RE: [ozmidwifery] Dr I Popov
Thank-you, but he is older than 43 which is what that dr popov would be. The Dr Im asking about looks to be in his 50s at least. carob From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Monday, 31 July 2006 9:23 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Dr I Popov Found this on google. MM www.ncrc.ac.yu/onkoeng/cv/cv14.html From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of carob Sent: Sunday, 30 July 2006 10:08 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Dr I Popov Dear List, I work in a Qld maternity unit and we have recently had Dr Ivan Popov employed here. I am wondering if anyone out there knows of his work history / experience etc. I have searched ++ and all I can find is that he is registered to practise OG in Qld. Needless to say he is difficult if not impossible to ask these questions of. I believe his medical training was in Belgrade. Any information is appreciated and will be treated with confidentiality. You can reply off list to [EMAIL PROTECTED]. Thank you in anticipation. carob
RE: [ozmidwifery] Dr I Popov
Title: Message Hi I checked out the public access for Qld Medical registration Board. This should take you to the page. I will check out more as his listed address is c/- Caboolture Hospital. It is in the same district as me so I will do some asking around. Lots of trouble there at the moment. Cheers Barb http://www.healthregboards.qld.gov.au/PublicAccess -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of carobSent: Monday, 31 July 2006 4:47 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Dr I Popov Thank-you, but he is older than 43 which is what that dr popov would be. The Dr Im asking about looks to be in his 50s at least. carob From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Monday, 31 July 2006 9:23 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Dr I Popov Found this on google. MM www.ncrc.ac.yu/onkoeng/cv/cv14.html From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of carobSent: Sunday, 30 July 2006 10:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Dr I Popov Dear List, I work in a Qld maternity unit and we have recently had Dr Ivan Popov employed here. I am wondering if anyone out there knows of his work history / experience etc. I have searched ++ and all I can find is that he is registered to practise OG in Qld. Needless to say he is difficult if not impossible to ask these questions of. I believe his medical training was in Belgrade. Any information is appreciated and will be treated with confidentiality. You can reply off list to [EMAIL PROTECTED]. Thank you in anticipation. carob
[ozmidwifery] Midwife in Blue Mountains
Hi everyone, I have a client that desperately needs a midwife to support her at home in the Blue Mountains, NSWin November. There are several other women seeking a midwife also,as our local midwife is unavailable. If there are any independant or hospital midwives willing to assist these women, please contact me so I can pass on their details. Much appreciated Natalie Dash Innate Birth Childbirth Education Birth Support 4757 2080, 0410 428307 [EMAIL PROTECTED]
[ozmidwifery] Depressing article on breastfeeding in public in the US
http://www.msnbc.msn.com/id/14065706/page/2/ MSNBC.com Eyeful of breast-feeding mom sparks outrage Magazine cover blasted by public squeamish over sight of nursing breast The Associated Press Updated: 8:33 p.m. ET July 27, 2006 NEW YORK - "I was SHOCKED to see a giant breast on the cover of your magazine," one person wrote. "I immediately turned the magazine face down," wrote another. "Gross," said a third. These readers weren't complaining about a sexually explicit cover, but rather one of a baby nursing, on a wholesome parenting magazine yet another sign that Americans are squeamish over the sight of a nursing breast, even as breast-feeding itself gains greater support from the government and medical community. Babytalk is a free magazine whose readership is overwhelmingly mothers of babies. Yet in a poll of more than 4,000 readers, a quarter of responses to the cover were negative, calling the photo a baby and part of a woman's breast, in profile inappropriate. One mother who didn't like the cover explains she was concerned about her 13-year-old son seeing it. "I shredded it," said Gayle Ash, of Belton, Texas, in a telephone interview. "A breast