[ozmidwifery] VBAC afterdehsicence or UR?

[Dean & Jo]

Title: Message

not trying to be controversial (honest!) just wanting to think outside norm...how many times have I heard the story of an ob saying to a woman when giving her the repeat cs (for a 'failed vbac attempt not linked to a rupture) "oh the scar was so thin it could have ripped open at any second...lucky I saved you from it".  (well I am TRYING not sound too facetious)   I suppose like anything we must look at rationale for the first event.  IF a rupture did occur you could conclude that the repair to the uterus would be quite extensive IF she managed to not lose the uterus- hence the risks for future rupture would increase.  But a dehiscence has not been proven to be a serious concern according to the investigation I have done in the last almost 9 years.  There is speculation that a scar  can slightly part with no harmful effects.   Just asking questions....don't they just HATE informed consumers! ;o) love Jo -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Monday, January 23, 2006 8:40 PM To: ozmidwifery@acegraphics.com.au Subject: *****SUSPECTED SPAM***** Re: [ozmidwifery] VBAC afterdehsicence or UR? You made all my points, Jo. : ) J ----- Original Message ----- From: Dean & Jo To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 8:46 PM Subject: RE: [ozmidwifery] VBAC after dehsicence or UR? I would have to look for the research (we all know how 'fair' research can be!) but the stated contra-indicators for vbac is previous rupture.  Now it doesn't actually state if the chances of another rupture are higher than a normal scar or whether it is a case of "dam! Not going to let that happen again!" attitude.  You could argue I suppose that even a dehiscence that required repair would be considered the same as a repeat cs....??  Perhaps no vbac after one rupture/dehiscence would be based on fear and/or presumption.  Similar to the situation where a woman loses a baby during labour there is the assumption that she will want a cs next time.???   jo -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Monday, January 23, 2006 3:37 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] VBAC after dehsicence or UR? Hi all, does anyone know of research on VB after UR? I was asked this:   So if you've had a scar come apart to the point where the baby was on its way out via the DIY sunroof, and the ob says he would have had to cut me open to stitch it up even if I had pushed the baby out, would that make VBA2C too risky?   Thanks in advance, J   Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/   Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your time line.   ~Gloria Lemay~         -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.21/236 - Release Date: 1/20/2006