Unanswered Active Topics Forums Search

UserName:
Subject:	VBAC at Home
Body:	<div class="NTForums_Quote">Posted By n/a on 06/26/2007 11:39 PM<br><P>Henci, </P> <P>Thanks for your as-usual excellent responses.  Your analysis of the problem has been similar to my own line of thinking-- somethine along the lines of "you have a 1 in 6500 chance of losing your VBAC baby (and that's hospital statistics based upon .5% rupture rate and 5% of ruptures resulting in baby dying-- this is the stat I found)  OR a 1 in 5000 chance of the woman herself dying due to a planned cesarean (according to "Guide to Effective Care in Childbirth")  -- and as Bruce Flamm writes, while the loss of a baby is sad, the loss of a healthy mother is fairly inexcusable-- ie.  it is preferable to risk the life of the baby than that of the mother from an ethical standpoint-- a painful dilemma that all are put in due to the first cesarean.</P> <P> </P> <P>In any case, my devil's advocate question is-- why are so many women dying in cesareans actually?  I live in NYC, and would LOVE to have disclosure about our local hospitals-- some of the fancy ones like NYU and Cornell who do almost 40% c/s and have high volume-- does it not make sense that they should be losing a couple of women each year?  But you never hear anything about it.  And the hospitals are not required to disclose.</P> <P>My point is that how can we really prove that "top" OB care can't use interventions in a less risky way?  It's so hard for anyone to believe (even me to some extent) that a woman at a renowned medical center with a prominent OB practice has the same risks of dying from a c/s as a woman who gets her care from an inner city clinic, does not receive personal care by anyone who remembers her, and then has a c/s.  One of the stats that I am thinking of that kind of backs this up is the fact that while Hispanic and Black women have less interventions used on them, they have much higher maternal mortality rates.</P> <P>Are the old 1 in 5000 for c/s and 1 in 20,000 mortality rates for NSVD equally applicable to everyone regardless of culture or economic echelon or medical care-- I want to understand those statistics and their application better.  It seems maternal mortality is so poorly understood and studied.</P> <P> </P> <P>Thanks,</P> <P>Shayna</P></div><br><br>
Show Replies:

ActiveForums 3.6