is a breast it's a sexual thing. He didn't need to see that." It's the same reason that Ash, 41, who nursed all three of her children, is cautious about breast-feeding in public a subject of enormous debate among women, which has even spawned a new term: "lactivists," meaning those who advocate for a woman's right to nurse wherever she needs to. "I'm totally supportive of it I just don't like the flashing," she says. "I don't want my son or husband to accidentally see a breast they didn't want to see." Another mother, Kelly Wheatley, wrote Babytalk to applaud the cover, precisely because, she says, it helps educate people that breasts are more than sex objects. And yet Wheatley, 40, who's still nursing her 3-year-old daughter, rarely breast-feeds in public, partly because it's more comfortable in the car, and partly because her husband is uncomfortable with other men seeing her breast. "Men are very visual," says Wheatley, 40, of Amarillo, Texas. "When they see a woman's breast, they see a breast regardless of what it's being used for." Babytalk editor Susan Kane says the mixed response to the cover clearly echoes the larger debate over breast-feeding in public. "There's a huge Puritanical streak in Americans," she says, "and there's a squeamishness about seeing a body part even part of a body part." "It's not like women are whipping them out with tassels on them!" she adds. "Mostly, they are trying to be discreet." Kane says that since the August issue came out last week, the magazine has received more than 700 letters more than for any article in years. "Gross, I am sick of seeing a baby attached to a boob," wrote Lauren, a mother of a 4-month-old. The evidence of public discomfort isn't just anecdotal. In a survey published in 2004 by the American Dietetic Association, less than half 43 percent of 3,719 respondents said women should have the right to breast-feed in public places. The debate rages at a time when the celebrity-mom phenomenon has made breast-feeding perhaps more public than ever. Gwyneth Paltrow, Brooke Shields, Kate Hudson and Kate Beckinsale are only a few of the stars who've talked openly about their nursing experiences. The celeb factor has even brought a measure of chic to that unsexiest of garments: the nursing bra. Gwen Stefani can be seen on babyrazzi.com a site with a self-explanatory name sporting a leopard-print version from lingerie line Agent Provocateur. And none other than Angelina Jolie wore one proudly on the cover of People. (Katie Holmes, meanwhile, suffered a maternity wardrobe malfunction when cameras caught her, nursing bra open and peeking out of her shirt, while on the town with husband Tom Cruise.) More seriously, the social and medical debate has intensified. The U.S. Department of Health and Human Services recently concluded a two-year breast-feeding awareness campaign including a TV ad criticized as over-the-top even by some breast-feeding advocates in which NOT breast-feeding was equated with the recklessness of a pregnant woman riding a mechanical bull. There have been other measures to promote breast-feeding: in December, for example, Massachusetts banned hospitals from giving new mothers gift bags with free infant formula, a practice opponents said swayed some women away from nursing. Most states now have laws guaranteeing the right to breast-feed where one chooses, and when a store or restaurant employee denies a woman that right, it has often resulted in public protests known as "nurse-ins": at a Starbucks in Miami, at Victoria's Secret stores in Racine, Wis. and Boston, and, last year, outside ABC headquarters in New York, when Barbara Walters made comments on "The View" seen
Re: [ozmidwifery] Depressing article on breastfeeding in public in the US
