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Vaginal Breech Birth?


Forum: Labor and Childbirth

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  #1  
March 28th, 2010, 06:35 PM
WhoaMomma!'s Avatar Danielle
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If you had a frank breech (butt first) baby that wouldn't not turn despite every trick in the book (external version, acupuncture, webster, etc.) AND found one of the precious few doctors or midwives left that would allow it:

Would you consider delivering vaginally? Or would you prefer to opt for a planned cesarean? And why?
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  #2  
March 28th, 2010, 07:58 PM
Aeterna's Avatar Super Speshil
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Vaginal at home. We had to prepare for a vaginal breech birth in the event he [ds2] didn't turn. He turned at 32 weeks after a few days of doing inversions and knee-chest exercises.

Frank or complete breech doesn't necessitate a c-section. In this day and age it's believed it's safer to do a c-section because most OBs no longer possess the skill necessary to attend a breech. Med students and residents are no longer trained or taught how to manage (or not manage) breech birth. The hands off approach is best and the vast majority of OBs are NOT hands off.

My midwife has attended a lot of breech births in her days. She attended a twin/breech birth in January. Mom did beautifully.

I read Maggie Banks' book on breech birth to familiarize myself with it and prepare. My midwife only attends breech births in moms that have a "proven pelvis" and very minimal pushing time in previous births. I was a perfect candidate for breech birth.

Good article for managing a breech birth.

I love this breech waterbirth video.

Here's a fairly recent news article addressing the current research on vaginal breech birth.
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Last edited by Aeterna; March 28th, 2010 at 08:02 PM.
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  #3  
March 28th, 2010, 09:15 PM
lilflower
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I'd do it. At home. The only birth I wouldn't attempt is transverse because it just isn't possible. My son was breech and I delivered him vaginally, he was a footling, but I'm not sure as that counts because I only made it to 28 weeks?
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  #4  
March 28th, 2010, 11:25 PM
ChicaChels's Avatar Platinum Supermommy
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I would never agree to a c-section just because of a breech. There is a midwife in a birth center 2 hours away who does breech deliveries. I would go there
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  #5  
March 29th, 2010, 09:36 AM
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I'd want to give it a try vaginally. My biggest delivery fear is having to have a c-section. My SIL's first baby was breech and they did a c-section on her and then with each baby afterwards and she was happy about the c-section... it's just not something I ever want to experience!
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  #6  
March 29th, 2010, 11:43 AM
WhoaMomma!'s Avatar Danielle
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Quote:
Originally Posted by Mama to 3 Monsters View Post
it's just not something I ever want to experience!
I hope you don't. It's awful
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  #7  
March 29th, 2010, 02:45 PM
ChicaChels's Avatar Platinum Supermommy
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i hate how they want to schedule c-sections just for breech babies..how many babies turn breech while mom is IN labor? what makes them think they baby cant/wont turn back to vertex?! stupid aholes
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  #8  
March 29th, 2010, 04:33 PM
WhoaMomma!'s Avatar Danielle
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I think they're afraid of getting sued. If a baby gets hung and dies they're going to get destroyed in court. Bc if they had done a c/s he baby absolutely would have survived. I'm not going to lie. If I were a midwife I don't think I would agree to deliver a breech on a first time vaginal birth. I would just be terrified of losing my house savings acct college funds etc.
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  #9  
March 29th, 2010, 04:39 PM
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I think they would be better off if it was still TAUGHT in med school/midwifery school It's very sad that it isn't taught anymore.
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  #10  
April 1st, 2010, 12:13 AM
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I would try for a vaginal delivery. however, not at home as there are no providers in this area that would do a homebirth with a known breech.
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  #11  
April 1st, 2010, 10:18 AM
Cheet_oh's Avatar Platinum Supermommy
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I would definitely give it a go vaginally, no c-sections for me if I can avoid them, I'm terrified of them! I would make sure to be in the hospital or somewhere really close.
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  #12  
April 1st, 2010, 10:26 AM
WhoaMomma!'s Avatar Danielle
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Quote:
Originally Posted by Kelllilee View Post
I would try for a vaginal delivery. however, not at home as there are no providers in this area that would do a homebirth with a known breech.
That's interesting. From what I've read if dilation doesn't occur or the pushing doesn't work bc of the breech positioning, there would be plenty of time to transfer to a hospital. And if the baby gets hung, it's too late for a cesarean. I wonder if there is actual data that it's safer in the hospital or if that's just a reflection of the pervasive mindset that vaginal breech is dangerous....?
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  #13  
April 1st, 2010, 11:56 AM
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Quote:
Originally Posted by WhoaMomma! View Post
That's interesting. From what I've read if dilation doesn't occur or the pushing doesn't work bc of the breech positioning, there would be plenty of time to transfer to a hospital. And if the baby gets hung, it's too late for a cesarean. I wonder if there is actual data that it's safer in the hospital or if that's just a reflection of the pervasive mindset that vaginal breech is dangerous....?
I believe it's a legal thing here. My midwife has delivered several breeches at home when they didn't know. But there are a couple OBs who will attend a breech delivery.
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  #14  
April 2nd, 2010, 12:03 PM
wonderfullymade's Avatar Doula & MW Apprentice
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breech at home.

We had planned on our twins one vertex and one frank breech, but the breech bub turned during labor (which is common).
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