Rachel is that the Wesley Hospital in Townsville?
Knowing the rates of C-section up here it does not surprise me. I think
their rate is around 50%. (Although they seem to be the better of the two
Private Hospitals)
hmmmm the way of the future???
Honey



----- Original Message ----- 
From: "wump fish" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, August 31, 2005 9:29 AM
Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
(http://theaustralian.com.au report)


> Thanks Denise! What a lovely response.
>
> Moving to Australia has re-ignited my fighting spirit regarding women's
> birth rights. There is so much to fight for and so many motivated, strong
> midwives and birthing women. I am looking forward to what we can all
achieve
> together for the future of childbirth in Australia.
>
> By the way, is anyone going to the Wesley Hospital (Qld) on Saturday for
the
> 'C-section: the way of the future' conference? Should be
> interesting/infuriating.
>
> Rachel
>
>
> >From: "Denise Hynd" <[EMAIL PROTECTED]>
> >Reply-To: [email protected]
> >To: <[email protected]>
> >Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
> >(http://theaustralian.com.au report)
> >Date: Tue, 30 Aug 2005 18:18:02 +0800
> >
> >Dear Rachel
> >I find your fedd back very perceptive
> >
> >it seems that the obs are behaving
> >>like threatened children.
> >And previously
> >
> >Regarding the 3rd degree tear stats. I would be interested to know where
> >this research is from. As far a I know no-one has researched
physiological
> >birth and it's impact on the perineum - probably because so few women
> >experience it.
> >
> >I hope all future midwives have half the abilities you have shown on this
> >list in only 2 emails
> >You have given me great cheer for the futre of midwifery!!
> >
> >
> >
> >Denise Hynd
> >
> >"Let us support one another, not just in philosophy but in action, for
the
> >sake of freedom for all women to choose exactly how and by whom, if by
> >anyone, our bodies will be handled."
> >
> >- Linda Hes
> >
> >----- Original Message ----- From: "wump fish" <[EMAIL PROTECTED]>
> >To: <[email protected]>
> >Sent: Tuesday, August 30, 2005 12:02 PM
> >Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
> >(http://theaustralian.com.au report)
> >
> >
> >>As a newcomer to Australia from the UK - it seems that the obs are
> >>behaving like threatened children.
> >>
> >>Firstly, their stats can flawed. Other developed countries have also
> >>looked at the evidence and concluded that midwife-led, community-based
> >>care is effective, efficient and safe. For example, the UK is moving
> >>towards a midwifery-led birth centre model based on research about what
> >>women want and what is safe.
> >>
> >>Secondly, even if midwifery-led birth is unsafe (which it is not).
Surely
> >>women's right to choose this option should be maintained.  Women should
be
> >>able to access a wide range of birth options from independent mws to
> >>elective c-section. Interesting that a woman's right to opt for an
> >>elective c-section/induction is upheld by the obs despite the wealth of
> >>research demonstrating it is not the safest choice for mother or baby.
> >>However, they want to block a woman's right to choose midwifery-led care
> >>based on safety claims. Is this about safety or power?
> >>
> >>I am deeply disturbed by the amount of hostility directed at mws by obs.
> >>We should be working together - mw being the experts in physiological
> >>birth, and obs being the experts in complicated birth.
> >>
> >>Rachel
> >>
> >>
> >>>From: "Sally-Anne Brown" <[EMAIL PROTECTED]>
> >>>Reply-To: [email protected]
> >>>To: <[email protected]>
> >>>Subject: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries
> >>>(http://theaustralian.com.au report)
> >>>Date: Tue, 30 Aug 2005 08:23:49 +1000
> >>>
> >>>
> >>>----- Original Message -----
> >>>From: Sally
> >>>To: Sally-Anne Brown
> >>>Sent: Tuesday, August 30, 2005 8:11 AM
> >>>Subject: 'Higher risk' in midwife deliveries
(http://theaustralian.com.au
> >>>report)
> >>>
> >>>
> >>>       Sally ([EMAIL PROTECTED]) suggested you might be interested in
> >>>this http://theaustralian.com.au report.