the website in the article has been temporarily disabled! wonder if it was because of the breastfeeding/ bra content??? Katrina ;-) ~who proudly feed her 5 week old while out in public today On 31/07/2006, at 5:04 PM, Helen and Graham wrote: c.gif> http://www.msnbc.msn.com/id/14065706/page/2/ msnbc_ban.gif> MSNBC.com Eyeful of breast-feeding mom sparks outrage Magazine cover blasted by public squeamish over sight of nursing breast x-tad-smallerThe Associated Press/x-tad-smallerUpdated: 8:33 p.m. ET July 27, 2006 x-tad-smallerNEW YORK - I was SHOCKED to see a giant breast on the cover of your magazine, one person wrote. I immediately turned the magazine face down, wrote another. Gross, said a third./x-tad-smallerx-tad-smallerThese readers weren't complaining about a sexually explicit cover, but rather one of a baby nursing, on a wholesome parenting magazine — yet another sign that Americans are squeamish over the sight of a nursing breast, even as breast-feeding itself gains greater support from the government and medical community./x-tad-smallerx-tad-smallerBabytalk is a free magazine whose readership is overwhelmingly mothers of babies. Yet in a poll of more than 4,000 readers, a quarter of responses to the cover were negative, calling the photo — a baby and part of a woman's breast, in profile — inappropriate./x-tad-smallerx-tad-smallerOne mother who didn't like the cover explains she was concerned about her 13-year-old son seeing it./x-tad-smallerx-tad-smallerI shredded it, said Gayle Ash, of Belton, Texas, in a telephone interview. A breast is a breast — it's a sexual thing. He didn't need to see that./x-tad-smallerx-tad-smallerIt's the same reason that Ash, 41, who nursed all three of her children, is cautious about breast-feeding in public — a subject of enormous debate among women, which has even spawned a new term: lactivists, meaning those who advocate for a woman's right to nurse wherever she needs to./x-tad-smallerx-tad-smallerI'm totally supportive of it — I just don't like the flashing, she says. I don't want my son or husband to accidentally see a breast they didn't want to see./x-tad-smallerx-tad-smallerAnother mother, Kelly Wheatley, wrote Babytalk to applaud the cover, precisely because, she says, it helps educate people that breasts are more than sex objects. And yet Wheatley, 40, who's still nursing her 3-year-old daughter, rarely breast-feeds in public, partly because it's more comfortable in the car, and partly because her husband is uncomfortable with other men seeing her breast./x-tad-smallerx-tad-smallerMen are very visual, says Wheatley, 40, of Amarillo, Texas. When they see a woman's breast, they see a breast — regardless of what it's being used for./x-tad-smallerx-tad-smallerBabytalk editor Susan Kane says the mixed response to the cover clearly echoes the larger debate over breast-feeding in public. There's a huge Puritanical streak in Americans, she says, and there's a squeamishness about seeing a body part — even part of a body part./x-tad-smallerx-tad-smallerIt's not like women are whipping them out with tassels on them! she adds. Mostly, they are trying to be discreet./x-tad-smallerx-tad-smallerKane says that since the August issue came out last week, the magazine has received more than 700 letters — more than for any article in years./x-tad-smallerx-tad-smallerGross, I am sick of seeing a baby attached to a boob, wrote Lauren, a mother of a 4-month-old./x-tad-smallerx-tad-smallerThe evidence of public discomfort isn't just anecdotal. In a survey published in 2004 by the American Dietetic Association, less than half — 43 percent — of 3,719 respondents said women should have the right to breast-feed in public places./x-tad-smallerx-tad-smallerThe debate rages at a time when the celebrity-mom phenomenon has made breast-feeding perhaps more public than ever. Gwyneth Paltrow, Brooke Shields, Kate Hudson and Kate Beckinsale are only a few of the stars who've talked openly about their nursing experiences./x-tad-smallerx-tad-smallerThe celeb factor has even brought a measure of chic to that unsexiest of garments: the nursing bra. Gwen Stefani can be seen on /x-tad-smallerx-tad-smallerbabyrazzi.com/x-tad-smallerx-tad-smaller — a site with a self-explanatory name — sporting a leopard-print version from lingerie line Agent Provocateur. And none other than Angelina Jolie wore one proudly on the cover of People. (Katie Holmes, meanwhile, suffered a maternity wardrobe malfunction when cameras caught her, nursing bra open and peeking out of her shirt, while on the town with husband Tom Cruise.)/x-tad-smallerx-tad-smallerMore seriously, the social and medical debate has intensified. The U.S. Department of Health and Human Services recently concluded a two-year breast-feeding awareness campaign including a TV ad — criticized as over-the-top even by some breast-feeding advocates — in which NOT breast-feeding was equated with the recklessness of a pregnant woman riding a mechanical
[ozmidwifery] Quote of last week.
