Re: [ozmidwifery] Term Breech Trial

[Jo & Dean Bainbridge]

Title: Message

Prof Marc Keirse (editor of Effective Care) has done quite allot of very critical critiquing of the TBT.  He has written a number of things about the failures of the TBT.  I don't know when they have been published but know that they have been published in the Birth Perinatal Issues Journal (Blackwell science).  He sent me them "for some light reading over xmas" a few years ago....I would have to ask his permission to send them to anyone directly, but sure you will find them in Birth.  Prof has been one of the most outspoken critics of the TBT.   yeah, I know I was going off list, but haven't had time yet!! Jo Bainbridge founding member CARES SA www.cares-sa.org.au [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith & love... ----- Original Message ----- From: Mary Murphy To: [EMAIL PROTECTED] Sent: Saturday, September 13, 2003 6:22 PM Subject: Re: [ozmidwifery] Term Breech Trial I do not have the paper in front of me, but from memory there were many concerning issues. It was a multi centered trial (121)  in a number of countries(?) with obstetricians who were said to be experienced in breech birth. I believe that those who weren't experienced, attended workshops to bring them "up to speed".  There were many variables eg  IUGR which were not excluded and which would have had an impact on the outcome.  I believe that the "normal" hospital position for breech delivery was used.  It would be really good if someone who has read a critique of this paper, could post the reference. Thanks, MM ----- Original Message ----- From: Wayne and Caroline McCullough To: [EMAIL PROTECTED] Sent: Saturday, September 13, 2003 6:23 AM Subject: RE: [ozmidwifery] Term Breech Trial From memory, there was about a 64% induction rate alone in the TBT and I'm fairly sure all in Western hospitals had epidurals. There were no Birth Centre, hands-free or homebirths to compare with. All of the women were delivered in lithomy and all had intervention. Leilah McCraken from the Birthlove website has done a comprehensive analysis of the TBT which is worth reading.   cheers,   Cas -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Saturday, 13 September 2003 8:05 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Term Breech Trial I imagine that the women were in the lithotomy position. I haven't read it for a while - can anyone tell me the rate of epidurals the women had? Whether they were all hooked up to CTGs? The experience of the 'accoucheurs', whether the women were able to be upright and active? Whether they had amniotomies? How often they were disturbed in labour? How many people (not chosen by the woman to be there) were present for the birth? Whether there were time limits imposed on the women? I could go on and on.....There are so many confounding factors in any study that involves humans, thus encoaching on human rights. Time to evolve new research paradigms methinks, to become evidence based for humanity's sake!