WOMENS-HEALTH Messages for November, 1997: Re: *Unsuccessful* Version...vaginal breech??

Re: Unsuccessful Version...vaginal breech??

From: Dr (anonymous@obgyn.net)
Mon, 24 Nov 1997 16:10:13 -0600 (CST)

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In reply to: Rebecca: "*Unsuccessful* Version...vaginal breech??"
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At Mon, 24 Nov 1997, Rebecca wrote: >
>Hello. Well, the external version didn't do the trick. Hopes were high
>with a small baby, good amniotic fluid, etc. The baby tolerated all the
>shoving around very well, though.
>
>So...now what? My Ob is set against vaginal deliveries for breech.
>However he won't be doing the delivery, most likely. (I'm with Kaiser.)
>I spoke with the Perinatologist who went through the criteria for
>considering a vaginal birth.
>
>I am very reluctant to go ahead and schedule a c-section. The baby is
>expected to be small, in the 5lbs range amd my first delivery was quite
>easy and fast. So far, the baby is frank breech.
>
>Is is unreasonable to *attempt* a vaginal delivery? I am concerned about
>just how quickly a breech delivery can turn bad. Can babies go from
>frank breech to footling *suddenly*?
>
>I've read that the mother's motivation is an important factor. How
>about the doctor's? I don't really want to push for a delivery that the
>doctor is neither comfortable, nor experienced with.
>
>I should have a couple more weeks to think this over, while trying all
>of the "home remedies". (My favorite being handstands in a swimming
>pool!) Any advice on how to make this decision would be so appreciated!
>

Rebecca,

This baby will stay like that. He will not vert to a footling. Your breech seems favourable: small baby, in a woman having already been delivered easily. With an informed consent it will probably "do the trick". But remember a C-section may be necessary at any time during the labor.

-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of an examination.

Next message: Dr: "Re: Extra large fibroid & overian dermoid cyst"
Previous message: Dr: "Re: Endometrium cancer"
In reply to: Rebecca: "*Unsuccessful* Version...vaginal breech??"
Next in thread: Garry E. Siegel, M.D.: "Re: *Unsuccessful* Version...vaginal breech??"

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