted
> practice in other operating theatres, and supported by research evidence
to
> have significant benefits both mother and baby.
>
> The College welcomes the Today's Show's interest in the important issue of
> childbirth.  We would urge you to have more regard for the research
evidence
> on best practice when deciding on how to portray this issue in the future.
> We would be happy to provide information on any area of pregnancy and
> childbirth should you be interested when preparing a future article.
>
> Yours sincerely,
>
> Dr Barbara Vernon
> Executive Officer
> Australian College of Midwives Inc
> Level 1, 97 Northbourne Ave
> TURNER  ACT  2612
>
> Ph: 02 6230 7333
> Fax: 02 6230 6033
> www.acmi.org.au
>
>
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