PREGNANCY-BIRTH Messages for February, 1999: Re: Breech Baby

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Re: Breech Baby

From: Richard M. Chudacoff, MD (anonymous@obgyn.net)
Mon, 1 Feb 1999 17:41:23 -0600 (CST)

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At Sun, 31 Jan 1999, Alyssa wrote: >
>At Tue, 17 Nov 1998, ejensen wrote:
>>
>>Can someone tell me what the chances are that a baby will be still in
>>the breech position at birth, if at 28 weeks an ultrasound showed he was
>>breech then? What are the chances that he will stay in this position?
>>Thaks for your help.
>Hi there,
>
>I am not a Dr. or midwife, but I have read enough and been to enough
>births with midwives (as both labor support and assistant) to know that
>even if your baby doesn't turn you CAN have your baby vaginally. Your
>doctor will most likely never even consider this possibility, but there
>is a lot of information out there that shows that it is just as safe as
>a c-section (and without the complications that this major surgery can
>have for you). Try not to freak out tho, most breech babies at 28 weeks
>do turn, but even if he or she decides to stay that way it is just one
>of the variations of normal. There are a few ways that have been
>sucessful in turning breech babies head down. Pelvic tilts and external
>version are options to discuss with your birth attendant. Also finding
>a dr. or midwife that trusts your body to be able to give birth safely
>and believing it yourself, is the most important thing. Birth Blessing!
>
>--
>Alyssa
>

This is a fine answer, but I have to inject a little dose of reality. They are called lawyers. While only a few institutions still train residents to do breech vaginal deliveries, there is an increased moribidity associated with breech deliveries, simply for the reason why the baby stayed breech in the first place. One chair of a famous OB residency has even stated that while he does not do breech deliveries, he would be happy to act as a plantiff's witness against the OB that performs them.

In all likelihood this baby will turn, or can be turned by yourself or by your OB (called external cephalic version.) If not, then you should find an OB who is experienced with breech vaginal births, if your are determined to deliver vaginally. While a c-section seems more painful, remember what the goal is...a healthy baby, not a moral victory.

-- Richard Chudacoff, MD Baylor College of Medicine BaylorMedCare Houston/Sugar Land, TX

Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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