Submitted by tcowgirl on Sat, 07/12/2008 - 12:32pm.
for some reason my reply posted as a new blog but I listed some facts I’ve found on uterine rupture. I noticed that the ican article on uterine rupture says that there were no maternal deaths & not many fetal deaths at all but it didn’t go on to say whether all these births were in a hosp or at home. (I assume a hosp) anyone know?
Submitted by Anonymous on Tue, 05/27/2008 - 3:40pm.
The Joint Commission (fomerly called JCAHO) is apparently known for its strong patient right standards. Here, in fact, is what they claim in their own literature:
<<
Patient Rights Standards
The Joint Commission is committed to protecting the rights
and dignity of all patients and ensuring that all care is
delivered in an ethical manner. The Joint Commission’s
Patient Rights standards evaluate how an organization
protects patient rights and whether staff members treat
patients with dignity and respect. During the on-site survey,
the survey team assesses if patients are treated as individuals with unique personal and
health care needs; if they are encouraged to be actively involved in decisions about their
care and are able to accept or refuse specific treatments or participation in clinical
research; if the organization protects the confidentiality of specific patient information;
and if the organization has procedures to communicate their rights to patients.>>
Why is it then that when I contacted them about pursuing patient rights complaints against hospitals that ban women from choosing to VBAC they refused to pursue the issue? They gave me the same old line about "we can’t force a hospital to offer a procedure that they don’t want to offer." Yeah? But what if that policy is a direct violation of the patient’s right to participate in her own medical care decision making and refuse unwanted medical treatment???? Is the Joint Commission just blowing hot air? I think so!
Submitted by Anonymous on Wed, 05/28/2008 - 4:34pm.
That last poster failed to relate any risks. I’m currently trying to figure it all out myself. I had a c/section for my first child and am thinking about trying to conceive my 2nd child. I am quite frightened about the birth of a child that doesn’t even exist yet. It is wonderful to champion VBAC rights, but it also good to note that it isn’t a 100% successful wonderful experience. Just do a Google search on Uterine Rupture and you will cry over stories of women who chose VBAC and lost their babies because of uterine rupture the hospitals didn’t notice. For those women, VBAC is a selfish and senseless choice that they would not advocate anyone to follow. However, in those horror stories I read, the women were induced, which seems to lead to a higher risk of rupture. (as does use of an epidural). So think about your pain management options as well as the VBAC risks. I am fighting with these risks in my own life. Do I want to deal with a potentially deadly uterine rupture and spend my life feeling that it was my fault my baby died, or do I want to undergo another c/section that may cause further complications and spend another 6 weeks of my life crying because I can’t be a mother to my new baby when I’m trying to heal from major surgery. This is a very weighty subject and I’m glad ICAN is trying to broaden awareness, but you are right to be wary. There are potentially big risks either way. Do your homework before you make a decision.
Submitted by cordersara on Mon, 06/16/2008 - 11:01am.
I am all for VBAC’s too, but my first cesarean was wonderful. I had no pain. I heald great. Was your cesarean painful. The only problem I had was weakened muscles and had to sleep on the couch for a few weeks.
Submitted by tcowgirl on Sat, 07/12/2008 - 12:30pm.
okay so here’s the deal. these are the only facts I’ve been able to find & i’ve researched a ton. in ‘the vbac companion" book page 95 it has a tiny section that says - if there’s a uterine rupture, you have 30 minutes to get the baby out till it dies & 17 minutes to get the baby out till there’s brain damage. i’m doing an HBAC (home birth after cesarean & I’m having everythign lined up so we can get to the hosp in 7 minutes & be cut open in 10 minutes if necessary. this second part i haven’t found good facts on, but from what i’ve read the risk of uterine rupture is 1 in 100 to 1 in 200 if you have had only one previous c-sec & have a low transverse double suchered incision & are not given pitocin at birth. if anyone else has FACTS, I would LOVE to hear them!!! please write in!!! I’m concerned abou thte same thing (uterine rupture) but can’t stand the hospital :)
for some reason my reply
for some reason my reply posted as a new blog but I listed some facts I’ve found on uterine rupture. I noticed that the ican article on uterine rupture says that there were no maternal deaths & not many fetal deaths at all but it didn’t go on to say whether all these births were in a hosp or at home. (I assume a hosp) anyone know?
The Joint Commission Fails to Protect Patient Rights!
The Joint Commission (fomerly called JCAHO) is apparently known for its strong patient right standards. Here, in fact, is what they claim in their own literature:
<<
Patient Rights Standards
The Joint Commission is committed to protecting the rights
and dignity of all patients and ensuring that all care is
delivered in an ethical manner. The Joint Commission’s
Patient Rights standards evaluate how an organization
protects patient rights and whether staff members treat
patients with dignity and respect. During the on-site survey,
the survey team assesses if patients are treated as individuals with unique personal and
health care needs; if they are encouraged to be actively involved in decisions about their
care and are able to accept or refuse specific treatments or participation in clinical
research; if the organization protects the confidentiality of specific patient information;
and if the organization has procedures to communicate their rights to patients.>>
Why is it then that when I contacted them about pursuing patient rights complaints against hospitals that ban women from choosing to VBAC they refused to pursue the issue? They gave me the same old line about "we can’t force a hospital to offer a procedure that they don’t want to offer." Yeah? But what if that policy is a direct violation of the patient’s right to participate in her own medical care decision making and refuse unwanted medical treatment???? Is the Joint Commission just blowing hot air? I think so!
Risks
That last poster failed to relate any risks. I’m currently trying to figure it all out myself. I had a c/section for my first child and am thinking about trying to conceive my 2nd child. I am quite frightened about the birth of a child that doesn’t even exist yet. It is wonderful to champion VBAC rights, but it also good to note that it isn’t a 100% successful wonderful experience. Just do a Google search on Uterine Rupture and you will cry over stories of women who chose VBAC and lost their babies because of uterine rupture the hospitals didn’t notice. For those women, VBAC is a selfish and senseless choice that they would not advocate anyone to follow. However, in those horror stories I read, the women were induced, which seems to lead to a higher risk of rupture. (as does use of an epidural). So think about your pain management options as well as the VBAC risks. I am fighting with these risks in my own life. Do I want to deal with a potentially deadly uterine rupture and spend my life feeling that it was my fault my baby died, or do I want to undergo another c/section that may cause further complications and spend another 6 weeks of my life crying because I can’t be a mother to my new baby when I’m trying to heal from major surgery. This is a very weighty subject and I’m glad ICAN is trying to broaden awareness, but you are right to be wary. There are potentially big risks either way. Do your homework before you make a decision.
Cesarean
I am all for VBAC’s too, but my first cesarean was wonderful. I had no pain. I heald great. Was your cesarean painful. The only problem I had was weakened muscles and had to sleep on the couch for a few weeks.
okay so here’s the deal.
okay so here’s the deal. these are the only facts I’ve been able to find & i’ve researched a ton. in ‘the vbac companion" book page 95 it has a tiny section that says - if there’s a uterine rupture, you have 30 minutes to get the baby out till it dies & 17 minutes to get the baby out till there’s brain damage. i’m doing an HBAC (home birth after cesarean & I’m having everythign lined up so we can get to the hosp in 7 minutes & be cut open in 10 minutes if necessary. this second part i haven’t found good facts on, but from what i’ve read the risk of uterine rupture is 1 in 100 to 1 in 200 if you have had only one previous c-sec & have a low transverse double suchered incision & are not given pitocin at birth. if anyone else has FACTS, I would LOVE to hear them!!! please write in!!! I’m concerned abou thte same thing (uterine rupture) but can’t stand the hospital :)