Comments on: “We’ll Probably Have To Do A Version…Or Start Thinking About Scheduling A Cesearean.”

By: CCindy

CCindy — Fri, 14 May 2010 13:14:14 +0000

You know, even if he had said “If he doesn’t turn by the time you go into labor we will be looking at a cesearan” that would have been acceptable. Not great, but an acceptable heads up. But to whip out the word “schedule” at 32 weeks is just beyond defensive medicine and into to the area of “I don’t give a rip about your health if I can come up with an excuse to get out my scapel and be done in 55 minutes.”

By: CCindy

CCindy — Tue, 11 May 2010 12:10:22 +0000

We know you practise defensive medicine and not evidence based medicine. We also know that your doctors are not trained to deliver breech. It has become a lost art. That is the whole point of this site and this post. Welcome to the party. Care to learn something?

By: CCindy

CCindy — Tue, 11 May 2010 11:57:25 +0000

And yet if they show their colors early enough you have plenty of time to find a replacement care provider. I would rather know up front I’m dealing with a jerk than wait until labor has already started.

By: Nurse

Nurse — Thu, 25 Mar 2010 02:13:58 +0000

No OBGYN will deliver a baby at 32 weeks for breech UNLESS she is laboring (changing her cervix)and we can’t get her labor stopped with our preterm labor drugs. Babies lungs are not mature at 32 weeks. Most fetal lungs are mature at 37 weeks, some babies a little earlier. I suspect your OBGYN was talking out loud and trying to prepare you for the possibility of a C/S. On first time mothers, the baby is usually in delivery position of head down between 28 – 32 weeks. OBGYNs in general do not like to deliver breech because the largest part of the baby is the head. God forbid if the cervix closes down on the babie’s neck or we can’t get the babies head out. This is a huge liability issue. We practice defensively. Breech births are only done if the patient rolls in with feet or butt presenting and she has a proven pelvis. I’m merely describing why we do what we do. Ultimately, the decision is yours and with research, go to your MD and discuss viable options and why. Your physician has the right to discontinue your care and refer you to the closest teaching hospital to continue your care. Don’t let any OBGYN intiminate you. Ask questions.

By: frootloop79

frootloop79 — Tue, 23 Mar 2010 04:43:34 +0000

My 2nd son’s birth was almost the same. We didn’t realize my son was breech until I was ready to push. My Midwife, called the OB, they were going to do a c-section but by the time we got to the OR, one leg was already out, so the OB delivered my son breech and my midwife watched. After he was born, she told me he was her first breech! So there is another that learned!!!

By: Heather

Heather — Tue, 16 Mar 2010 20:34:11 +0000

32 weeks seems waaay early to start talking about a possible c section for a breech baby. But, couldn’t the mom just say, “no thanks, doc, let’s just wait and see if the baby turns on his own”? If the doc gets an attitude about it, hey, he’s not the only doc in town, is he?

By: Kat

Kat — Mon, 15 Mar 2010 16:12:59 +0000

I do agree that mentioning ways to turn the baby is a good thing, but it sounded to me like this doctor was jumping straight to interventions without keeping in mind most babies turn with NO intervention by 36 weeks. Exercises can be effective, and don’t have the level of risk involved with external version.

Most doctors don’t seem to even know about gentle, no-risk, non-invasive chiropractic techniques that encourage turning, much less advise patients to use them.

I am living proof (and my son is sadly deceased proof) that vaginal breech birth with an inexperienced care provider can be tragic. I just wish more care providers WOULD be trained so they don’t panic in a situation where a baby turns the day before labor starts, or during labor, etc.

By: Knitted in the Womb

Knitted in the Womb — Mon, 15 Mar 2010 15:19:41 +0000

My 3rd baby was transverse until 32 weeks, then flipped head down by 34 weeks.

BUT…for what its worth, at least the OB is addressing the issue of breech in time to do something about it. Some don’t address it until 36 weeks, then the mom can’t get an appointment to try an external version until 38 weeks, when it is more difficult to do because the baby is bigger.

Or there are cases like a client of mine, who was SURE her baby was breech from about 32 weeks on, and her care provider kept telling her that baby was head down. She got to full term, water broke, she went into the hospital…and guess what? Baby was breech.

Vaginal breech SHOULD be an option…but when it isn’t, at least lets give women a decent chance at external version or other methods to flip the baby.

By: Courtney

Courtney — Mon, 15 Mar 2010 00:22:01 +0000

My son was breech from about 28 weeks and at my 38 week appointment the midwife said we would discuss a version and possible breech birth at my 39 week appointment. We never had the convo since he turned before dinner and was born the next day around 3 pm 2 days before the 39 week appointment. if he was butt first she would have let me try if I wanted and she said we would have done an ultrasound to verify that at the appointment.

By: cheeks023

cheeks023 — Mon, 15 Mar 2010 00:10:25 +0000

After one homebirth my second was discovered breech at 39 weeks. My midwife consulted with the ONLY doc in the city who allows trial breech births. He agreed to take me on as a patient. I successfully delivered a vaginal breech 4 days later into the waiting hands of the OB resident…whom I asked to attend the birth. I figured that he might never get another opportunity to experience this, so the attending OB let the resident do it! 1 more person in this world knows how to deliver breech!! YAY!!!