To remember the Louwen maneuver (shoulder grip rotation)...just follow the rainbow!

If you attend upright breech births, you may have used the Louwen maneuver (shoulder grip rotation). It can be tricky to remember which way to rotate first and how far around. So I came up with this illustration.

Remember: the baby follows the rainbow across the sacrum, then comes back to mama

(It's the same process in mirror image for a LST breech)

via GIPHY

Manhattan Breech Workshop

After months of waiting (and a last-minute venue change), we are thrilled to announce the Manhattan Breech Workshop! It takes place at NY Open Center (near the Empire State Building) on Oct 26-27. To register: bit.ly/manhattanbreech

RCOG and SOGC estimates of term breech mortality

With the recent release of the 2019 SOCG breech guidelines, I created this updated graphic. It illustrates the likelihood of perinatal/neonatal mortality after vaginal breech versus planned cesarean section.

Using the RCOG's numbers, the *additional* risk of a vaginal breech birth, compared to a vaginal head-down birth, is 1/1000.

Here's another way of looking at it:

Baseline risk of mortality after pCS @ 39 weeks: 1/2000

+

Additional risk from last weeks of pregnancy & labor: 1/2000

+

Additional risk of a vaginal breech birth: 1/1000

=

2/1000

Ps, if you liked this post, would you please consider donating to Reteach Breech? Thanks to a matching grant, all donations will be doubled AND all perks are half-price! Donations are tax-deductible in the US.

https://chuffed.org/project/reteachbreech

Support Reteach Breech and double your donations & perks!

Exciting news--thanks to a generous matching grant, all donations to the Reteach Breech campaign will be matched AND all perks will be doubled.

For example, if you donate $25, you'll get access to the breech workshop videos (normally $50) AND your donation will be doubled to $50!

Other amazing perks you can get...

• T-shirt for $30 (normally $60)
• Onesie for $38 (normally $75)
• Athletic t-shirt or flowy tank top for $50 (normally $100)
• Linocut for $50 (normally $100)
• Klean Kanteen insulated thermos for $75 (normally $150)
• Maternity t-shirt + baby onesie for $100 (normally $200)
• ALL THE THINGS for $200 (normally $400)

Donations will be doubled and perks will be half-price, up to $5,000 or until the end of the fundraiser, whichever comes first.

Donate today before this amazing offer runs out!