Hi Kirsten,

Babies can die during a vbac with uterine rupture, but uterine rupture is
very rare and babies deaths during uterine rupture even rarer.
I am not sure about the choking though??
Uterine rupture can occur in a normal birth also. The statistics are
slightly higher with a vbac.
With one to one focused care of a woman having a vbac, a uterine rupture
should not result in death of a baby. If a woman is encouraged to be intouch
with her body and a carer is aware and focused on a woman, then they would
both know if something like a rupture was happening. There are numerous
precautions that a woman and carer can take in a vbac, primarily staying
away from unnatural induction. Inducing can cause unnatural contractions and
put too much pressure on the scar and uterus. Also if a woman can stay clear
of drugs during labour, she is more aware of the different types of pain(if
any) during contractions. If a rupture does occur, there is time to get the
baby out with no harm as long as mum and carer are aware of it happening.
There is so much WONDERFUL information regarding vbacs, ruptures etc on the
net. Search on google for natural vbacs and you will find a wealth of info.
Also check out www.birthrites.org.au ( I think that's it.
 Ruptures are a tiny spec in the world of vbacs, something to be aware of
but not afraid of. So many women have amazing birth experiences after
c-sections.
As for your friend that is breech............there are lots of primary
carers that believe this is normal, and that women can have a normal
birth........unfortunately, sometimes you have to dig to find a good carer.
If she does have a c-section, there is usually no reason why a natural birth
in the future is out of the question.

Love Abby- who is not a professional, but has researched a lot for my own
personal reasons. I am fully open to being corrected if I have said anything
that someone disagrees with.
----- Original Message -----
From: "Kirsten Wohlt" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, June 29, 2004 9:06 AM
Subject: [ozmidwifery] Tragic c-section outcome


> I am a first year B. Mid student and just wanted to share something.  I am
very new at all this, so sorry if I sound a bit naive! :)  I am the
treasurer of my local Aust. B/feeding Assoc. group, and we had a dinner last
night to farewell a counsellor.  We were talking about the current debates
re c-sections.  One of the counsellors told us a tragic story about a friend
of hers who undertook a natural birth following a previous c-section.
During labour (not sure what stage) the old c-section scar in the uterus
ruptured, and the babies head pushed through.  The continuing uterine
contractions then literally choked the baby who did not survive.  I was
absolutely horrified to hear this story.  I don't know how common this would
be - a doctor at the table said she had heard of many bad outcomes following
c-sections, but nothing like that.  I guess the sad thing is that some women
have no choice but to have a caesar to safely birth a child, as was the case
for this woman I believe.  Then next time, she wanted the natural birth and
had this dreadful outcome.  More reason to avoid the elective c-s in my
opinion, but no solace for those requiring the surgery.  One of my follow
throughs is facing a caesarian at the moment.  She is 38 weeks pregnant and
her baby (number 1 and very tiny mum) is breech.  An ECV was unsuccessful
last week and she has previously tried every natural therapy and old wive's
tale to get the little one to turn, but to no avail.  I certainly won't be
sharing this story with her, but it has made me feel so nervous (for want of
a better word) for her and her future birthing experiences.
>
> I am really enjoying reading all that you are sending out.  The mails you
are all generating have been food for thought on many topics indeed.
>
> Many thanks,
>
> Kirsten
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