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home VBACFrom: Alana A. Millman (midwife2be@lvcm.com)Sat Oct 28 00:49:02 2000
>Alana writes: > >> I, myself, am a well informed low risk woman who had a home VBAC and I > don't really believe being a VBAC alone should risk you out of homebirth > care. Consider it a difference of opinion and practice.
Douglas Krell wrote:
>I wonder if Alana has any facts to support her "belief". In order to Ok, value my opinion or don't. Of course I have evidence, the facts are just as accessible to you as they are to me, with the exception of access to the 1350 birth records of my Sr. midwife's 20 years experience. I'll have to ask her how many VBAC's she has done, I know her success rate is 100%. She has never transported a VBAC to a hospital or had a bad outcome with one. I know, you'll mark that up to good luck, whatever. Just for the heck of it, here's a reference example you could find easily if you cared to: Henci Goer's review of the literature on VBACs found 46 ruptures in 15,154 labors. This equates to a 0.3% rate... or 1 in 333, if you prefer. I find it a reasonable risk; you don't. To what end do you wish to argue? I did not say I would accept every VBAC client as acceptable for OOH birth. I said the VBAC factor alone should not risk out a home birth client. We can trade references all you like, but neither of us is likely to change the way we practice. You certainly are not going to start thinking that OOH VBAC is an acceptable risk, nor will you convince me to never attend another one. We all have to make our own decisions. Alana Millman Apprentice Midwife ;-) "The way you activate the seeds of your creation is by making choices about the results you want to create. When you make a choice, you mobilize vast human energies and resources which otherwise go untapped. All too often people fail to focus their choices upon results and therefore their choices are ineffective. If you limit yourself to only what seems possible or reasonable, you disconnect yourself from what you truly want, and all that is left is a compromise." Robert Fritz
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