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Dear list members If you have missed any of this debate or want to search for other topics that have been discussed. you can catch up on the list archives at http://www.jiscmail.ac.uk/lists/MIDWIFE-RESEARCH-ADVISORY-NETWORK.html You can also change your subscription on this page as well. best wishes Jane Sandall list moderator on behalf of ICM Research Standing Committee ----- 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 > > > This message has been scanned but we cannot guarantee that it and any > attachments are free from viruses or other damaging content: you are > advised to perform your own checks. Email communications with the > University of Nottingham may be monitored as permitted by UK legislation.