My apologies if this is a repeat. We midwives can do little about societal influence unless we get ourselves into the media and say that birth can be normal and positive. Jenny Hall
Re: [ozmidwifery] Birth, Trauma Personality
And you may find this work amazing! http://www.primal-page.com/birthart.htm warmly, Carolyn - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, July 29, 2006 6:04 PM Subject: Re: [ozmidwifery] Birth, Trauma Personality Have just found these: http://childbirthsolutions.com/articles/pregnancy/birthsoul/index.php http://childbirthsolutions.com/articles/pregnancy/lifelong/index.php Cheers Judy Kelly @ BellyBelly [EMAIL PROTECTED] wrote: Help! Someone started a discussion on my forums about birth and how it shapes the baby as an individual. Of course, everyone thought that concept was ludicrous, think studies and percentages are rubbish and must think I am a quack for thinking otherwise LOL J Can anyone else back me up?! I need some support!!! If you aren't signed up in my forums, please feel free to, or post here any suggestions or comments. http://www.bellybelly.com.au/forums/showthread.php?t=17144 Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support Send instant messages to your online friends http://au.messenger.yahoo.com Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] World Breastfeeding Week - Breastmilk - nothing else comes close
Hi, Welcome to World Breastfeeding Week. I have copied (below) The Australian Breastfeeding Association's press release. You can see other good stuff at the Australian Breastfeeding Association's website at www.breastfeeding.asn.au If you live in Brisbane you may see breastfeeding ads on bus shelters - part of a collaborative project between QLD Health and the Australian Breastfeeding Association. In Victoria, Sadly, the next department of human services conference for Maternal and Child Health Nurses will be run by Wyeth! The Victorian Government seems totally oblivious that this is a breech of both the WHO code on the marketing of infant formulas and the APMAIF agreement Have a good week. Barb Breastmilk - Nothing else comes close The Australian Breastfeeding Association joins people in over 120 countries around the world celebrating World Breastfeeding Week from 1-7 August. You can help! People around Australia and the world are reporting harmful marketing of artificial baby milk (infant formula) during World Breastfeeding Week. The World Alliance for Breastfeeding Action (WABA) is the organisation that runs World Breastfeeding Week. In 2006 they are highlighting that it is 25 years since the start of the 'WHO Code', which is the World Health Organization International Code of Marketing of Breastmilk Substitutes. The Australian Breastfeeding Association is following a similar theme for World Breastfeeding Week, 'Breastmilk - Nothing Else Comes Close'. We want to educate parents, health professionals, government bodies and the public that artificial baby milk (infant formula) is a health risk to infants and that its marketing should be controlled. According to the National Health and Medical Research Council there is considerable evidence to suggest that mothers' infant feeding choices are strongly influenced by advertising. The Association believes information and education about infant feeding should be provided by medical advisors and not by those with commercial interest in women weaning their babies from breastfeeding. Twenty five years ago the World Health Organization recognised that one of the biggest barriers to breastfeeding is persuasive marketing by infant formula manufacturers that gives mothers the impression that infant formula is as good or nearly as good for babies as breastmilk. In response, member nations, including Australia, developed and signed the International Code of Marketing of Breastmilk Substitutes, commonly called the 'WHO Code'. What is the WHO Code? It is an international set of rules designed to protect babies, parents and health professionals from harmful marketing of all breastmilk substitutes. More than 70 governments around the world have all or many of the code's provisions as law. Some of the main points of the code include: no advertising of breastmilk substitutes no free samples or free or low cost supplies no promotion of products through healthcare facilities not idealising artificial feeding on labels no contact between infant formula marketers and mothers The code applies to both companies and governments. Although Australia was one of the original signatories of the Code, manufacturers and retailers in Australia continue to market effectively to parents. What are we doing in Australia? At the moment Australia has not implemented the full WHO Code, despite being a signatory to it. In 1992 the Australian government implemented its own code called the 'Marketing in Australia of Infant Formulas: Manufacturers and Importers (MAIF) Agreement', commonly called the MAIF Agreement. However, it is nowhere near as extensive or powerful as the WHO code in what it covers. For instance, it applies only to manufacturers and importers of infant formulas (retailers are excluded) and