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Old 09-May-2008, 03:18
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LotusEater LotusEater is offline
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Default Re: Breech Birth - the way we are taught

I've only been second at breech labours, but not as a primary midwife. The way I was thought at Uni was definitely hands on, and even when I challenged this practice at uni by pointing out the 'other' was of doing, I was told that I was wrong. I feel the issue with breeches is that if it goes well, it just goes well and you don't really have to do anything at all, it's only when you have breeches who do funny things like presenting posteriorly or presenting with a cord prolapse that you suddenly realise how important it is to be really clued up on the mechanism, but that applies to any type of birth I think, breeches, straight up, posterior whatever.

There is one indie I know who has the woman labouring in a bum up in the air position to minimise the chances of cord prolapse, yes, this might feel like an uphill struggle but most breeches do progress faster than cephalics.

I think realising that it is important to make sure that you have the skills, regardless of whether you think you will ever need to use them. A fair proportion of breeches are undiagnosed anyway so i think it would be prudent to think that you will not come across one in your personal midwifery timeline.
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