My 8th baby was born via c-section after an external version. Long story! Although I'd already had birthed one breech baby vaginally (#6), and had a very proven pelvis
, the only doctor in my area who would attend a vaginal breech had retired, and my options for breech birth were now either homebirth with midwives who'd not had a lot of experience with catching breechies, attempting an external version, or c-section. I just wasn't comfortable with homebirthing a breech baby, even though I'd had several of my other children born at home. My doctor had had good success with external version, so I agreed to try that.
First, I spent several weeks using moxabustion, tilting, talking and praying, and pulsatilla. No turning did occur, so, at 37 1/2 weeks, the doctor made her first attempt at encouraging little bun to turn. He wasn't interested, so she stopped and I went home. Two days later, she tried again, and this time was successful. The version was done at the hospital, in an u/s room so the cord could be (hopefully) visualized to make sure it didn't get compromised in some way. I was then sent to a little room in the maternity section for electronic fetal monitoring, again, to make sure the cord was OK.
Within an hour, the baby had a major decel, and we all went on alert. Could've been just one of those cord things that probably happen all the time in utero, but we don't know about it because women don't walk around with EFMs on them! But then he did it again within 15 minutes or so, and this time it lasted longer and it was harder to get his heartrate back up (changing my position, O2, etc). Over the next hour, this pattern continued, but the decels were lasting longer and it was getting harder to get that heartrate back on track (now I was on my hands and knees with a nurse shaking my belly, the doctor jiggling my cervix, and me praying through the O2 mask, for several minutes). A quick conference and the decision was made to try to induce labor and get the baby out soon.
A Cervidil insert resulted in a large, long contraction, with dipping heartrate, so that idea was abandoned, and we were now looking at c-section. By this time, I felt like we were a section just biding its time, so I agreed. We had time to get a very good OB in for the surgery, with a good surgical team, so I at least felt like the baby and I were in good hands. When my uterus was opened up, the doctor remarked that Aaron's cord was wrapped around his head. Probably happened during the version.
Of course, I now second- and third-guess how all of this played out. On the one hand, *it would've been so simple to just have a vaginal birth!!!!*, and I'm very frustrated that this birthing method has fallen so out of favor that one can't find an experienced birth attendant for a vaginal breech birth. On the other hand, I feel like I did all that I could, and responded the only way I could as the circumstances unfolded. I just don't know. Should I have any more children, and should I discover them to be breech late in the pregnancy, I don't know what I'll do....maybe move to Tennessee for a few weeks