RE: [ozmidwifery] VBAC in Qld?

[Philippa Scott]

Hi,   I am in Townsville where we (Birth Buddies) have had a few clients have VBAC’S and EBAC’s. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBAC’s. I can be contacted if you like on 47734075 or 0407648349.   Cheers   Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville   From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne Staff Sent: Wednesday, 17 May 2006 8:57 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] VBAC in Qld?   Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne ----- Original Message ----- From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld?   Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!!   Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centre environment.   Thanks in anticipation, Penny Burrows ----- Original Message ----- From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!.   Now I’m on the thread I cant seem to stop. MM   Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects. Lumley J, Watson L, Watson M, Bower C. Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED] BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.