And what about inheriting their mother's small pelvises!!! ----- Original Message ----- From: "Helen and Graham" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Monday, November 21, 2005 9:37 AM Subject: Re: [ozmidwifery] Another blow for VBAC
> Here is another version of the Sydney Morning Herald article which seems to > have distorted some of the facts where it states "New research published in > the Medical Journal of Australia has found these women [first time mothers > having a caesarian] are more vulnerable to uterine ruptures during birth, > post-partum bleeding, infection and hysterectomies than women who go through > natural labour for their first birth". Am I reading it incorrectly? It > seems confusing at best and misleading at worst if that is the case! > > Helen Cahill > Caesars pose risk for later deliveries > From: > By Amanda Hodge > November 21, 2005 > > HOLLYWOOD mothers love it and lawyers want more of it, but a new Australian > study warns that first-time mothers having a caesarean section face greater > risk of problems if they choose to deliver naturally in later pregnancies. > > New research published in the Medical Journal of Australia has found these > women are more vulnerable to uterine ruptures during birth, post-partum > bleeding, infection and hysterectomies than women who go through natural > labour for their first birth. > But women who delivered their first and subsequent children by caesarean > were at lower risk of haemorrhage and intensive care admissions than those > who went through vaginal birth. > > With record numbers of women choosing to deliver by caesarean section for > convenience rather than medical reasons, the study by the New South Wales > Health Department warns women should think twice before going under the > knife. > > Study co-author and professor of perinatal medicine David Henderson-Smart > said the increased risk of complications arose because a caesarean section > left a scar on the uterus which, in the worst cases, could rupture during > vaginal birth. > > "All the complications relate to how the afterbirth attaches to the side of > the womb and whether the womb gets into trouble," Professor Henderson-Smart > said. > > > "That doesn't mean you can't have a vaginal birth, but it has to be thought > about carefully." > The population-based study looked at 136,101 second-time mothers who gave > birth between 1998 and 2002, 19 per cent of whom delivered their first child > by caesarean section. > > While complications were uncommon, the study found 51 per cent of uterine > ruptures, 19 per cent of hysterectomies and 32per cent of post-partum > infections were a result of primary caesarean sections. > > Babies could also face greater problems - four per cent of premature births > and five per cent of all neonatal intensive care admissions were > attributable to primary caesarean section - but the study found no increased > risk of neonatal death as a result. > > That contrasts with the findings of a Scottish study published in the New > England Journal of Medicine last November that found an increased risk of > stillbirths and brain injury in babies if mothers tried to go through > natural labour after delivering by caesarean for their first birth. > > Obstetrician and former Australian Medical Association president David > Molloy said the rise in caesarean sections - more than 20 per cent of all > births and as high as 25 per cent in the private sector - was due to a > combination of factors. > > "Maternal requests are a very significant driver. It's also partly because > older women are having babies (which often leads to greater complications) > and partly because C-sections are the medico-legal gold standard," Dr Molloy > said. > > "All the big cases in court revolve around the fact you didn't do a caesar > or didn't do one quickly enough." > > Dr Molloy said obstetricians were also seeing an increasing number of > second-generation women having caesarean deliveries as a result of > inheriting their mothers' small pelvises. > > "The treatment for that years ago was to say no more children, but in the > past 40 years we have hauled those people out of trouble with a caesar and > so they're passing on their smaller pelvis to their daughters." > > The study found women who had caesarean deliveries tended to be older and > wealthier, and were more likely to suffer obstetric complications. > > > > ----- Original Message ----- > From: "Andrea Robertson" <[EMAIL PROTECTED]> > To: <[email protected]> > Sent: Monday, November 21, 2005 7:19 AM > Subject: [ozmidwifery] Another blow for VBAC > > > > This is in today's Sydney Morning Herald. No doubt this report will > > trigger furious debate (as it should) but let's try an get the focus on > > the first caesarean, not the possible risks with VBAC. > > > > These figures for first caesareans are shocking - higher that the USA! > > > > http://www.smh.com.au/news/health/caesareans-lift-risks-in-later-births--study/2005/11/20/1132421548464.html > > > > Andrea > > > > ----- > > Andrea Robertson > > Birth International * ACE Graphics * Associates in Childbirth Education > > > > e-mail: [EMAIL PROTECTED] > > web: www.birthinternational.com > > > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > __________ NOD32 1.1295 (20051120) Information __________ > > > > This message was checked by NOD32 antivirus system. > > http://www.eset.com > > > > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
