It was from The Australian website Kate.
Helen
----- Original Message -----
From: "Kate &/or Nick" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, November 21, 2005 8:34 PM
Subject: Re: [ozmidwifery] Another blow for VBAC
Helen,
Which paper did you get this article from?
Thanks
Kate
----- Original Message -----
From: "Helen and Graham" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, November 21, 2005 9:07 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
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