eight patients (17%) had repeat abdominal delivery without a trial of labor. Contra indications to a trial of labor were a vertical or unknown type of uterine incision, two or more previous cesarean sections, the surgeon who dictated the operative note advising against labor, abnormal fetal presentation, or urgent medical indication for delivery. Oxytocin induction or stimulation was used based on commonly accepted Uterine obstetric principles of practice. rupture occurred four times: two were
found on palpation of the uterine scar at the time of vaginal delivery (and neither of these patients exhibited hemorrhage), one was found at the time of repeat cesarean section after a failed trial of labor, and one was found and repaired at the scheduled cesarean section. Maternal morbidity was found to be higher for those patients who underwent both a trial of labor and a repeat section than for those who either delivered vaginally or who were not allowed a trial of labor. This was seen in a greater fre-
quency of febrile morbidity, wound complications, and blood transfusions. The four patients with uterine rupture did not show any hemorrhage or shock. The authors summarize the benefits of trial labor in terms of decreased morbidity and length of hospital stay for those who delivered vaginally. The costs included the need for closer observation during labor and the slight increase in length of stay, and morbidity for those patients who eventually required repeat cesarean section.
Abortion Eve. By Chin Lyvely and Joyce Sutton. Laguna Beach, California: Nanny Goat Productions, 1973.
This publication is a poor example of what can be done with a comic book format. There is too much printed narrative on each page. The back cover of the comic shows a satirical representation of a pregnant madonna-like woman dressed in a white gown, blue cloak, halo and surrounded by cherub-looking winged infants with the caption, “What me worry?’ The irreverent exploitation of a religious theme or symbol to politicize a point of view or to sell a publication is inappropriate.
News from H.O.M.E. Maternity Experience). H.O.M.E., Washington,
Cost: $0.75 plus $0.35 for mailing Available from: Nanny Goat Productions, P.O. Box 845, Laguna Beach, California 92652 Description: I do not recommend this comic book for purchase or distribution. Its general content focuses on five pregnant women of ages, socioeconomic, and ethnic unds who have preabortion group ng, an abortion procedure, and postThe publication is extremely sexist and d. The tenet is advanced that it is a woman’s prerogative alone to decide whether or not to terminate pregnancy. Men are not involved in the counseling sessions, and in general their feelings ahd part in the decisionmaking process are undermined, ridiculed, or
ignored. The booklet is so pro-abortion that it does not help a woman make an informed decision about alternatives. Psychological ramifications of abortion are deemphasized. Although some common questions and concerns about abortion are raised and helpful points are mentioned, many statements may be taken out of context due to inadequate or slanted information. For example, “A PELVIC exam is when the doctor examines your ‘inside’ female parts with his hands and this instrument” (p. 5). The instrument refers to a picture of a speculum with “feminist friend” written on the blade.
40
Men and Family Planning. Bibliography compiled by Douglas Beckstein. Summer, 1978. 14 pages. Cost:
Free/single
copy
Available from: Douglas
Beckstein, Department of Community Health and Medical Care (DOCHMC), St. Louis County, Missouri, 801 South Brentwood Boulevard, Clayton, Missouri 63105 Description: This annotated bibliography contains books, magazine/journal articles, pamphlets, male anatomical teaching models, posters, names/addresses of resource people, and other bibaographies of male-oriented family planning and sex education materials for staff training and client education. Most selections are pre-1978. Readers may question the inclusion of some references. Additional comments by the compiler about his rationale for selecting items are necessary. An updated, expanded, more evaluative, and professionally edited version of this useful and needed bibliography would be helpful.
(Home Oriented Published by D.C.
Cost: $5.00 includes annual membership in H.O.M.E. and subscription to the quarterly newsletter
Available from: H.O.M.E., Avenue, 20012
Takoma
Park,
511 New York Washington, D.C.
Description: H.O.M.E.,
a national organization, supports and assists couples who want to deliver at home. The organization’s major aim is to help couples achieve a safe home birth. Resources include a series of meetings with couples, health professionals, and childbirth educators to discuss the advantages of home birth to parents and baby, necessary equipment and procedures, parental responsibilities, psychological, emotional, and medical issues and considerations, suggestions for ways to make a hospital delivey as homelike and as safe as possible, transition to parenthood and breastfeeding. Printed materials and professional assistance, also, are available. With the increasing growth and recognition of lay midwifery and alternative birthing possibilities, the newsletter provides important information to nurse-midwives. Legislative issues pertaining to lay and nurse-midwifey, conference summaries with particular emphasis on controversial topics in home birth, trends in the lay midwifery movement, and reviews of procedures, equipment, and multimedia materials have received coverage in past publications.
Journal of Nurse-Midwifery
l
Vol. 24, No. 2. March/April
1979