Comments on: Maternal morbidity associated with multiple repeat cesarean deliveries. http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/ Not another cesarean. Thu, 11 Mar 2010 17:48:40 -0700 http://wordpress.org/?v=2.8.5 hourly 1 By: Tracey http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-6608 Tracey Tue, 16 Feb 2010 15:23:11 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-6608 I was recently given the article to read from McMaster University in Hamilton, Ontario, Canada. As I am considering having my 6th cs. This was never an elective surgery for me, my 1st pregnancy I went 1 mth overdue and was induced. To this day I have never even had a contraction, no doctor has even been able to explain to me why. This article is the only information that doctors were even able to give me to help me make this decision. I want to have more children and wish there was another way. I also know that if I do choose to have another one that I should not try again after this one. I have had no serious problems in the past with my surgeries, the last my bladder moved and they had to cut it away and put it back. Scarring is always excessive which is expected and the doctor always cleans it up as much as possible. I want to know where I can find more information before I make this big decision. I am 39 years old, extremely healthy and in great shape, I work out at least 3 times a week. I have never seen any of the studies describing any of the patients. I have always concentrated on recovery and doing all I can to make sure my recovery is successful and trying to build my muscles back up again. Overall my thoughts after reading the study....it is a bit confusing as you do need to figure out the percentages separately as it is misleading when looking at the number of CS. What I am also gathering is that most of the injuries that can happen can be fixed and are not life threatening. I will be going back to my gynecologist and discussing this article with her and checking to see that the hospital in my area can even deal with the problems that may arise at time of delivery if I do decide to do this, whether the blood bank is there, other operatable staff is available etc. So many factors to decide, it would be easier if they had installed a zipper. If anyone has more information that can help me with this serious decision, it would be greatly appreciated. I was recently given the article to read from McMaster University in Hamilton, Ontario, Canada. As I am considering having my 6th cs. This was never an elective surgery for me, my 1st pregnancy I went 1 mth overdue and was induced. To this day I have never even had a contraction, no doctor has even been able to explain to me why. This article is the only information that doctors were even able to give me to help me make this decision. I want to have more children and wish there was another way. I also know that if I do choose to have another one that I should not try again after this one. I have had no serious problems in the past with my surgeries, the last my bladder moved and they had to cut it away and put it back. Scarring is always excessive which is expected and the doctor always cleans it up as much as possible. I want to know where I can find more information before I make this big decision. I am 39 years old, extremely healthy and in great shape, I work out at least 3 times a week. I have never seen any of the studies describing any of the patients. I have always concentrated on recovery and doing all I can to make sure my recovery is successful and trying to build my muscles back up again. Overall my thoughts after reading the study….it is a bit confusing as you do need to figure out the percentages separately as it is misleading when looking at the number of CS. What I am also gathering is that most of the injuries that can happen can be fixed and are not life threatening. I will be going back to my gynecologist and discussing this article with her and checking to see that the hospital in my area can even deal with the problems that may arise at time of delivery if I do decide to do this, whether the blood bank is there, other operatable staff is available etc. So many factors to decide, it would be easier if they had installed a zipper. If anyone has more information that can help me with this serious decision, it would be greatly appreciated.

]]> By: Jen from vbacfacts.com http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-6218 Jen from vbacfacts.com Mon, 23 Nov 2009 15:41:08 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-6218 Michelle, I would love that! Could you mail me a copy? I'll email you privately with an address! Warmly, Jen Michelle,

I would love that! Could you mail me a copy? I’ll email you privately with an address!

Warmly,

Jen

]]> By: Michelle http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-6217 Michelle Mon, 23 Nov 2009 12:38:27 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-6217 Hi. We'd love to publish this article in our newsletter for CARES-SA in Australia. We only do about 60 copies. Please advise if we can use this article Many thanks Michelle Hi. We’d love to publish this article in our newsletter for CARES-SA in Australia. We only do about 60 copies. Please advise if we can use this article
Many thanks
Michelle

]]> By: Childbirth Education | Doula Support | Allentown | Lehigh Valley | Baby Birthing | Knitted in the Womb » Where can I find information to help decide whether or not to pursue VBAC? http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-3049 Childbirth Education | Doula Support | Allentown | Lehigh Valley | Baby Birthing | Knitted in the Womb » Where can I find information to help decide whether or not to pursue VBAC? Fri, 21 Aug 2009 22:17:55 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-3049 [...] Maternal morbidity associated with multiple repeat cesarean deliveries. [...] [...] Maternal morbidity associated with multiple repeat cesarean deliveries. [...]

]]> By: Dr. Loveless http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-2254 Dr. Loveless Sun, 09 Aug 2009 21:44:44 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-2254 Great post. I especially love the last line of the abstract where they recommend this data as part of the debate prior to primary elective cesarean. Of note is that in the definition for placenta accreta the rate is 1 in 2,500, but in the study the rate was 1 in 416 for women undergoing their first cesarean. That is a very scary number, and one I'm not too sure of. I wonder if the setting had anything to do with it. Either way, these are important risks which need to be discussed. Thanks! Great post. I especially love the last line of the abstract where they recommend this data as part of the debate prior to primary elective cesarean. Of note is that in the definition for placenta accreta the rate is 1 in 2,500, but in the study the rate was 1 in 416 for women undergoing their first cesarean. That is a very scary number, and one I’m not too sure of. I wonder if the setting had anything to do with it. Either way, these are important risks which need to be discussed. Thanks!

]]> By: NHmomma http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-2161 NHmomma Tue, 04 Aug 2009 14:27:58 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-2161 Great visuals! I would love to see those stats drawn all the way out to "no previous c/s" Because the risk is not zero, but heck of a lot less than after even 1 cesarean! Because it is key to prevent that first one! Thanks again for all your dedication! Great visuals! I would love to see those stats drawn all the way out to “no previous c/s” Because the risk is not zero, but heck of a lot less than after even 1 cesarean! Because it is key to prevent that first one! Thanks again for all your dedication!

]]> By: Dr Kylie Booth http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/comment-page-1/#comment-2159 Dr Kylie Booth Tue, 04 Aug 2009 06:30:03 +0000 http://vbacfacts.com/2009/08/03/maternal-morbidity-associated-with-multiple-repeat-cesarean-deliveries/#comment-2159 Thankyou!! We live in a world so afraid of birth. As the coordinator of the Australian support group of CARES-SA ( caesarean Awareness, recovery, education and support) www.cares-sa.org.au and a VBAC mum myself,and a GP, it is studies like these you can use, to show that an " elective caesarean" is not the " safest " choice to have, which is what most OBs here - especially in the private health system really belive. Thankyou!!
We live in a world so afraid of birth. As the coordinator of the Australian support group of CARES-SA ( caesarean Awareness, recovery, education and support) http://www.cares-sa.org.au and a VBAC mum myself,and a GP, it is studies like these you can use, to show that an ” elective caesarean” is not the ” safest ” choice to have, which is what most OBs here – especially in the private health system really belive.

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