After attending the Heads Up! Breech Conference, I came up with a wishlist of things I'd like to see happen:
1) An online, searchable database of breech catchers
This would be tricky to
figure out with the illegal/alegal status of some midwives, so we'd have to figure out if we'd only include people who are "out of the closet." I'd like something that a person could
search for online by country, then state/province/region, and get info
on who will catch breech, where they work, and what they're like (are
they hands-on or hands-off, have they done upright breeches, do they do
1st or 2nd twins, primips, etc). Kind of like the VBAC ban database.
The first thing to do is come up with a good domain name, something that's an obvious search term.
2) A website dedicated to information on breech birth.
There are lots
of individual sites out there, but I'd like to have a good, visible
website that is THE jumping off place for women seeking information on
breech. We'd link to a lot of other sites, but also have our own content
(abstracts and full texts of research on breech birth, ECV, and more).
First step: obtain a domain name. Any ideas for this?
3) More research on women's experiences of breech birth.
done the research already but haven't ever written it up. Definitely a
project I want to get to in the near future. I have hundreds of responses from women with both
surprise & known breeches via a a short-answer and essay-response
survey. I'm actively looking for
co-authors--preferably with experience coding
& analyzing qualitative research; please contact me if you're interested.
4) A comprehensive review of literature on breech birth since 2000.
I was talking
with Benna Waites, author of Breech Birth, at the conference (and a few others at the breakfast
table, please remind me of who you were!). We discussed the real need
for a good review of the literature post-TBT. Benna's book was
published in 2001 and I haven't seen anything else like it since since.
1st step: collecting all of the articles.
2nd step: organizing them into a table or spreadsheet. Even having
all of the citations, abstracts, and a brief 1- paragraph discussion
about methods and applicability would be so helpful.
3rd step: would be to write this up into an article for publication in a medical journal.
This is also something I'd like to be a part of, but it's too much for
me to tackle on my own right now. Contact me if you'd like to be part of this project. The first 2 steps
could be a collaborative effort, facilitated via shared Google docs.
5) Practical instruction on upright breech birth, written primarily for providers.
need to come from providers with extensive experience doing upright breech births (Betty-Anne Daviss, Dr. Louwen & Dr. Reitter, Jane Evans, etc.). I'm envisioning
something with lots of practical how-to information and step-by-step illustrations--more of a
textbook chapter for physicians and midwives than a consumer's guide. We need a
good written resource for teaching upright breech birth, especially something written for providers working in a hospital setting. (OOH midwives
have Anne Frye's textbook to turn to. I wonder what updates she might
make to her chapter on breech after attending the conference?)
6) And, of course, more breech catchers!
I'd love for every woman to have access to a skilled breech catcher within a 60-90 minute radius. I know I'm just dreaming, but wouldn't it be fantastic if at least one hospital in every larger city had a breech team?
What's on your breech wishlist?