tag:blogger.com,1999:blog-20642800.post1449993232815744108..comments2024-03-05T11:36:50.299-05:00Comments on Stand and Deliver: Breech: what to do next?Rixahttp://www.blogger.com/profile/07908864785513937876noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-20642800.post-24975018645308704662009-07-02T22:50:50.599-04:002009-07-02T22:50:50.599-04:00Oh, it makes me so mad that we will ADMIT this and...Oh, it makes me so mad that we will ADMIT this and yet little is done to change the mindset and practices of thousands of OB's and midwives. I just read a post on a board I belong to that went "I had to have an unexpected c-section because the baby was breech". I always want to respond with my breech birth story but I don't because I know it will only help to make her feel 'less than' somehow. <br /><br />Midwives still have breech knowledge but I don't know many OBs who will be seeking them out to learn, for sure.Intertwinedhttps://www.blogger.com/profile/17779457179895017338noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-81196627309565689602009-06-29T19:05:58.561-04:002009-06-29T19:05:58.561-04:00I wonder when they get this training going if I co...I wonder when they get this training going if I could go to Canada to learn breech skills, and then have any kind of leg to stand on to offer breech vaginal delivery to good candidates? I'm trying to imagine ACOG coming out with this kind of statement and offering retraining in breech techniques, but I'm not seeing it happen.doctorjenhttps://www.blogger.com/profile/07570496336872952499noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-58992487342202256982009-06-28T19:34:55.829-04:002009-06-28T19:34:55.829-04:00Simulation lab has gotten so real to life that we ...Simulation lab has gotten so real to life that we have dolls that deliver babies. Does the Doc even need to practice these skill on a live birth? They also could start out by doing breech deliverys on the second twin. That may be a less stressful situation for them. I am in the USA and many of my Docs up until recently would do a breech 2nd twin no problem. Recently they have started refusing to do that.pinkyhttps://www.blogger.com/profile/00198277802918823591noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-79174623071814668732009-06-28T16:03:34.658-04:002009-06-28T16:03:34.658-04:00I think the SOGC changes are such a critical first...I think the SOGC changes are such a critical first step and of course I am thrilled this is where we are headed.<br /><br />However, I teach prenatal at the ottawa hosp and none of the Ottawa Hosp. Dr's are able to follow these guidelines because they are not yet trained. The few that are able to catch breech are rarely willing to be on call for women in labour. I've been told to tell couples in class nothing has yet changed regarding breech birth. <br /><br />Naturally, this change in practice is a bit hard to swallow for me since I did have breech babies - and even though I was 10cm dilated when I showed up at the hosp, hosp protocol followed current SOGC guidelines - no vag breech births of twins. It feels wrong when our choices are restricted by arbitrary protocols that we KNOW don't make sense. *sigh*<br /><br />Work is still to be done.<br />I'm looking forward to the conference.<br />ErinAnonymousnoreply@blogger.com