Istina o VBAC-u: online tečaj

[Danci_Krmed]

Za vas kojih to zanima, ICAN (the International Caesarian Awareness Network) organizira online tečaj na engleskom jeziku s naslovom 'The Truth About VBAC' (Istina o VBAC-u). Mislim da svakoj ženi koja je imala jedan (ili više) carskih reza bi bilo zanimljivo čuti koje su PRAVE statistike iza VBAC za nju i za dijete (također mislim da bi to bilo vrlo poučno za medicinsko osoblje).

Nemojte se dati zastrašiti, informirajte sebe, svoje partnere i ljude koje vam pružaju medicinsku skrb!

The Truth About VBAC

Presented by VBAC Facts, “The Truth About VBAC” answers all your questions about vaginal birth after cesarean giving you the information you need to make an informed decision.

Click here for the August 25 Webinar

ICAN Birth Class: Cesarean Prevention

Why is this Webinar Important?

We live in a time where 50% of American hospitals have formal or de facto VBAC bans, where women are told VBAC is illegal, and where the practice of “pit to distress” is common.


Women who schedule their repeat cesarean do so believing that VBAC is not an option while others fight during labor to avoid unnecessary surgery after unknowingly hiring unsupportive medical professionals.


Women are not told that the risk decreases with each VBAC and yet increases with each cesarean. Women are not told that there is an approximately 99.6% chance they will not rupture and a 99.95% chance that their baby will be born alive and without permanent injury.* In short, women are led to believe that VBACs are risky, cesareans are safe and they believe it.


* Risk of uterine rupture during a spontaneous labor after one prior low horizontal cesarean is 0.4% or 1 in 250. Risk of infant death or brain damage is 0.05% or 1 in 2000. (Landon 2004)


Objectives

The goal of the webinar is to make information available and digestible for people to make their own decisions, never to convince anyone to have a VBAC or homebirth. Although women are more likely to have a successful VBAC in the out-of-hospital environment, many women prefer hospitals and are looking for ways to increase their likelihood of VBAC success. The webinar provides women with fully cited, research based information as well as specific, practical tools to plan their VBACs in either location through a comprehensive review of the latest VBAC research.

Content

Over the course of two 90-minute sessions, “The Truth About VBAC” provides women with a extensive analysis of their options as well as the encouragement they need to successfully VBAC:

Part 1: Sunday, September 27

9:00 pm EDT (6:00 pm PDT):

Why do VBACs have a bad reputation?
Cesarean Section: Immediate & long term risks to mom
Cesarean Section: Risks to newborn
Cesarean Section: Risks to future pregnancies
Benefits of cesarean section
Case study of a hospital VBAC ban
VBAC success factors
The marketing of "risk"


Part 2: Sunday, October 4

9:00 pm EDT (6:00 pm PDT):

Uterine Rupture: An overview
VBAC: Risks to baby
VBAC: Risks to mom
Benefits of spontaneous vaginal birth
The risks & benefits of hospital vs. home vbac
How to select a truly supportive care provider
Coping with unsupportive friends & family
Reading list & learning more


The fee for this 2-part webinar is only $30. Click here to register.

http://ican-online.org/the-truth-about-vbac
http://vbacfacts.com/vbac-class/

[smedja]

Danci svaka cast sto si to nasla... sigurna sam da ce mnogima pomoci

[Danci_Krmed]

danas sam dobila zanimljiv email, i obzirom da su mene i mm strašili u vezi prsnuća maternice (i nažalost, uspjeli), želja mi je ga podijeliti s vama tako da VBAC mame imaju ideju koliko je (stvarna) mogućnost prsnuća. Kako je žalostno da su trudnoća i porod postala igre statistika i brojeva više nego normalan proces

stavljam na ovaj topic jer da ne otvaram novi, a nažalost tekst je na engleskom.

http://www.pamamidwife.com/2007/09/1...ure-with-vbac/

Ruptures are also more common than dying in a plane crash. 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. Your annual risk of dying in a plane crash is 1 in 4000, according to one source, and 1 in 700,000 according to another. I can’t explain the massive discrepancy between the two figures, except to quote Mark Twain about “lies, damn lies, and statistics.”

Since you asked, here are some more probability statistics for you:

Your risk of dying in a car accident, over the course of your lifetime, is between 1 in 42 and 1 in 75. This is roughly 4 to 5 times greater than the risk of uterine rupture.

You’re about twice as likely to have your car stolen (that’s an annual risk) than to experience a uterine rupture.

Your odds of being murdered are 1 in 140 over the course of your lifetime. That’s 2 times more likely than the risk of rupture.

The annual risk of having a heart attack is 1 in 160, 2 times more likely than rupture. Your risk of dying from heart disease is roughly 1 in 6, or 55 times greater than your risk of rupture.

If you’re a smoker, your risk of dying from lung cancer is 1 and a half times more likely than a VBAC mom rupturing during her labor.

You’re about 17 times more likely to contract an STD this year than you are to have a uterine rupture; more likely to contract gonorrhea than to rupture, as well.

You’re 13 times more likely to get food poisoning than to rupture.

