RE: [ozmidwifery] IOL and C/s...

[Tania Smallwood]

Thank you all for your insightful comments and information, it’s been a stomach churning time, just trying to digest what we were told on the weekend, and trying to make some sense of it.  I started to question whether what I thought I knew was just what I’ve been told, or what I wanted to believe!  This list is such a treasure-trove of information and support…thanks   Tania x   From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Sally-Anne Brown Sent: Tuesday, 13 September 2005 7:08 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IOL and C/s...   Tania, Allison Shorten and Brett Shorten (University of Wollongong) are about to publish an Australian study on the c/section rate with epidural block. I do not have any info on demopgraphics etc as you would imagine all the details are kept under wraps until publication (which is what we want - publication !!).   They have studied two groups a) IOL and b) spontaneous labour.  The results show a slight difference in the two groups of about 1.5% higher in the IOL group compared with the spont labour group. In both groups the results show (approx) 60% c/section rate - not the 30-50% c/section rate often spoken of.   This study is in line with the results Sally Tracy found in her research on EDB and c/section which also sits around 60%.   I would suggest IOL should be looked at in it's entirety (the package deal).  I am not sure if either study looks at the numbers of women having IOL.  BUT we can safely say to women now - two Australian studies have identified that whether you have IOL or not there is a 60% chance of having a c/section with epidural block.   SA xo ----- Original Message ----- From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, September 12, 2005 6:11 PM Subject: [ozmidwifery] IOL and C/s...     Just wondering if there are any good quality trials about IOL and increase of c/s?  Have just re-read Enkin, and it does state that IOL is not associated with an increase in caesarean section rate (but given that most states here are up around the 30% mark, you have to wonder what they are comparing that to?), but I thought something came out of the Uk not long ago disputing this?   Anyone?   Tania Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.18/90 - Release Date: 5/09/2005