Re: breech

From: Dr Eberhard W Lisse (el@lisse.NA)
Wed Dec 15 21:18:53 2004


Steve,

In message <41C08E34.30105@intekom.co.za>, Steve & Eryl Raymond writes:

> There should be no argument about the invalidity of the Hannah "term
> breech trial" now. I thought everyone had seen through it long ago
> and that the criticism in the BMJ of October 30th had laid it to rest.
> Eberhard, if you didn't see it read it at:
> http://bmj.com/cgi/content/full/329/7473/1039?etoc

This is one opinion. Of a registrar.

>
> I'll state it categorically now - there is no evidence that vaginal
> breech delivery is in itself any more dangerous than a Caesarean
> section in a properly selected patient. It may be intuitive and there
> may be anecdotal evidence, but there is no EVIDENCE.

If I don't understand this wrongly, Hannah said, the less experienced you are the more dangerous it is. Kotaska's opinion holds, the more experienced you are the less dangerous it is.

Hmmm :-)-O

I may concede, that in expert hands, a breech delivery may, perhaps, still be attempted, but we are Men of Steel here, not experts.

I have done ton's of breeches at the State, but I think it is just not worth the risk. I just do the Vaginal Bypass and everyone is happy.

el





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