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Vaginal Breech Births

Discussion in 'General Midwifery Discussion' started by rockchick, May 12, 2010.

  1. iolaus Education Moderator

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    Will merge this with another thread on vaginal breech

    I got told by a consultant that you don't 'have' to let the doctor take over just because they are a doctor - if they are a senior doctor and have more experience then yes, but you can be the more experienced and senior person.

    The first vaginal breech I saw the Spr came in and delivered, talked some SHOs through it - I was the one who could answer the questions on WHY he was being hands off (not to stimulate morro reflex) not them - quite scary really. He said afterwards to the midwife 'I should have let you do that and just observed, sorry I just didn't think'
  2. Snork Maiden Member

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    Both my girls were vaginal breech (first one was a 'hands off' birth the second one was a breech extraction) but they were both the second-born twin.
  3. MrsMadwife Member

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    Just wanted to add to this as I'm so excited that I saw my first vaginal breech yesterday. Granted it was in lithotomy (as per hospital guidelines) and done by the reg, but it was still brilliant. the reg walked into the room and her first words were "congratulations!" - she had absolute faith that this lady would deliver this baby vaginally with no complications. She remained hands off until the body had delivered, then the body rested on her arm to support the body, whilst the head delivered, but no 'extraction' was performed - the woman pushed this little babe out absolutely fantastically!! i'm still excited!! baby was trying to breath prior to it's head being deliveredis normal? And does anyone know of any good articles I could have read of for more information?x
  4. jojobe Member

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    this is exactly what i witnessed today, it was amazing but im a bit confused. when it was time for the head to be delivered the reg lifted the whole baby almost upside down so the head was completely extended, not looked at the trust policy yet n gonna ask her to talk me through it when i next see her. but yeah she was amazingly calm and confident in the woman. off to do a reflection :D
  5. iolaus Education Moderator

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    It's a recognised technique, but not used by midwives - Burns Marshall - Used to deliver the aftercoming head. After the nape of the neck becomes visible the accoucher grasps the ankles with one hand, protecting the perineum with the other, and uses gentle traction to slowly swing the feet up in an arc over the maternal abdomen. This can only be used by obstetricians in the UK
    [IMG]
  6. jojobe Member

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    amazing, thanks for that iolaus, was trying to search for it last night but coz i didn't know the name of the manouver kept finding dead ends!
    thanks x
  7. iolaus Education Moderator

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    Have to say if they were waiting till they could see hair with one of my kids I'd have the gestation of an elephant as they don't get hair till 1 or more
  8. Stickhead Member

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    There are such variations between Trusts! Where we are it's 'if the baby is breech and not turned by ECV you ARE having a section'. I've known people fully and pushing - it's breech....BANG..goes straight to a Cat 1 section. It seems such a shame.

    The only vaginal breech I know of was an unattended BBA done over the phone.....You could have heard a pin drop!

    I know there is an independant midwife who specialises in home breeches and works with Mary Cronk who is going round some Trusts and doing educational days with doctors and in some areas they've had a good reception and the Drs have been really interested. So there is hope...
  9. rockchick Member

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    This makes me cross that women are feeling coerced in to a section, this doesn't seem to me to be evidence based informed choice being offered. I think more education for health professionals may help here. It would be very sad if these skills were lost forever.
  10. Redpiggy Well-Known Member

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    I've mentioned it before somewhere on here, but my trust is really quite pro vaginal breech.
    There have been a couple recently,although none of these were planned.
    One was in our bereavement suite, and one was a very enexpected pre term birth. The doctors hadn't even wanted her on delivery suite as they didn't think she'd labour... Shortly after, out pops a little breech baby!!
    Quite a few breech second twins too. And someone who came in at about 8cms and was found to be breech, was given the choice and I believe she did choose a vaginal birth, but I wasn't in.

    Knowing about breech births is one of my delivery suite learning outcomes, despite not ever getting taught it in uni and not seeing one in practice.

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