Re: [ozmidwifery] Re: uterine rupture 1998

[Abby and Toby]

>>While I do not support the notion that women desiring vbac are considered high risk or obstetric care, I do believe that once a decision is made to augment and/or induce a labour then the obstetrician needs to be consulted referred to and obstetric protocols need to be followed if the decision is made to augment/induce, even though midwives are providing the one-to-one care, it is now obstetric care.   I think the way midwives are trained now, they can still be the carer if induction etc was chosen because they are trained basically as obstetric nurses, not really in the traditional sense of a midwife. (Throw the flames if you want, but this idea comes from student midwives themselves.) Though, I would question any midwife that agreed or suggested medical induction for any woman having a vbac, it hikes the risk factor up by heaps. A scarred uterus is usually only at a higher risk of rupture than an unscarred uterus when unnecessary interventions are performed ie induction. I haven't heard or read of any woman having a vbac that had a uterine rupture that was labouring completely naturally, with absolutely no interventions eg. natural or medical inductions, ve's, ARM etc. I have met one woman that ruptured, not after a c-section, but her second son was born so quickly and ferociously she ruptured.   Love Abby