Kirsten, where do you live?
----- Original Message -----
From: "Kirsten Wohlt" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, August 10, 2004 3:16 PM
Subject: [ozmidwifery] VBAC question again


> Hi all,
>
> I know there has been a lot of discussion here in recent weeks about
VBACs, so I'm sorry to ask again.  I had a big problem with my email and
have lost some folders where I keep articles of interest.  I just wondered
if I could be pointed to some positive resources for women considering VBAC.
I am following a woman as part of my BMid course, who is 14 weeks pregnant
with baby 2.  Baby 1 was born via emergency cs after a failed induction -
the baby was just not descending after 19 hours of relatively active (?)
labour.  She really wants to have this baby as naturally as possible.  We
attended her first obstetrician's appointment today, and he was going over
some results from a pelvis scan she had done.  He said that one of the upper
(?) measurements was a little low/narrow, but it was no real cause for
concern, because the results would need to be all quite abnormal to suggest
complications with descent.  However!  Ahh the however!  He went on to say
that with anaesthetics being so safe these days, and the heightened risk
associated with ruputre of the scar (trial of scar?) he would recommend that
she go straight for the cs.  At this point he thought it opportune to
mention the deaths of 2 babies born this year at a local hospital during
VBACs!!  I kid you not!! He gives her a 60% chance of a successful (!!?)
birth if VBAC, saying that a woman who had undergone the original cs due to
breech position would have a higher chance of success than she would, as her
complication was related to descent.  All sounded very logical.  And that is
the scary thing to me!!  So many women (me included I think, before I had
started my course) would just say 'oh, yes, of course, you know best'.  That
just limits them so much.  At the end of the day, he may be quite right, but
at least give her the opportunity or means to investigate the options.
Don't suggest her baby will die if she doesn't get a cs!  Sorry - getting
angry!! :)
>
> As soon as we were out of there I asked her how she felt about what he had
told her, and she was quite concerned that he didn't offer her any support
or guidance re the VBAC at all, and was quite distressed that he brought up
the deaths of the 2 little babies earlier this year.  I offered to get on
here and get her some information, for which she was grateful.  Just links
to good sites would be great - Abby, I think you posted some when I asked my
first VBAC question a couple of months ago.  Anything at all would be very
much appreciated.
>
> Many, many thanks,
>
> Kirsten
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