New father thinking out loud:
In contemplating a vaginal breech birth, my greatest concern would be one of the unexpected complications such as cord wrapped around baby's neck, placental abruption, and severe hemmorhage from mother, or strangulation of baby, etc. I am told that cord wrapped around neck, for example, often does not show up on ultrasound. I just got an email from a good friend in France who is also a new dad and he said that both he and his brother - #1 and #2 child of his mom - were breech births.
I have heard that the time factor in dealing with unexpected complications at birth can be a matter of minutes (life or death) but I'm not very clear on this. Hypothetically, if we had a lay midwife come to our apartment one of these complications arose, we are only six blocks from a major hospital with ER facilities. They even have midwives working in this hospital. I think we could reasonably get to the emergency room in somewhere between three and ten minutes. Would it be feasible to transport if for example, baby's head was stuck inside the cervix. The feet and butt would sort of be dangling out. Any opinions here? Would there be enough time?
I am guessing that the midwives will want to schedule an external version right away (by Thursday?) if Pema Karpo is still breech tomorrow. Mostly I've heard that the EV is safe (though not always painless) when baby is under continuous monitoring for stress, the doctor is experienced and gentle, and mother is relaxed. Though I hear a lot of mixed opinions on EV's from the moms at MDC. And I do agree that from the fetal perspective, it certainly can not be described as "non-invasive". Not much time to decide. Meanwhile, we are off to the chiros office in a bit, and will go look for the pulsatilla this morning.