Sunday, November 20, 2022

Breech tour du monde, day 10: Hamilton and a real breech birth!

We had another great day teaching in Hamilton. With a group of only 10 people and 2 instructors, we had the luxury of giving each student lots of time on the simulators and still having me free to do the activity stations with the other half of the group.

We saw the sun briefly this morning, but then we've had rain the rest of the day. It's hard to believe how much rain there is. At times, the rain pounding on the roof drowns out other noises.

Right as were packing up at the birth center this evening, David got a call from a midwife he had trained: she had a breech client in labor, already feeling pushy. Could we hop on a video call to support the birth? Of course! We told them we'd hurry and pack up and get back to our apartment.

But this baby had other plans. I went downstairs to get some of our teaching supplies, and when I came back up I heard the sounds of a woman clearly pushing out a baby!

David was on a video call watching a vaginal breech birth. The baby was out to the chest when I came upstairs. Everything was looking normal: rotation to sacrum anterior, etc. Then the baby did something wild. It spun 90 degrees back to sacrum transverse--and I'm talking super quickly and forcefully! At the same time, it pulled its posterior arm out.

So now we were left with a baby facing right sacrum transverse with its anterior arm still inside. The midwife encouraged the mama to keep pushing and we encouraged the midwife to see if she could free that anterior arm. She brought it down, which spun baby back around to sacrum anterior and did a shoulder press to release the head.

Now those of you who aren't birth people won't know what I'm talking about. But if you do...what we think happened was that as baby was trying to pull its right arm down and out, it pulled that arm so forcefully that instead of the arm coming towards its face and chest, it spun its whole body towards that arm! I've never seen anything like it.

What a way to wrap up a day of teaching breech!

We were a bit low on groceries so we decided to eat out tonight (Indian). We ordered everything "hot" and it was mild. Medium would be too much of a stretch. Very delicious but not hot!

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