only covers infant formulas (not other milk products such a follow-on milk for toddlers, or feeding bottles and teats). The MAIF agreement is a voluntary agreement between the Australian Government and the Infant Formula Manufacturers Association of Australia and is not legally binding. Not all infant formula manufacturers have signed on to the MAIF agreement and there is no legal requirement for them to do so. What can I do to help? Join people in 120 countries around the world who will be monitoring harmful marketing of infant formula in World Breastfeeding Week! The Australian Breastfeeding Association would like Australia to implement the WHO code in its entirety. We'd also like for it to be legally binding and for companies to have some meaningful penalty for breaching it. To do this we need to raise awareness of the risks of artificial feeding with the public and health professionals and lobby the government. Starting in World Breastfeeding Week you can help by: Monitoring your area for harmful marketing practices. Visit supermarkets and pharmacies, check magazines and
[ozmidwifery] VBAC
Hi everybody, For those of you who were at that wonderful homebirth conference in Geelong last month, you may recall Ina May warning us about women in the US whose uterus had been sutured in one single layer instead of two following caesareans and the problems this poses for future VBACs. When I went onto PN ward, I told the staff about this they laughed at me and were adamant that it would never happen here in Australia. Our doctors are too well trained. Guess what? I've gone through the notes this week of caesars done last week this. Two of the women had their uteruses sutured in a single layer. Can't happen here? Just wanted to make you aware it certainly does and is. Regards, Gail -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC
Gail I've heard of it being sold to women as a great thing because it means they'll be out of OT faster and in recovery with their babies. And yes, in Australia. Of course once you go back to your surgeon and ask if you're allowed (snort!) to attempt (more snorting!) a VBAC, you're not and hey presto instant justification for the surgeon's more convenient path - ERC. I believe in Europe however that single layer is common and yet their VBAC rates are generally higher and UR not thought to be the big scary thing it is here where misinformation is rife. All food for thought, hey?! J - Original Message - From: Gail McKenzie [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 01, 2006 10:07 AM Subject: [ozmidwifery] VBAC Hi everybody, For those of you who were at that wonderful homebirth conference in Geelong last month, you may recall Ina May warning us about women in the US whose uterus had been sutured in one single layer instead of two following caesareans and the problems this poses for future VBACs. When I went onto PN ward, I told the staff about this they laughed at me and were adamant that it would never happen here in Australia. Our doctors are too well trained. Guess what? I've gone through the notes this week of caesars done last week this. Two of the women had their uteruses sutured in a single layer. Can't happen here? Just wanted to make you aware it certainly does and is. Regards, Gail -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC
I think perhaps this is another one that needs to be informed consent, the mother should be made aware of this before hand and should have the right to ask for it to be done properly. Instead of finding out next birth when its too late!!! Amanda - Original Message - From: Janet Fraser [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 01, 2006 9:41 AM Subject: Re: [ozmidwifery] VBAC Gail I've heard of it being sold to women as a great thing because it means they'll be out of OT faster and in recovery with their babies. And yes, in Australia. Of course once you go back to your surgeon and ask if you're allowed (snort!) to attempt (more snorting!) a VBAC, you're not and hey presto instant justification for the surgeon's more convenient path - ERC. I believe in Europe however that single layer is common and yet their VBAC rates are generally higher and UR not thought to be the big scary thing it is here where misinformation is rife. All food for thought, hey?! J - Original Message - From: Gail McKenzie [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 01, 2006 10:07 AM Subject: [ozmidwifery] VBAC Hi everybody, For those of you who were at that wonderful homebirth conference in Geelong last month, you may recall Ina May warning us about women in the US whose uterus had been sutured in one single layer instead of two following caesareans and the problems this poses for future VBACs. When I went onto PN ward, I told the staff about this they laughed at me and were adamant that it would never happen here in Australia. Our doctors are too well trained. Guess what? I've gone through the notes this week of caesars done last week this. Two of the women had their uteruses sutured in a single layer. Can't happen here? Just wanted to make you aware it certainly does and is. Regards, Gail -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- 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 Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/404 - Release Date: 7/31/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/404 - Release Date: 7/31/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Single layer closure of uterus
