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Discussion Starter · #1 ·
A friend of mine is due in a month and just found out that her daughter is breech. The doctor is already scheduling the c-section, early even, and filling her with horror stories what will happen if she doesn't do it his way.<br><br>
I've heard of women giving birth vaginally to breech babies. Does anyone ahve any links that i can share with her. I can't find any right now. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shy.gif" style="border:0px solid;" title="innocent">
 

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I don't have any links for you but I can tell you my experience, which sounds very similar to your friend's. At a 5 mo. u/s, the doc told me I have a bicornuate uterus. He said it could cause breech presentation, and many women end up having a planned cesearean. Anyway, DS was head down until 30 weeks, when he turned breech. We had another ultrasound. The doc then said to have a U/S at 36 weeks, and if DS was not head first, that we should have a cesarean. My midwives (who I adored) at a birth center agreed with this. They are not legally supposed to deliver breech babies out of hospital. So, at 36 weeks I went for another u/s. SURPRISE! DS was head first. The doc said it would be virtually impossible for him to turn breech again at this late in the pregnancy. So, exactly on his due date, at 40 weeks, I went into labor. Got to the birth center, the midwife checked my cervix, and I was 8 cm. and DS was BREECH!! She panicked -- called an ambulance and DS was delivered by emergency c-section 40 minutes later.<br><br>
One of my midwives said I could have attempted a vaginal hospital birth if I could FIND a doctor (yeah, right, in 30 minutes??) and the other looked at her with a shocked look and said, "Are you crazy?" So, there is definitely a difference of opinion on what to do about a breech baby. Part of it depends on the presentation. Are they butt first (Frank Breech) or feet first (Footling)? Feet first is much more dangerous (what my DS was) and most doctors and midwives would not suggest someone attempt it. Butt first is easier, but still very difficult.<br><br>
As far as I know, it is difficult to find someone to deliver a breech baby, but it probably also depends on your state. I know "The Farm" will deliver breech babies (Read Ina May Gaskin's book "Spirital Midwifery")<br><br>
Good luck. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Does she want to try to help the baby turn, or is she ok with a c-sec? If she wants a vaginal birth, and wants the baby to turn, there's a lot to try before a c-sec, and she still has plenty of time. My third baby was transverse until 37 weeks, turned head down and was an easy birth. I think a vaginal breech birth is possible, but doesn't sound like her dr would be the one to help her!<br>
Before even scheduling a c-section, I would try breech tilt, accupunture, chiropractic - webster technique, hypnosis, and finally an external version. I'm sure there's more... To start, check out<br><br><a href="http://www.spinningbabies.com" target="_blank">www.spinningbabies.com</a><br><a href="http://www.breechbabies.com" target="_blank">www.breechbabies.com</a><br><br>
And good luck to your friend!
 

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Discussion Starter · #5 ·
Ideally she wants the baby to turn. But her doctor had her so scared that she was crying and shaking and going with the c-section because she belived that her baby would die if she didn't.
 

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My first postpartum doula client (I also have the training to be a labor doula, but have started with postpartum practice) just gave birth to a breech baby boy, vaginally over a week ago.<br><br>
If she had given birth in the more local hospital, they wanted to automatically do a C/section. They gave her flack about wanting to find another doc. I encouraged her to seek out a better situation if that was her and her dh's will, regardless of what the local hospital and doc said. I had also made absolutely and crystal clear all along, that I totally supported whatever choices she and her dh made for themselves about the birth. I told her the bottom line was that she needed to feel absolutely safe with the doc and the space...because then she would be able to let go and give birth. I was ready, willing and able to give my best to them as their postpartum doula, no matter what they chose about any aspect, at any point along the way.<br><br>
She found another doc and hospital about the same distance away from home- just in a different direction- and her records were transferred last Monday. Tuesday night she went into labor. The new doc helped her deliver her baby in the wee hours Wednesday AM, vaginally, without drugs. He did give an episiotomy but compared to major abdominal surgery, it seemed a good trade off.<br><br>
I guess she felt much better and truly safe about the new doc and space, since she apparently let go and give birth without a hitch. She did very well indeed.<br><br>
Soooo....<br><br>
I think your friend just needs to look in her heart and see if she is wanting to see if she can find a better option and really own the experience either way: Csection or not. My client had actually begun to make peace with Csection and was doing research into VBAC before she found another choice.<br><br>
Your friend might want to ask herself if she feels absolutely safe with her doc and birthspace. If so...fine. If not....well, only she will know whether she at least wants another choice or not. Not everyone feels it's worth searching further, for many reasons- among them perhaps, because if they get a healthy baby in the long run, that is all that matters to them. I honor that, though it is not my way. I would never criticize or judge someone for that choice, in fact if someone made that choice and felt totally at peace with it and safe, I would totally support that for them. If such is her way, I encourage you to simply support her choice and be there for her as things unfold.<br><br>
If she DOES want to explore choices...well... local CBE's and Doulas may be of help in finding a more amenable situation (doc, hospital, etc). You can support that too.<br><br>
Either way, she really sounds as if she needs your friendship and support. That you shared your concern about her here, leads me to believe that you are a really good friend. She's lucky!<br><br>
(My client's C/section date was today by the way- we laughed about that yesterday when I was providing postpartum care. Her vaginally birthed breech son is already a week old...and boy is he sweet!)<br><br>
Trusting that your friend finds peace enough to feel safe enough to birth. Good thoughts come...Joyce in the mts.
 

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nak<br><br>
my friend was offerred a referral to a vag breech OB, by the ob who attempted the ECV.<br><br>
she chose c-sec, but midwife made her wait until 39w2d for full sucking/lung maturity (there were amniotic fluid issues, she was at hosp for NST ready for c-sec every two days for three weeks).<br><br>
The approach does vary, and waiting for full maturity is allowed by some practicioners. (personally I'd wait for labour)
 

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The exact position makes a difference. Frank breeches (butt first) are commonly delivered vaginally. Footling breeches (feet first) generally aren't though I've heard several stories of home births of footling breeches. Transverse breech (sideways) is an automatic c-sec. But the baby CAN turn right up to the moment of birth. I've heard that acupuncture is very effective in getting babies to turn. Chiropractors have some techniques that are fairly successful also.
 

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Me too. The current blanket refusal to do vaginal breech births in hospital is based on the results of the Hannah survey- <a href="http://www.aims.org.uk/Journal/Vol12No4/reswin2000.htm" target="_blank">http://www.aims.org.uk/Journal/Vol12No4/reswin2000.htm</a> is a good, brief summary of the research. The interesting thing is the high injury rate in "developed" countries as opposed to "developing" countries in the planned vaginal delivery group, and also that figures get much better for multiparas.<br>
As far as a natural breech birth goes, there's some amazing pictures pamamidwife posted on here a while ago of a footling breech homebirth. My baby is currently breech, and whilst I have a legal right to refuse a c-section, a vaginal birth in hospital is not an option for me because I'll end up with one anyhow. If baby doesn't turn, it's homebirth (with attendant risks) or c-section for me.
 

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I delivered an unexpected full frank at a hospital, it went great. They wanted to do a c but didn't have any anestia (I can't spell) people available all were on call and lived about 15 min away. It went well for us, they were afraid he was gazing but apparently he wasn't b/c there was no problems delivering him! The pain was worse with him he was bottom first facing my stomach but like I said it went well for me.
 

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My MWs have assisted in the homebirth deliveries of many many many vaginal breech births, of all types. Pamamidwife once posted on here that she feels posterior births tend to be a more difficult presentation than breech.
 
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