Midwives At Southampton, England, Helping Women Who Have Previously Had A Caesarean Section To Choose A Normal Birth For Their Next Baby17 Feb 2009
Nationally, the number of c-sections has dramatically increased over the last decade. This has led the NHS Institute for Innovation and Improvement to develop a toolkit to help midwives reduce these numbers.
... there has been a 4 per cent reduction in the number of c-sections [since this toolkit was implemented.]
One of the initiatives is to introduce midwife-led care for women having vaginal birth following a previous caesarean.
The consultant midwife ... who helped set up the project said, "We try not to medicalise the event, so from the beginning the mother will see a midwife, rather than a doctor. They will have a risk assessment to make sure they are suitable for midwife-led care and VBAC, and we fully explain the risks and benefits so they can make an informed choice."
After a normal birth, recovery tends to be quicker and the mother is up and about sooner. This means there is less risk of deep vein thrombosis (DVT), and breast-feeding also tends to get off to a more successful start.
What a fantastic initiative! It would be great if it could be implemented as a routine here in Australia.
NHS Institute for Innovation and Improvement