Re: Home births: double footling breech

From: Dr Eberhard W Lisse (el@lisse.NA)
Fri Nov 25 20:31:13 2005


In message <27a.65cdfc.30b8cfdf@aol.com>, GA12L@aol.com writes:

> In a message dated 25/11/2005 20:07:30 GMT Standard Time, el@lisse.NA writes
> :
>
> I don't deliver breeches vaginally any more. And I don't need not MBE for
> that.
>
> Is that because we've lost our skills?

Oh, no, I have done gazillions of breeches. But, then I read Cochrane. And , the FRCOG guidelines for that matter.

> Over here there is a push to make breech births another version of
> normal.

n the face of evidence, by reabid (or would that be morbid :-)-O?) midwives.

> Last week I saw a vaginal breech birth from a multip whose fist baby was
> delivered by section!

What are you trying to tell us here? That ligitation is less epxmensive in the UK?

> A breech birth in the hands of a skilled practitioner is safe.

This is clearly in contradiction to the available evidence.

> In any case, the woman has the final say.

Not if she wants to deliver with me.

> If she wants a vaginal breech then she can have one,

Yes, that is correct. but not with me in attendance.

> there is no law to stop her so we need to be skilled to accomodate these
> women.

This attitude is positiveliy dangerours and plain wrong.

> Of course, the OB can always do a bit of shroud waving and scare her into
> a section.

I explain to the women the available evidence and tell them that because of that I do not deliver breeces by vaginal bypass surgery. She doesn't like it, she has ample alternatives.

> In any case, you wouldn't be 'delivering a breech' the woman would be
> giving birth to the breech. When are you going to learn that we DON'T
> deliver babies, the woman gives birth to her baby.

Besides that I am fortunate that this PC crap hasn't reached these shores yet, the women may give birth to a baby, but I most certainly deliver it.

> At least they do here maybe our women are different to those in other
> countries...

That would be the country where gingerbread men were outlawed?

el





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