Need ALL info on breech homebirths, unassisted - Page 3

[prescottchels]

Originally Posted by flapjack

Prescottchels, the OP asked for reliable information. The reliable information on the safety of UC breech hasn't been compiled by anyone yet. What we do know is that in conventional medical settings, the risks of breech vaginal delivery vary greatly according to the practitioner and the position of the baby. It seems reasonable to bear these facts in mind when considering UC.

Of course, AND it seems as though there has been plenty of conversation about the risks involved for her no matter where/how she delivers AND not a lot of resources shared, until today, on how exactly to deliver a breech baby should she ultimately decide to UC.
Personally, I think we'd be doing the OP a disservice in not helping her educate herself on all the ins and outs of breech delivery. Even if she ends up delivering in the hospital it's great information to have in mind.

That being said I have a scanned copy of Gregory White's Emergency Childbirth book if anyone wants a copy I'd be happy to email it as an attachment. Just shoot me a PM. I also have some other emergency childbirth fact sheets, including breech, saved as jpg's that I'd be happy to share as well.

[midwifemom3]

And just a random c-section for breech video. I thought it was sort of strange/weird the amount of pressure being put on the baby, the pushing and pulling, the lapse of time from the baby being born to the umbilicus until the head was born, and how they had to lift the baby by the feet to help the head flex.

Lifting up by the feet is how midwives and physicians are taught to deliver the head to prevent over extension of the neck. I have a friend whose baby died in a breach birth from a broken neck, and the risk is very real. The videos above are beautiful, but posted because the outcome is good. What is very important to remember in these pictures is that the baby never rotated to OP, if a breach rotates OP in a vaginal birth the head will never deliver.Its impossible, which is why the attendant hold the feet and pulls up. If these babies had tried to rotate OP you would of seen them do the same maneuver to prevent rotation. Delivery is hands off until you see the back of the babies neck, and it has to stay OA to deliver.

[MsBlack]

Noelle, if you're still here--sorry that this thread has in some ways gone so far off course from your original request. Know that some of us are praying for you and your baby--for you to know just what is the best possible thing for you both....something that from this distance, and without similar experience of our own, we couldn't possibly know for you.

[flapjack]

Originally Posted by midwifemom3

And just a random c-section for breech video. I thought it was sort of strange/weird the amount of pressure being put on the baby, the pushing and pulling, the lapse of time from the baby being born to the umbilicus until the head was born, and how they had to lift the baby by the feet to help the head flex.

Lifting up by the feet is how midwives and physicians are taught to deliver the head to prevent over extension of the neck. I have a friend whose baby died in a breach birth from a broken neck, and the risk is very real. The videos above are beautiful, but posted because the outcome is good. What is very important to remember in these pictures is that the baby never rotated to OP, if a breach rotates OP in a vaginal birth the head will never deliver.Its impossible, which is why the attendant hold the feet and pulls up. If these babies had tried to rotate OP you would of seen them do the same maneuver to prevent rotation. Delivery is hands off until you see the back of the babies neck, and it has to stay OA to deliver.

Thanks for this. I've been fiddling with a doll and a plastic pelvis, and I'd never really envisioned the sheer amount of strain on baby's neck until you posted this.

[readytobedone]

Originally Posted by annekh23

I agree, though the problem here is, we really have no clue what your issues are that make c-section a 50/50 chance of death, I've looked through your previous posts and haven't found anything, obviously it's your choice if you wish to keep them private, but it makes it a tricky discussion topic. Personally, I'm really struggling to think of medical conditions that would make a c-section so risky, yet not increase the risk in any type of vaginal birth.

The other thing I'm finding really hard to believe is that if your doctor really thought that you had a 50/50 chance of death in a c-section that s/he still wouldn't try anything to sort things out. Maybe I'm being naive, but if I were a doctor and I had a patient that I thought had a 50/50 chance of dying in surgery but there was another option, but it wasn't usually allowed, I'd be picking up the phone and explaining to the hospital why this time the procedure needs to be allowed.

i agree with all of this. one thing: OP has said elsewhere that she has lots of adhesions and her bowel is in front of her uterus. i tried contacting the OP and telling her my DD's birth story:

http://www.mothering.com/discussions...=readytobedone

i was in a similar situation, and my OB didn't even know it going into the c-section, and...well, i am alive and well and fully healed.

the 50% thing just sounds crazy to me. i'm wondering if one (unreliable) person told her this and she's taken it as gospel.

[JessicaS]

Originally Posted by prescottchels

ETA:The OP is looking for resources on how to birth a breech baby folks, NOT your opinions on where and w/whom she should do it, unless of course you can tell her names of OB's or MW's that will assist in a vaginal birth in her area

If there is a situation where people are concerned, they can certainly say so as long as they stay within the User Agreement.

[rhiandmoi]

Have you talked to a high risk OB?

[pants]

Originally Posted by shakenbake

i woid be Very worried to attempt ahome uc breech more so with your first

yeah I kinda agree. But i'd go into spontaneous labor and labor at home until I was 8 CM dialiated and head to the hossy. (but it also depends on how far from the hossy you are).

Could you find and underground MW to assist?

[DocsNemesis]

For me, the UC with a breech and first baby wouldn't be an issue. I'd take that over a cesarean for no reason other than breech anyway. But if there are other issues (I don't know all of the other issues) that would pose a risk in UC, then I'd be trying something else. Again, I don't know all of the issues and how risky they make a vaginal delivery, so I can't give much advice there-I guess that is something you have to think about yourself.

I'd say show up at the hospital ready to push and then refuse a cesarean, but in some ways this can be even riskier than UC-if you get a doctor who has no clue how to do vaginal breech delivery and then gets all hands on and causes problems. You have no idea who you could end up with and if they have ANY experience/knowledge of breech. That is scary to me.

If a cesarean is indeed that risky, I can't imagine not being able to find a doctor somewhere to do a vaginal breech. I'd be calling hospitals as well, asking to speak to the director or someone else and explaining the situation. Its entirely possible that if you convince the hospital that a cesarean is a huge risk, that they'll say they agree and that would give an OB the ability to deliver without risking themselves to the same extent. (Of course, they still fear lawsuit, so it'll still be hard to find one, but at least without the hospital putting them at risk as well it'll be easier)

[Tizzy]

I cannot imagine any hospital being willing to push a C/S with a 50% chance of survival, if another option was clearly safer. I would suggest shopping around, if the versions did not work. Update when you can OP, you're in my thoughts!

[rhiandmoi]

#1 I would question whatever information source gave you the 50/50 chances. The only information I can see about bowel perforation being even close to such a poor risk, is in spontaneous bowel perforation of low birth weight neonates. Unless you also have clotting issues, or know you have a poorly placed artery, what is leading you to think you have such a high risk of a poor outcome with surgery?

#2 I would not consider breech vaginal delivery of such a complicated case without consulting with an actual medical professional about the situation. And not just calling around to see if you can find someone to do a vag breech. Find someone to actually consult on your case. There are a lot of things going on with your pregnancy that can not be addressed by strangers on the internet. You need to see a professional. Preferrably a high risk OB. Like now. The more time that they have to work on a plan, the better.

[georgia]

Hi, I am closing this thread to new posts. Sorry for the inconvenience. Those seeking further information about breech UC are invited to start a new thread. Thanks!