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(no subject)From: freda seddon (fseddon@freespace.net)Wed Jul 30 20:24:26 1997
In Holland and Denmark the Csection rate is about 3% yes three percent!!! Therefore VBAC's are a totally different population of women in those countries as opposed to North America. I would be willing to reconsider home VBAC when the csection rate here goes below 10%. Midwives in Ontario with clear guidelines do home VBAC and labour women with PROM up to 4 days with support from OBs and the recent term PROM study. Women are given informed choice and we have hospital admitting privileges so the choice is not based on lack of facitlities. I have just finished a run of births. One in particular, we transfered care for poor progress in first stage and epidural anesthesia. The OB ordered augmentation- the RN let the IV drip onto the floor until the new shift came in, within two hours of actual augmentation the woman was fully/ Following the birth of the baby, the OB left the room, did not actively manage the third stage and the woman bleed from a HB of 120 to 63gm. Needed a transfusion. Just a little anecdote to show that disasters don't happen just when midwives are the primary care providers.
But I am well aware that homebirth in other countries is much more
> They ALSO have very clear guidelines abou what patients are
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