I'm going to repeat this on every breech thread I come across -- some babies are born breech by nature, at one time I read nearly 1/3 present breech which totally made sense with the rising c/s rate at 29.1%.
The fact remains that breech births are safe in the hands of qualified OBs, CNM or lay mws (CPMS, etc). The problem is finding a qualified practitioner since all breeches have been c/s for a while now.
1) automatic breech = c/s is no longer recommended
Quote:
From: midwiferesource@yahoogroups.com
[mailto:midwiferesource@yahoogroups.com] On Behalf Of Gloria Lemay
Sent: Saturday, January 21, 2006 4:58 PM
To: undisclosed-recipients:
Subject: [midwiferesource] "Term Breech Trial" recommendations to section are withdrawn
Five years to the term breech trial: The rise and fall of a randomized controlled trial.
American Journal of Obstetrics & Gynecology. 194(1):20-25, January 2006.
Glezerman, Marek MD
Abstract:
Objective: On the basis of the end points of neonatal morbidity and death, the authors of the term breech trial concluded unequivocally that cesarean delivery was safer for breech babies.
Study design: Analysis of the original and new data gives rise to serious concerns as far as study design, methods, and conclusions are concerned. In a substantial number of cases, there was a lack of adherence to the inclusion criteria. There was a large interinstitutional variation of standard of care; inadequate methods of antepartum and intrapartum fetal assessment were used, and a large proportion of women were recruited during active labor. In many instances of planned vaginal delivery, there was no attendance of a clinician with adequate expertise.
Results: Most cases of neonatal death and morbidity in the term breech trial cannot be attributed to the mode of delivery. Moreover, analysis of outcome after 2 years has shown no difference between vaginal and abdominal deliveries of breech babies.
Conclusion: The original term breech trial recommendations should be withdrawn.
(C) Mosby-Year Book Inc. 2006. All Rights Reserved.
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And more importantly -- 2) you have rights and you have the right to refuse recommended treatments
http://birthpolicy.org/primer.html
BirthPolicy.org is just full of good legal information for all moms
I choose to have my vba2c at home, I did this b/c I could not find a hospital or OB to take me on as a vbacer. I then also realized the hospital dictates my care through their policies, written by their malpractice insurance lawyers and I wanted out of the whole mess. I hate hospitals, always have and feel that they are no place to have a healthy baby.
If you really want a vbac, I mean really want it, you'll find a way to do it safely.
If you live in the Shenandoah Valley, I know of a great therapist who mostly deals with women and birth issues. She was just a wow experience for me.
It's got to be so hard to be worrying about this right now. Sending you baby turning vibes...
I might have to have help doing somersaults. I haven't been able to flip-turn since 6 months along. Dh sure as heck isn't going to help with something like that so I'll use a guest pass to the gym and see if my doula will help.
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