> >>>
> >>>
> >>>             'Higher risk' in midwife deliveries
> >>>             Adam Cresswell, Health editor
> >>>             30 August 2005
> >>>
> >>>             THE safety of midwife-led birthing units has been doubted
> >>>and the most reliable evidence suggests babies born in such centres are
> >>>85 per cent more likely to die during or shortly after birth, compared
> >>>with babies born in major hospitals.
> >>>
> >>>
> >>>             Leading obstetrician Andrew Pesce said yesterday that a
> >>>review by the international Cochrane Collaboration - considered the
best
> >>>source of evidence for medical claims - found that home-like settings
for
> >>>births were associated with "modest benefits".
> >>>
> >>>             Dr Pesce said these benefits included higher rates of
> >>>breastfeeding, more satisfied mothers and slightly higher rates of
> >>>spontaneous vaginal childbirth (as opposed to surgical deliveries).
> >>>
> >>>             However, the Sydney-based Dr Pesce - who is also secretary
> >>>of the industrial lobby group the National Association of Specialist
> >>>Obstetricians and Gynaecologists - said the review, published late last
> >>>year, also found babies born in home-like settings such as midwife-run
> >>>centres ran an 85 per cent higher risk of death around the time of
> >>>childbirth. However, the overall rate is still very low - about eight
> >>>babies in 1000 live births in 2002, according to the Australian Bureau
of
> >>>Statistics.
> >>>
> >>>             Dr Pesce also said studies that midwives sometimes used to
> >>>back up their safety claims were scientifically inferior, usually
because
> >>>their subjects were not randomised - an accepted technique to remove
> >>>bias.
> >>>
> >>>             "Everybody says it's been shown to be safe - but it's not.
> >>>It's been shown to be reasonably safe, but without question there's a
> >>>worry about increased risk of perinatal mortality," he said.
> >>>
> >>>             "There's a positive effect (of birthing centres), but it's
a
> >>>lot lower than you would be led to believe by people who advocate this
> >>>model."
> >>>
> >>>             Kathleen Fahy, professor of midwifery at the University of
> >>>Newcastle, said Dr Pesce was using the Cochrane deaths data "to imply
> >>>that something is significant when it isn't".
> >>>
> >>>             "What's going on here is a desire to prevent midwives from
> >>>practising their profession, and using safety to do so," she said.
> >>>
> >>>             Sally Tracy, associate professor of midwifery practice
> >>>development at the University of Technology Sydney, said she had
recently
> >>>finalised a study using data from more than 1million Australian births,
> >>>which would be published shortly in a major medical journal.
> >>>
> >>>             Although prevented under medical journal requirements from
> >>>discussing the findings before publication, she said the results were
> >>>positive for midwife centres.
> >>>
> >>>             In an article to be published next month in NASOG's
> >>>newsletter, Dr Pesce - who also represents obstetricians and
> >>>gynaecologists on the Australian Medical Association's federal
council -
> >>>said the Cochrane review looked at the results of six different trials,
> >>>together involving 8677 women.
> >>>
> >>>             The review found birth centre care was associated with
> >>>"modest" reductions in some medical interventions, such as
episiotomies -
> >>>where a cut is made in the perineum to assist birth and prevent
> >>>uncontrolled tearing.
> >>>
> >>>             However, Dr Pesce wrote that the study found higher
perineal
> >>>lacerations in midwife care, so the overall rate of injury in that area
> >>>was similar.
> >>>
> >>>             "In summary, there is now good-quality evidence of higher
> >>>risk of perinatal death in birth centres, with only modest reductions
in
> >>>some medical interventions," he wrote.
> >>>
> >>>
> >>>             Click here to sign
> >>>             up for daily headlines
> >>>
> >>>
> >>>
> >>>
> >>>
> >>>
> >>>
>
>>>-------------------------------------------------------------------------
-------
> >>>
> >>>
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> >>>22/08/2005
> >>
> >>
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> >>>Checked by AVG Anti-Virus.
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> >>>22/08/2005
> >>
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