Sorry for cross posts... Following the thread about single layer closures for LUSCS, I thought I would send thefollowingNICE guidelines -latest UKrecommendations.This was published in 2004. Helen http://www.nice.org.uk/download.aspx?o=cg013fullguideline One- vs. two-layer closure of uterus One-layer closure of the uterus at CS has been suggested as a means of decreasing operating time with no associated or subsequent increase in morbidity. Current practice in the UK reports that 96% of surgeons use a double layer closure and 3% a single layer.306 [evidence level 3] A systematic review compares single versus two-layer suturing for closing the uterine incision at CS.429 [evidence level 1a] Two RCTs were included in the review (n = 1006). These RCTs measured different outcomes. One RCT (n = 906) analysed operating time and number of haemostatic sutures.430 [evidence level 1b] The results showed a shorter mean operating time of 5.6 minutes (43.8 versus 47.5 minutes, p = 0.0003) and fewer haemostatic sutures in the one layer closure group. In the second RCT all the women had hysterography to determine integrity of the uterine scar 3 months after the CS in the first half of the menstrual cycle.431 [evidence level 1b] In the control group (two-layer closure) 82% of cases had either a major or minor scar deformity and in the intervention group (one layer closure) scar deformity was lower (26%). The method of randomisation in this RCT is unclear and the clinical significance of the hysterography findings as an outcome measure is uncertain. The two RCTs have been published after the systematic review. Both assessed operating time as an outcome measure. One RCT (n = 188) found no difference in operating time432 [evidence level 1b] and the other RCT (n = 200) found a decrease in operating time with single layer closure of the uterus, the absolute difference was 12 minutes.433 [evidence level 1b] These four RCTs used slightly different methods of single layer closure, two RCTs describing the use of continuous unlocked suture of the uterus, one RCT used continuous locked sutures while another RCT used interrupted sutures. The two later RCTs both used vicryl suture material, one of the earlier RCTs used chromic catgut and one RCT did not describe what suture material was used. None of the RCTs directly compared locked versus unlocked sutures. Concern about the use of single layer closure of the uterus and scar rupture in future pregnancies have been raised by a cohort study (n = 2142) that reported an increase likelihood of uterine rupture in women who had had a single layer closure of the uterus (OR 3.95, 95% CI 1.35 to 11.49).434 [evidence level 2b] Follow up of the women recruited in one of these RCTs has also been reported.435 Of 164 subsequent births, 19 women had elective repeat CS and 145 experienced labour. Length of labour, mode of birth, incidence of uterine scar dehiscence and other labour outcomes were not significantly different between those women who had had previous one or two layer closure.435 [evidence level 2a] Closure of the uterus is currently being studied in a large UK RCT (CAESAR).436 RECOMMENDATION The effectiveness and safety of single layer closure of the uterine incision is uncertain. Except within a research context the uterine incision should be sutured with two layers.
Re: [ozmidwifery] VBAC
I too have been checking notes since hearing Ina May's talk - our obs appear to still be using 2 layer closure, but best keep an eye on this. Have you asked the surgeons who are doing the single layer why Gail? I remember Ina May saying that there was also an increase in placenta accreta and percreta in subsequent pregnancies following single layer closure. Sue The only thing necessary for the triumph of evil is for good men to do nothing Edmund Burke - Original Message - From: Gail McKenzie [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 01, 2006 8:07 AM Subject: [ozmidwifery] VBAC Hi everybody, For those of you who were at that wonderful homebirth conference in Geelong last month, you may recall Ina May warning us about women in the US whose uterus had been sutured in one single layer instead of two following caesareans and the problems this poses for future VBACs. When I went onto PN ward, I told the staff about this they laughed at me and were adamant that it would never happen here in Australia. Our doctors are too well trained. Guess what? I've gone through the notes this week of caesars done last week this. Two of the women had their uteruses sutured in a single layer. Can't happen here? Just wanted to make you aware it certainly does and is. Regards, Gail -- 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 Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/404 - Release Date: 31/07/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
