A few more links discussing the SOGC guidelines.
- Public Health Doula has included excerpts from Dr. Kotaska's commentary. He is one of my physician heroes with his strong advocacy for woman-centered care.
- Lamaze's Science and Sensibility, a research blog, discusses the research that spurred the SOGC's new breech policy.
- Dr. Denise Punger, a family physician who had a surprise footling breech at home with her third baby, shares her thoughts on her blog Permission to Mother.
- The ACNM blog Midwife Connection briefly mentioned the policy change.
For someone who has been around long enough to have witnessed breech deliveries (not so much footling breech mind you) I am very happy. The tide seems to be shifting, hallelujah! As a weird side note, my husband was a breech baby who was delivered while my MIL was in
ReplyDelete"twilight sleep." She does not remember a thing, but my husband appears to be a high functioning member of society!
I like this statement under the "SOGC Clinical Practice Guideline", under Setting and consent. It's a nice contrast from the AMA resolution 710 and "patients who think they own their physicians" and dealing with "ungrateful patients".
ReplyDelete24. Women with a contraindication to a trial of labour should be
advised to have a Caesarean section. Women choosing to labour
despite this recommendation have a right to do so and should not
be abandoned. They should be provided the best possible
in-hospital care. (III-A)
Last night I asked my spouse if he wanted to move to Canada to retire. It is begining to sound like a better place to deliver babies. I asked since I will be working for the rest of my natural life and he wants to retire and ski. So Canada is looking good.
ReplyDeleteI had the privilege of hearing Dr. Kotaska speak at the Seattle REACHE Conference this year, along with Jennifer Block and some other amazing people. I LOVE THAT MAN. He is by far one of the best M.D.'s I've ever heard speak on the subject of birth and birth statistics. If you ever get a chance to listen to him speak, I highly recommend it.
ReplyDeleteI'll be interested to peruse this information at length later. As you know, I had twins at home last year and my first baby was born breech. It was just such a non-issue and she was born just fine.
ReplyDeleteThis is so encouraging to me! I'm currently 35weeks 4days pregnant with twin boys who insist on staying breech... we will be attempting a breech homebirth, but it's a wonderful to know that there are places that recognize that a C-section is not always necessary and not always the best option. :)
ReplyDelete