Re: [ozmidwifery] term breech trial - ECV option

[Honey Acharya]

Title: Re: [ozmidwifery] Fwd: term breech trial

Here in Townsville Qld some of the Ob's in the Townsville Hospital perform ECV's. David Watson is particulary successful at this and I have seen him perform a few and he seems to have the right touch and technique, the women who had other Ob's try on them first and then him said he was much more gentle and it looked that way too. He has the woman lie on her side slightly and rests his knee behind their back, and using ultrasound on and off to monitor baby's position, then pushes the baby around getting them to either do a forward somersault or backward one.   The private Ob's here refuse to do it all together.   I noticed they are also performing the EECV trial (EarlyECV) around 33-34 weeks?   One of the women I was with was being offerred this option but declined preferring to give her baby further time to turn and then at 37-38 weeks when baby was still in the breech position had a successful ECV and went on to have a straightforward normal vaginal birth at 41 weeks.   Honey ----- Original Message ----- From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 11, 2006 12:52 PM Subject: [ozmidwifery] term breech trial - ECV option I think it would be good to get a list of providers in each state who are performing External Cephalic Version ECV.  I know, having just been to Box Hill Maternity for an inservice, they have one or two progressive obstetricians who have a regular ECV clinic.  They have theatre on standby if needed.  I am sure plenty of women would be prepared to travel far and wide if they knew this option existed and could possibly avoid the need for LUSCS.    I know this is not optimal, but at least some women may avoid LUSCS if ECV is offered.  I think it is performed at 37 weeks to be the most successful.   I would also be interested in other units offering this service to tell the women in my care if anyone knows of them.   Thanks   Helen Cahill ----- Original Message ----- From: Justine Caines To: OzMid List Sent: Wednesday, October 11, 2006 11:08 AM Subject: Re: [ozmidwifery] Fwd: term breech trial Hi Chris I am a rural consumer, with knowledge of practices pretty much across the country. The term breech trial has done us in.  I agree the paper turning it on its head (no pun intended!) is basically being ignored.  The only vaginal breech I hear of or see in the stats, (other than those at JHH with Andrew Bisits) in the system are the undiagnosed ones and if a woman is very lucky the 2nd twin who is dragged out by forceps after she has consented to an epidural (often the only way she will be allowed to have twins vaginally). So what to do? Midwives: Raise this in clinical forums and instead of presenting the evidence for vaginal breech ask Drs what their evidence is for routine c/s. If you come across women with a breech on board provide them with all the info Consumers:  Put it out there that breech does not necessarily equal c/s and continue to mount the arguments of the furphy of risk (for much of obstetrics).  Support women we meet to demand choice. JC Justine Caines National Policy Co-ordinator Maternity Coalition Inc PO Box 625 SCONE NSW  2329 Ph: (02) 65453612 Fax: (02)65482902 Mob: 0408 210273 E-Mail: [EMAIL PROTECTED] www.maternitycoalition.org.au __________ NOD32 1.1797 (20061010) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com