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Breech Babies & Birth

Most of my 10 babies have been breech at some point of my pregnancy. This is a cause of stress to me and my care providers. I feel like the skills of delivering a breech baby have been lost and so people are not sure how to handle a mom with a breech baby.

I am so thankful to people like Dr. Stu who are actively teaching breech birth to doctors in America. Canada has also decided to bring back breech birth skills and it making a great effort to train their doctors. Hurray for the change makers!

It might help to bring to your attention ACOG's recommendations.

The American College of Obstetricians and Gynecologists makes the following recommendations:

The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider.

  • Obstetrician–gynecologists and other obstetric care providers should offer external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications.

  • External cephalic version should be attempted only in settings in which cesarean delivery services are readily available.

  • Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for eligibility and labor management.If a vaginal breech delivery is planned, a detailed informed consent should be documented—including risks that perinatal or neonatal mortality or short-term serious neonatal morbidity may be higher than if a cesarean delivery is planned.

  • There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation (Number 745 (Replaces Committee Opinion Number 340, July 2006))

To see more breech tips visit my page.

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