Vaginal Breech Deliveries!
Posted on Tuesday, March 10th, 2009In over 300 births and 9 years as a doula I saw my first vaginal breech birth recently. It amazed me and saddened me all at the same time. Surprisingly, I was amazed at the normalcy of the delivery. Aside from it taking place in the operating room, the actual birth of this little boy was quite smooth.
I was saddened a little because the few breech clients I have had previous to this all opted for cesareans instead of looking into the option of vaginal delivery. I don’t in any way blame the clients, their doctors were adamant that breech delivery was unsafe and that they were risking their baby’s lives to try it. When a woman is told she is putting her baby’s life at risk by a doctor she has put her trust in, it really makes sense that so many opt for the cesarean.
This baby was in a frank breech position, (bottom down head up and legs straight up so the feet were near the head) this is the position most favorable for attempting a vaginal delivery. Her labor progressed normally though she opted for the epidural because her doctor advised her to, she didn’t get it until 9cm. (She was told by another doctor present that she didn’t need to have one but that if she didn’t and anything went wrong where they needed to do a cesarean she would have to be given general anesthesia and she really didn’t want that so she opted for the epidural. After the epidural it took several hours to be complete and start pushing and there were a couple of times when we thought the vaginal delivery might not happen but it finally did. The baby came out bottom first and the staff at UCSF were really amazing. They made sure that I was by her side talking her through the pushing, made sure the DAD was involved and allowed her to have the experience she so wanted.
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I understand that like most childbirth choices, the choice to try to deliver a breech baby vaginally is not a straightforward and easy decision to make. There are many factors one needs to take into consideration before making this decision. The best advice I can give anyone who is told that their baby is breech and they need to have a cesarean is to get a second opinion from a doctor WHO HAS EXPERIENCE DELIVERING BREECH BABIES. Most doctors don’t have the experience and will not advocate it. Do research and find someone who does. After getting a second opinion hopefully you will have the information you need to make an informed decision and you wont be left wondering later if there was a better way to go.










