Sue, you are so lucky to have cared for women having a physiological breech.
I have only seen one vaginal breech - and it was far from physiological
(epidural, stirrups, fiddling about etc).
Unfortunately it doesn't matter what we teach women about saying 'no'. When
they are faced with an 'expert' obstetrician (often a male authority figure)
telling them their baby is in danger - they will chose to protect their
child because as a mother that is their instinct.
Women need to be making decisions such as c-section within a partnership
relationship with a known midwife. They should be given honest,
evidence-based info by someone who truely believes in the body's ability to
birth (ie. not a dr) and will support their decision whatever it is
(including c-section). Women would then be able to make choices which are
right for them as individuals - not right for the system.
As for breech birth. The Term-Breech Trial is often used by the obs as
evidence that breech birth is unsafe for the baby. However, this is not what
it shows. It can only tell us what happens in large hospitals with obs
management of breech birth. It does not compare physiological birth with
c-secion. Based on the findings - if I was planning a breech birth I would
have two options. A planned c-section in a good hospital. Or, a homebirth
with an experienced independent mw.
Rachel
From: "brendamanning" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: Re: [ozmidwifery] Re: Date: Thu, 1 Sep 2005 07:33:26 +1000
Sue,
I wish we could teach women that they can say NO to C/S.
No consent, no surgery.
What can we do to enable them to just have faith? I know it's the old
education, education, education but it's just so wrong !
Very distressing, makes me want to cry!
We used to have beautiful standing breech births 10 years ago in our little
hospital,not one with a problem, but no longer allowed as we practice
"safe" obstetrics now !!!!!
There are only 1 or 2 of us who remember & believe it can happen.
SO SAD!
BM
----- Original Message -----
From: Susan Cudlipp
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, August 31, 2005 10:38 PM
Subject: [ozmidwifery] Re:
Hi Melissa (only just worked out the surname :-))
Yes, happened today - how sad.
Also today we saw a multi 10 wks post partum with RPOC post emergency
C/S for breech at 36 weeks. This particular lady had vaginal breech with
no.1, I delivered no 2 (SVD), and then, as you say - came into labour on
'the wrong day' with no 3!
There have been several incidents of what would 5 years ago been
considered to be 'good' breech presentations in multis, being rushed off to
theatre in established labour, ( I remember one who was at least 7cms)
justified by that accursed so-called breech trial! Really sad how the
skills to deliver well positioned breech births are no longer taught or
used.
Did anyone else catch the 7 news last night? A small story on a 23 week
bub who had done very well, however they did state that she had been one of
twins, the other having died (or been terminated?? due to complications -
sorry, a bit vague on that bit, kids making noise at the time)
BUT the bit I did catch was that she had had to have a C/S at 23 weeks
because the 'placenta was growing through a previous C/S scar'
I find it very interesting to read the recent VBAC recommendations and
guidelines given to women - states clearly that VBAC is in many cases
preferable to repeat C/S - so why are they so keen to do the C/S in the
first place????
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"
Edmund Burke
----- Original Message -----
From: Melissa Singer
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, August 31, 2005 5:22 PM
Hi all,
I thought I'd share with you a ridiculous scenerio which happened at
my work today. A woman who was having her fourth baby, three previous
being vaginal births and one of which was a uncomplicated vaginal breech
birth was booked for her first ELUSC for breech at 38 weeks. Upon looking
through the notes the only options that were documented as being offered to
her were C/S or "risky ECV".
This baby was previously cephalic until 33/40, with only her last two
visits showing a non engaged breech presentation. I surely hope they
palpated her before performing the C/S today.
Whats even more ridiculous is that she had her previous babies at our
hospital under the same obstetricians as today. Our obstetricians are very
experienced and in the past routinely did vaginal breech births, with a
couple still doing them. This poor lady had simply gone to the wrong
clinic day and seen the wrong obstetrician for her!
Her other three babies were all born within the last five years!
Times are changing fast!
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