Dear Abby:
 
My own breech birth actually ended up pretty managed though it wasn't intended that way! My daughter was born 27 yrs ago this december 29 at Corinda maternity, Brisbane. I was seeing a Gp for my pregnancy as this was back in the day when Gp's attended births ie they did have hospital priveliges my Gp was Ann Mc bride in indooroopilly. When she palped me at around 36 weeks she suspected a breech baby and sent me for an u/s to check and she was right. So even then she wanted to schedule me for a c/s, but I said no, like why and explained that my mum was a midwife and had "delivered" (yes I used that term) many breech babies and that in my family it was not unusual my grandmother had "deliverd" 2 breech babies at home who were fine healthy men. Well she referred me to a doc in brisbane who was the "natural birth guru" at the time 1977: I can't remember his name. Anyway he attempted an ecv in his rooms I think in either Chapel Hill or maybe Woodside (no u/s, certainly no terbutaline and my 18 mnth old sitting beside me on the "table". Well my daughter would not turn. So that was that. But because she palped small (6 to 7 lb) he truly believed she was not yet due (i had "uncertain dates" due to breastfeeding and no period and no u/s but my own idea which turned out to be correct) and assured me even though he was going away over Christmas my baby would not come until the New year and he would be there then.. .well guess who was wrong? I came into labour in the afternoon of december 29 and my daughter was born by 8pm, delivered by his back up the very technological Dr Yared who I believe still practices as an obgyn in Brisbane. Dr. Yared was not impressed to be "delivering" a breech baby at Corinda Matrernity (no operating theatre). The only redeeming feature of the birth was that it was vaginal. He arrived when i was 8cm, decided the breech was not engaged enough and insisted I push my baby down onto my cervix: everything I had been told NOT to do (by my mother, who to this day i wish was there, she did not take crap from doctors(or anyone) lightly), when I did not cooperate he had the midwife inject me with valium IV and I managed to observe my daughters birth from the ceiling. She was born very shortly after all of this, the doctor using forceps "to ach" which he explained to my husband meant he avoided the problem of sudden change in pressure by the too rapid delivery of the baby's head. She did come out pink and screaming for which i am greatful (he could have messed that up too), but I was really shaken and cried for a week (valium is NOT my drug of choice but then I am just a coffee and occasional beer person). I never saw him again. I was aware he wanted to hurry my birth because one of "his" women was coming off an induction at the Mater Hospital around 8 pm. Lucky woman if he didn't make it.
 
This particular daughter did have some problems with drug abuse in adolescence and I do wonder if this valium interlude during her birth was linked at all. Who knows. She is fine now quite a delightful young woman.
 
Like I said the only redeeming features of this birth were my lovely daughter and my intact uterus, which left me "low risk" enough to have a totally midwife led and definetly woman centred birth at an alternative birthing centre in 1981 in Chicago of all places. I only saw midwives or nurse practitioners for my healthcare for the next 21 years.
 
marilyn
----- Original Message -----
Sent: Friday, November 26, 2004 6:37 PM
Subject: Re: [ozmidwifery] Breech birth question

>>Couple that with knowledge and common sense and you will cope with most midwifery situations including breech birth.marilyn 
 
Thanks for sharing Marilyn. I think that paragraph was pretty full on too......actually, I thought most of it was coming from a very "managed" and aggressive approach.
 
Was your breech birth any different to your other births? It really interests me, the perspective of mothers birthing breech babies. I assume that most breech babies are "delivered" by c-section these days in hospitals and a lot of mothers believe this is the only way.
 
Do you think that the high numbers of morbidity or injury in breech birth statistics is because peope have not kept their hands and management out of the births? I wonder what the stats would be if there was a study done on completely natural breech births, not that stats tell everything, but it would be an interesting comparison of hospitals/home/managed to natural/ unmanaged.
 
Love Abby- always thinking, always asking. lol.

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