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  1. #1
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Default Perth the caesarean capital of Australia

    I'm gobsmacked, but not at the same time..

    About half of babies born at some of WA's biggest private maternity hospitals are delivered by caesarean, in a trend that confirms Perth as Australia's caesarean capital.
    St John of God Murdoch tops the table, with 55.8 per cent of babies born by caesarean in 2010.
    It is followed by Glengarry (49.4 per cent), St John of God Subiaco (46.7) and Attadale (44.9).
    The rates are well above the State average of 33.6 per cent in 2010, which is up slightly on the 33.3 per cent reported in 2009 when WA had the highest rate in Australia.
    WA's specialist public maternity unit King Edward Memorial Hospital, which deals mostly in higher risk pregnancies, has a caesarean rate of 35.1 per cent.
    It is the first time the Health Department's annual report on mothers and babies includes a breakdown of caesarean rates by individual hospitals.
    The department said it was publishing the figures in response to community demand for more information on hospital rates of inductions and caesareans.
    Several studies have recently raised concerns about health complications for mothers and babies after caesareans.
    US researchers found babies born by caesarean were twice as likely to become obese children as those delivered naturally, while a WA study found caesarean babies were more likely to end up in hospital with bad respiratory infection.
    Childbirth educator Pip Wynn Owen, who runs the Perth service Birth Savvy, said the high rates of caesareans, particularly at private hospitals, was worrying.
    "It's good to have these figures but what would be even more useful is to have them for individual doctors because some have rates as high as 70 per cent," she said.
    "Obstetricians tend to play on women's fears and the most common one is to say the baby will be big, because that gives a reason to have a caesar, when more often than not the baby doesn't turn out to be big at all."
    Royal Australian and New Zealand College of Obstetricians and Gynaecologists vice-president Michael Permezel said the profile of pregnant women going into private hospitals was different from those who used the public system.
    "They tend to be in the older age group when we know there are higher rates of caesareans and obstetric complications," he said.

  2. #2
    Theophania's Avatar
    Theophania is offline 'see what had happened was..there were these three ninjas and a blue monkey and well it really wasn't my fault..'
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    It doesn't surprise me really. It is absolutely outrageous.

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    Everybody I know in WA who has a Caesar with their first, either emergency or elective, has has an elective with their second. No OB has offered a VBAC that I know of.
    I also know of a few elective Caesars due to social reason of FIFO fathers.
    Some scary figures there though.

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    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Quote Originally Posted by sweetpeamummy View Post
    Everybody I know in WA who has a Caesar with their first, either emergency or elective, has has an elective with their second. No OB has offered a VBAC that I know of.
    I also know of a few elective Caesars due to social reason of FIFO fathers.
    Some scary figures there though.
    KEMH offers a VBAC clinic with an 83% success rate.

  5. #5
    headoverfeet's Avatar
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    Following on from the Caesarean stats released over the weekend, there are some more figures women need to know:

    The Top 5 PERTH Metro hospitals with the LOWEST caesarean rates are:

    1. Swan Districts (20.5%)
    2. Bentley (25.9%)
    3. Kaleeya (26.2%)
    4. Armadale (26.4%)
    5. Osborne Park (28.8%)

    All of these "Top Five" are under the WA state average (33.6%)....
    from bodywise birthwise

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    Sorry I should clarify. Nobody I know personally who had a first caesarean was offered a VBAC. Most of my friends who have had Caesars have told me their OBs have informed them they can't birth naturally.

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    headoverfeet's Avatar
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    Quote Originally Posted by nat11 View Post
    Usually I would make a comment on the demographics of public v private and point out the many different reasons we shouldn't compare the two. However, those numbers are staggering and there is no excuse for them. Shame on the HCPs for allowing that to happen.
    TENS of thousands of Australian women with a low risk of birth complications and delivering in private hospitals are routinely receiving medical interventions once only given as a last resort. A leading midwifery expert has described the practice as ''horrifying''.
    In a landmark study of nearly 700,000 women in New South Wales hospitals, those giving birth privately were found to have a 20 per cent lower chance of delivering their first child through normal vaginal birth.

    ''The fact that these procedures, which were initially life-saving, are now so commonplace and do not appear to be associated with improved [baby] death rates demands close review,'' found the study, which is published today in the British Medical Journal's online journal, BMJ Open.


    ''The findings … suggest a two-tier system exists in Australia without any obvious benefit for women and babies and a level of medical over-servicing which is difficult to defend …'


    A professor of midwifery and the leader of the study, Hannah Dahlen, said the women examined in 2000-08 were aged between 20 and 34, were not pre-term or overdue and carried babies of a normal weight.


    Read more: http://www.smh.com.au/national/priva...#ixzz28h6GVTxQ

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    headoverfeet's Avatar
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    Quote Originally Posted by sweetpeamummy View Post
    Sorry I should clarify. Nobody I know personally who had a first caesarean was offered a VBAC. Most of my friends who have had Caesars have told me their OBs have informed them they can't birth naturally.
    Sorry I realized what you were saying I do think women need to take some responsibility in choosing their care providers but it would be a lot easier if OB's published their personal statistics.

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    But I also think it has gone beyond the OBs. I think woman are not concerned about having Caesars and some even relieved to have them. Woman are not informed and educated to fight for natural child birth.

  10. #10
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    The interesting thing is how the title of that is misleading.

    Overall apparently Queensland is the state with the highest overall stats for c/sections.

    I delivered at Mercy, and am interested in where Mercy falls, does anyone know where the original information is, so I can see the full list?


 

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