Rachel, you raise an interesting point.
One of our obs was talking to a woman in clinic last week, she is 4'9" and
baby is posterior and not engaged at 39 weeks (primip) so he was advising
her to go straight for C/S - now I do not necessarily agree that she could
not deliver - given some time to allow her body to do it's thing so please
don't flame me, but his words were that he felt she would have a struggle
and that these days it was felt that it is better to have a C/S than a
difficult vaginal birth, whereas in past times there was no choice but to
attempt vaginal birth.
On the plus side, we have had several successful ECV's of late and even have
had obs talking women into VBAC!!!!
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"
Edmund Burke
----- Original Message -----
From: "wump fish" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Saturday, October 15, 2005 6:24 AM
Subject: Re: [ozmidwifery] Scottish dads push wives toward C-sections? I
don't think so
I wouldn't be too impressed by UK c-section rates. What is more important
is the 'normal' birth rate. I worked in a large regional referral unit in
the UK (5000 births per year). The Consultant was always bragging to new
drs that the c-section rate was around 20%. He used to get rather p**sed
off when I interrupted to point out that the normal birth rate for a 'low
risk' primip was 49%. The instrumental birth rate was very high.
I have noticed here (Queensland public hospital) that the c-section rate
is around 30+%. But, women very rarely have instrumental births. Often the
c-sections are done at full dilatation and the baby's head has to be
dis-impacted from the pelvis. I asked about it (I ask far too many
questions), and was told it was because the drs don't have the experience
or skill of instrumental births, therefore prefer c-section. Those women
that do have instrumental births often end up with 3rd degree tears.
I can only speak for the hospitals I have worked in (both public sector),
but my observations are the 'normal birth' is higher than the rate in the
UK.
Rachel
From: [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Scottish dads push wives toward C-sections? I
don't think so
Date: Fri, 14 Oct 2005 13:12:57 EDT
I just wish we had their C/S rate!! Ours is about 5 times that lately.
The
other week I counted 18 out of 30 women on one ward had had the chop -
there
were also a few antenates, believe it or not! We're a major tertiary
hospital,
I know, but they weren't all fulminating P.E.T's, or grade 3&4 plac.
praevias!
But don't ya just love some of those threatening stand over tactics by
"support" (now there's a loose term) people demanding you give pain
relief? We've
had to call security a few times - it can be so distressing for the women
and
the birth process, eh! GW
_________________________________________________________________
Be the first to hear what's new at MSN - sign up to our free newsletters!
http://www.msn.co.uk/newsletters
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
--
No virus found in this incoming message.
Checked by AVG Anti-Virus.
Version: 7.0.344 / Virus Database: 267.12.1/135 - Release Date: 15/10/2005
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
