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Hi Marilyn and Abby
Interesting topic guys. I thought, (with your permission of
course), we could share this with Maggie Banks (breech birth guru) for
her comments. I'm not sure when standing became vogue (well it's
not really with the invent of C/S) but thought her comments would be
interesting. What do you both think?
Kiwi Kim.
-------Original
Message-------
Date: 11/27/04
08:13:27
Subject: Re:
[ozmidwifery] Breech birth question
Hi Abby:
I would expect this midwife was trained in
breech birth management sometime ago probably by an ob in the 70's who
was still delivering babies at home as they did in some parts of the US
at this time. This midwife's address is Massachusetts. It seems like she
is reacting to the relatively new idea to deliver breech babies
standing/squatting/on a birthing stool. It seems to me that "standing to
deliver" a breech baby came into vogue from the early 90's does anyone
know when this started happening?
I was more disturbed by this
paragraph:
10. Now bring the mother's buttocks over the edge of the bed,
keeping her legs supported by assistants. The baby's body will drop
down, easily exposing the nape of the neck and usually both arms will
come down as well. Keeping one hand on the mother's perineum, grasp the
baby's feet witht he other hand and swing the body up and over onto the
mother's abdomen. A towel or receiving blanket will help in holding on
to slippery body.
Just a "tad" to say the least more
aggressive than most accounts of semi-reclining breech births I have
read, seems quite dangerous to me, but I have only assisted with 2
vaginal breech births, one in the hospital (standing) and one at
home (on a birth stool) and had one myself. I would be interested to
read comments from midwives who have attended breech births where
the woman is semi-reclining.
I think "fear" is a much maligned word in
midwifery circles so i will use another word: caution. Couple that with
knowledge and common sense and you will cope with most midwifery
situations including breech birth.
marilyn
----- Original Message -----
Sent: Friday, November 26, 2004
3:53 AM
Subject: [ozmidwifery] Breech birth
question
Hi,
Just reading about breech births and
differences of opinions between caregivers. Came across this comment, on
a homebirth midwifes page and found it kinda odd. I would expect it from
some Obs and hospital staff, but not sure what to make of this.
There are other things on the page that I think are weird eg. semi
reclined position, do this, do that, I'm in charge kind of attitude, but
this comment struck me as `fear`.
7. At this point the baby must be born
quickly. STAY CALM! It is possible for the baby to suffocate if
not born within 5 minutes. Note: Time seems to
stand still when we are under stress. Have an assistant keep track of
time. What will seem like twenty minutes to you will have probably have
been two!
Any midwives out there that have differing
views on breech births. I realise that these days most women are
encouraged to have c-sections, but thought some of you would supported
women at breech births.
I have learnt from a couple of wise women
that the best way for women to birth a breech baby is just like any
other baby, her way in her time.
Love Abby
(P.S. She also warns against the advocation
of the squatting position, where as Michel Odent believes it should be
insisted that women birth a breech baby squatting?? Any
thoughts??)
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