You’re more likely to have twins than a uterine rupture. Odds of twins: 1 in 90. That’s about 3 1/2 times the likelihood of rupture.

If you ride horseback, you’re 3 times more likely to die in a riding accident than you are to experience a uterine rupture.

If you ride a bike on the street, you are 4 times more likely to die in an accident (annual risk) than you are to suffer a rupture.

Having a serious fire in your home during the next year is twice as likely as experiencing a rupture.

You’re ten times as likely to win at roulette as you are to have a uterine rupture.

If you flip a coin, you’ll be more likely to get heads (or tails) 8 times in a row than to rupture.

The risk of cord prolapse is 1 in 37 (2.7%), or nearly ten times more likely than that of rupture.

And a final irony (heads up, those of you who want a doc to give his/her opinion on your likelihood of rupture next pregnancy!)…

You’re 6 times more likely to have a doctor who is an impostor than you are to suffer a rupture. Two percent of docs are phonies (1 in 50), according to several sources I found.

[ronin]

danas sam dobila zanimljiv email, i obzirom da su mene i mm strašili u vezi prsnuća maternice (i nažalost, uspjeli), želja mi je ga podijeliti s vama tako da VBAC mame imaju ideju koliko je (stvarna) mogućnost prsnuća. Kako je žalostno da su trudnoća i porod postala igre statistika i brojeva više nego normalan proces

eto sad mame mogu imati ideju kolika je mogućnost prsnuća zahvalju8jći svetom pismu interneta

sa sobom radi što hoćeš,no ne utječi na druge u tako opasnim stvarima jer bi nekog vrlo lako mogla nosit na savjesti

[Danci_Krmed]

Znanstvena su istraživanja dokazala da je rizik prsnuća maternice nakon jednog carskog reza izmedju 0.3% i 0,5%, ovisno o istraživanju. Istraživanja su dostupna online i citirana u drugoj literaturi, pa ako nekog zanima neka traži.

Također treba imati na um zašto je rađen carski, kako je bio tijek operacije i oporavka, kakva je trenutna trudnoća i da li će se lijekovi primjenivati pri VBAC porodu (određeni lijekovi povečavaju mogućnost prsnuća). To sve igra ulogu u riziku (vidi stranicu International Cesearian Awareness Network ili ICAN).

Naravno, svatko zna što je za njega prihvatljiv rizik. Nekome je 0,5% previše, no nemojmo zaboraviti koji su svi rizici asocirani sa abdominalnom kirurgijom poput carskog reza (koje ima svoje mjesto u određenim situacijama a ne u drugima).

U našim bolnicama, iz vlastitog iskustva mogu kazati da ako slušaš naše liječnike rizik prsnuća maternice je ogroman. Zapravo, nekad su oni učili na faksu da 'jednom carski = uvijek carski', što se pokazalo u zadnjih 20+ godina da nije istina. Činjenica je da rijetki doktor zna baš puno o VBAC-u i da puno žena ne zna da 'jednom = uvijek' nije potrebno u svakoj situaciji.

Svatko zna za sebe što je najbolje, ne mislim nikoga nagovarati ni na jednu ni na drugu opciju nego potaknuti razgovor i razmišljanje o tome da nije sve crno-bijelo, odnosno da nije svaka opcija nužno dobra ili loša.

[habibi]

buduci da vecina nas radja u hrvatskim rodilistima, voljela bih znati hrvatske statistike glede uspjesnosti VBACa (vjerojano nemoguće). kakav je pristup nasih liječnika, koliko započetih VBACa završi carskim, koliko je puknuća maternica u našim uvjetima. ako su naši liječnici toliko neupućeni, je li veći rizik od VBACa ili carskog reza?

[Danci_Krmed]

mislim da ne znaju puno o vbac jer jednostavno nije toliko potrebno u bolničkom okruženju, naime mogu probati vbac i ako im se čini da 'ne ide' (iz opravdanih ili neopravdanih razloga) HOP na stol.

independent midwives (samostalne primalje) iz engleske na primjer, koje rade puuuuno VBAC-a (žene izbjegavaju socijalni sustav zdravstva i idu k njima upravo zbog toga što će ih one podržavati) znaju puno o tome, kao i bilo koje primalje koje rade kućne porode (austrijske, njemačke... primalje) iz čistog razloga što žene koje njih zovu na kućni porod ŽELE vbac i te primalje imaju statistiku, znanje i iskustvo koje znači da one, iako imaju mogućnost carskog u bolnici kao 'back up', imaju puno znanja o vbac i što je sigurno odnosno nesigurno kod njega.

dr. c. northrup u svojoj knjizi 'žensko tijelo ženski um' daje lijepo objašnjenje gdje dokaže da je vbac sigurnije za majku i jednako sigurno za dijete kao bolnički porod. pogledaj si tu knjigu i onu stranicu koju sam gore navela, ima puno korisnih informacije koje možeš koristiti u donešenju svoje odluke o porodu.

želim ti puno sreće da dobiješ porod koji želiš i smatraš najboljim za sebe i za svoje dijete