RE: [ozmidwifery] Re: uterine rupture 1998

[Sally Westbury]

There is such a wide variation about how people are trained. I feel pretty lucky to have has midwifery training and then apprenticed with a group of midwives. I worked for about 18 more months as the apprentice. This was a fantastic time. One of the women who inspired me (Hi Annie Pop) told me that the longer I spent working in the hospital the more fear I would learn. I am eternally grateful t her for encouraging me to move out of hospitalised birth earlier rather than later! This is one way to blend the medicalised training with wise woman training.   I believe that we need to work more with the wise women and I am still learning from and in awe of my mentors here in Fremantle (Hi Theresa and Mary).   Sally Westbury Homebirth Midwife   "It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her."    -Judy Slome Cohain -----Original Message----- From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Abby and Toby Sent: Monday, 4 October 2004 12:55 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Re: uterine rupture 1998   >>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