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----- Original Message -----
From: "ROBYN MAUDE" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, November 14, 2004 9:55 PM
Subject: Re: Fear, social pathology, LSCS etc.


> <What enables young women to overcome their fears when older, more
> experienced, and sometimes empowered women can not face normal birth?>
>
> This is an interesting aspect to be investigating. In the past 2 years the
> tertiary hospital in Wellington NZ has produced an annual report. The data
> demonstrated that teenage (Maori) women had the highest rate of 'normal'
> birth, even though they often had risk factors such as high rates of
> smoking. It also showed that teenage Maori women  were more likely to have
> a
> midwife Lead Maternity Carer (over 70% of women in NZ have a midwife LMC).
> Pakeha (European/Caucasian) women had the highest rate of intervention,
> epidural and 2nd highest rate of c/s. They were most likely to have a
> specialist as their LMC or shared care with specialist as LMC (Asian women
> had the highest rate of c/s in this data set)
> No conclusion has been reached from these findings because it is only a
> couple of years worth of data. However, it is known that continuity of
> care
> and caregiver and continuous support in labour do may a difference to the
> outcomes. There are other cultural aspects to be taken into consideration
> as
> well (and plenty of other factors I am sure) But it does make one stop and
> think.
> Robyn
> ----- Original Message -----
> From: "Kim Watts" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, November 12, 2004 10:54 PM
> Subject: Re: Fear, social pathology, LSCS etc.
>
>
> Hi All,
>
> This discussion thread is very interesting and I would like to add a
> further
> dimension to it that of age if I can.
>
> I am currently undertaking PhD studies involving secondary analysis of a
> ten
> year dataset containing 33,000 women. During analysis it is very clear
> that
> the LSCS rates in teenagers is lower than in my comparison group of 20-25
> year olds.  This is the case for both primips and multips and also applies
> to Em LSCS.
>
> It is acknowledged that teenagers are sometimes ill prepared for birth and
> that they are a group of vulnerable women who also can be disempowered.
> Is
> this why they have a higher percentage of normal births and do not ask for
> LSCS?
>
> Or do they not consider LSCS as an option and still see vaginal birth as
> the
> natural outcome they want?
>
> These young teenage women still express fear about the birthing process
> and
> yet they face normal birth.  Is it that they do not have the knowledge and
> are not given the choices that older women are?
>
> Although this may not fit with the spiritual aspect of the discussion it
> does fit with the fear and social aspect.
>
> What enables young women to overcome their fears when older, more
> experienced, and sometimes empowered women can not face normal birth?
>
>
> I look forward to further discussion in this area?
>
> Kim
>
>
>
>
> Kim Watts
> Midwife Lecturer
> Academic Division of Midwifery
> PGEC
> City Hospital
> Hucknall Road
> Nottingham
> NG5 1PB
> 0115 969 1169 x 45203
> Hucknall Road
> Nottingham
> NG5 1PB
>
>
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