Jo, it would be great to catch up with you offline about our vbac passion.but right now i have got to get ready for night duty. glad to have been able to help. cheers kathy ----- Original Message ----- From: "Dean & Jo" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, June 15, 2004 7:59 PM Subject: Re: [ozmidwifery] VBAC multi-centred study
> WOW! it is amazing how high the numbers arer of ruptures that occur NOT > during labour?? > > Kathy, I found you VBAC stuff you sent the other day and alsofound the reply > I had dedicatedly written and negated to post!!! I am so sorry! I would > love to talk to you about this off list if you want to. > cheers > Jo > ----- Original Message ----- > From: "Kathy McCarthy-Bushby" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Monday, June 14, 2004 9:02 AM > Subject: Re: [ozmidwifery] VBAC multi-centred study > > > > Dear Jo, > > You can get this research article in the Australia NZ J Obstetric Gynaecol > > 2000:40; 1; 87-91. > > In regard to the uterine rupture rates there is a table in this article > that > > states > > - designated trial of labour - 26 > > - other lower segment scar - 4 in labour; 7 not in labour > > - classical or other scar - 3 in labour; 5 not in labour > > - not scarred - 13 in labour; 4 not in labour > > - all patients - 46 in labour; 16 not in labour > > I hope this helps you in some way. > > cheers > > kathy > > ----- Original Message ----- > > From: "Dean & Jo" <[EMAIL PROTECTED]> > > To: <[EMAIL PROTECTED]> > > Sent: Sunday, June 13, 2004 8:57 PM > > Subject: [ozmidwifery] VBAC multi-centred study > > > > > > Is there anyone in ozmid land who has the full study: > > > > Vaginal birth after Caesarean section: an Australian multicentre study. > VBAC > > Study Group. > > Appleton B, Targett C, Rasmussen M, Readman E, Sale F, Permezel M. > > > > I am tring to determine exactly what ruptures the researchers refer to... > > the abstract reads: > > > > Retrospective analysis of medical records and individual case review was > > undertaken at 11 major obstetric hospitals for a 5 year period from July > > 1992 to June 1997 to investigate rates of vaginal birth after Caesarean > > section (VBAC), the occurrences of uterine rupture, and the outcomes for > > mother and infant following rupture. Total deliveries were 234,015, of > which > > 21,452 or 9.2% were associated with one or more previous Caesarean > sections. > > Within this scar group, 5419 patients or 25.3% were delivered vaginally. > > There were 62 cases of significant uterine rupture with no maternal > deaths. > > > > I will never claim to be an expert at critiquing research, so hope that > > someone can offer some suggestion. My question is this...it says that > there > > were 62 ruptures but they dont say exactly which groups these ruptures > > occurred in- was it just the women with previous cs history? Was it just > the > > whole numbers, ie including those without cs history? As it reads it > doesnt > > really say specifically. > > > > It also reads: > > In women attempting vaginal delivery after a previous lower segment > > Caesarean section, the uterine rupture rate was estimated at 0.3%, with > > 0.05% experiencing a perinatal death and 0.05% requiring a hysterectomy. > > > > What are the current figures relating to women having cs requiring > > hystorectomy?? > > > > Can anyone chat to me about this soon as i am writing a report on a > document > > that will have HUGE impact on vbac acre here isn SA...and possibly not for > > the good! > > > > cheers Jo Bainbridge > > > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
