[Dhartanya]

Vaginally, if your breech?

[Crystallee]

Yep! One of the only hospitals around that allows breech and vbac and one of the few doctors in our area that do both.

[daffneyc]

You know, I don't know. That's a good question and one I'll ask at my next appt!

[Gripstress]

Nope...though if I were to beg I'm not sure of the outcome. I just know when she thought I might be breech in the past, she was to schedule a c-section. False alarm.

[Twist]

i will be asking that as well. i'd prefer them stick their hands up there and move him into the right position before i have a c-section! knifes scare me!

[Gripstress]

They don't like to move the babies so much anymore because the cord could wrap in the process. I've had two c-sections and going to have another and it's not that bad. Never thought I would because my mom had 6 kids naturally w/o pain meds and my g-ma had 9 the same way but, alas, I could not. I was shocked but you really do get over the fear...I did anyway...

[Cassie.S]

Hmm, you know that is a good question. I need to remember to ask that at my next appointment.

[anna.rose]

I will also have to ask. I want to deliver vaginally, or try to, if baby is breach.

[mspkids]

Mine will as long it is is frank breach or complete breach as long as the feet are definitely up and the cord is not wrapped or will get in the way. However if my OB is not on call, the others in the practice do not like to. However 2 of them may agree that since I've had so many deliveries. Other 3 will not even attempt it.

If my OB does deliver, I have no choice. Must have epi and be prepped for emergency c-section and I have to delivered in the OR in case emergency is required.

Footling breach is automatic csection.

We ran into this with my last. Little bugger was breach until 38 weeks. She finally switched the day before I delivered. I was already talking about csection since they couldn't tell which position she would be in. She kept moving so the breach position kept changing. I won't attempt an inversion due to the risk. Thankfully she switched on her own and we delivered her natural (with double knotted cord).

[BabyBird]

Nope. And I wouldn't risk it anyway. My baby is far more important than any fear of a knife.

[gardenbelle]

You know, I've never had to ask this before. If I'm with my peri at delivery, I'm guessing he would do a c-section but I don't know what my OB would do if I'm able to get back to him.
I would wonder what is more risky for the baby - a breech delivery or a c-section delivery and I would go with whatever is less risky. If a c-section is less risky, I agree with April - even though a c-section is the last thing I would ever want, I'd rather not risk his/her health to achieve my ideal birth.

[gardenbelle]

OK, I was curious which was safer and I came across this. Kind of interesting...

Healthier Babies Hannah and her team of researchers wanted to investigate whether there was a difference in the two methods. They studied the experience of 2,088 women expected to have a breech birth in 121 hospitals in 26 different countries, including the United States and Canada. Half of the women agreed to plan for a C-section. The other half agreed to plan for a vaginal delivery.

Those who had planned to receive C-sections gave birth to healthier babies than those who planned to have vaginal deliveries, the investigators found. Within the first six-weeks of life, 5 percent of the babies of women who had been scheduled for a vaginal birth died or had serious illnesses, compared to only 1.6 percent of the babies of women who had planned caesareans.

However, it may not be the vaginal birth itself that was dangerous for the babies, Hannah notes.

Harried Conditions A Cause?

It may be that that 43 percent of the women who had planned for a vaginal birth ended up needing an emergency, unplanned C-section anyway, due to some last-minute complication. Those harried conditions may be a factor for the poorer outcome for these babies, not the natural birth process itself.

Caesareans May Be Safer for Breech Births - ABC News

[dickersons09]

I had a csection for this very reason and because it was so "simple" and uncomplicated I'm opting for one regardless this time.

[Dhartanya]

Originally Posted by gardenbelle

OK, I was curious which was safer and I came across this. Kind of interesting...

Healthier Babies Hannah and her team of researchers wanted to investigate whether there was a difference in the two methods. They studied the experience of 2,088 women expected to have a breech birth in 121 hospitals in 26 different countries, including the United States and Canada. Half of the women agreed to plan for a C-section. The other half agreed to plan for a vaginal delivery.

Those who had planned to receive C-sections gave birth to healthier babies than those who planned to have vaginal deliveries, the investigators found. Within the first six-weeks of life, 5 percent of the babies of women who had been scheduled for a vaginal birth died or had serious illnesses, compared to only 1.6 percent of the babies of women who had planned caesareans.

However, it may not be the vaginal birth itself that was dangerous for the babies, Hannah notes.

Harried Conditions A Cause?

It may be that that 43 percent of the women who had planned for a vaginal birth ended up needing an emergency, unplanned C-section anyway, due to some last-minute complication. Those harried conditions may be a factor for the poorer outcome for these babies, not the natural birth process itself.

Caesareans May Be Safer for Breech Births - ABC News

I'd be curious to know the statistics on the 7% that did manage to give birth Vaginally.

[gardenbelle]

Sorry, I can't find the 7% stat, where did you get that number? IKWYM, but would it be worth the risk if you could end up in a harried situation? It would kind of be like rolling the dice. If I were guaranteed not to be one of the people who ended up in an emergency situation, I would be all over it.

[rlh27]

No, it's against hospital policy. If the baby is breech and all attempts at repositioning have failed, you can either try the hospital 1.5 hours away, or have a section.

[Dhartanya]

Originally Posted by gardenbelle

Sorry, I can't find the 7% stat, where did you get that number? IKWYM, but would it be worth the risk if you could end up in a harried situation? It would kind of be like rolling the dice. If I were guaranteed not to be one of the people who ended up in an emergency situation, I would be all over it.

Lol can't do math lol
57% is what I should have said. Opps, thanks pregnancy brain!

I'd also be curious what the harried situations there were....

Were most of 43% women who had emergency c sections giving early interventions?... that led to more interventions?... That led to an emergency c section?
Were those initial interventions really even warented? Or perhaps given out of convince? Or to hurry things along?

IMO it would be very difficult to actually prove which is safer (csection or vaginal) for breech deliveries.
There are just too many variables to accurately judge, especially with early and unnecessary interventions happening.

The risks for a c section are quite high.
There is also risks associate with vaginal breech deliveries.

[ash29nc]

I.had a vag frank breech with num 1 it
,was scary.but every.one came out great

[gardenbelle]

Originally Posted by Dhartanya

Lol can't do math lol
57% is what I should have said. Opps, thanks pregnancy brain!

I'd also be curious what the harried situations there were....

Were most of 43% women who had emergency c sections giving early interventions?... that led to more interventions?... That led to an emergency c section?
Were those initial interventions really even warented? Or perhaps given out of convince? Or to hurry things along?

IMO it would be very difficult to actually prove which is safer (csection or vaginal) for breech deliveries.
There are just too many variables to accurately judge, especially with early and unnecessary interventions happening.

The risks for a c section are quite high.
There is also risks associate with vaginal breech deliveries.

I think what you might be saying is that the interventions and augmentations are what may have caused the harried situation and not the attempt at a breech delivery? I think if you are interested in exploring this, you might want to compare that stats of the breech delivery study to the infant mortality in normal birth situations (in which interventions and augmentations happen quite often). Just from looking at the stats though, the infant mortality rate looks a lot higher but I'd be curious to know what the rate is.

[taatie10]

No. C-Section would be needed unless you want to try a version prior to going into labor.

Our hospital also doesnt allow VBACS. Small town for you.