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https://ciane.net/id=18

Criado em : 14 Jul 2003
Alterado em : 01 Dec 2007

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Nota bibliográfica (sem autor) :

The Caesarean Question. Are Canadian rates too high?

Autores :

Pitman, Teresa

Ano de publicação :

2003

URL(s) :

http://www.todaysparent.com/pregnancybirth/labour/…

Résumé (français)  :

Hazel Ling never expected to have a Caesarean. She and her husband Chad moved to Thunder Baby, Ontario, not long before their baby was due, but were delighted to find a midwife willing to provide their prenatal care.

Ling’s water broke during a prenatal visit, a week after her due date, and she was sent home by the midwife to wait for contractions. But the contractions, when they finally started four hours later, were very sporadic and not very strong - she’d have a few, then they’d stop, then she’d have a few more. Twelve hours after the first contraction, Ling’s midwife checked her and found she was only two centimetres dilated.

"I was so discouraged," says Ling. "We just couldn’t seem to get things going." Ling reached five centimetres dilation during the next nine hours of labour, and the midwife called in an obstetrician who arranged for Ling to have oxytocin through an intravenous drip to see if that would stimulate stronger contractions. Ling dilated another three centimetres during the next seven hours. After a total of 28 hours of intermittent labour and four hours of oxytocin, Ling was eight centimetres dilated - still not ready to give birth. The obstetrician recommended a Caesarean delivery. After the surgery, he told the new parents that the baby’s head had not been in a good position.

"He said Maren might never have come out on her own," says Ling. "I might have laboured for days without getting her out."

But Ling still wonders. Would it have helped to start the oxytocin sooner, or to have waited a bit longer? Should she have tried to labour for just a few more hours? "I guess you always have those questions when you have a Caesarean."

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➡ cesariana

Autor da esta ficha :

Sophie Gamelin — 14 Jul 2003