Re: [ozmidwifery] Fwd: term breech trial

[Honey Acharya]

Title: Re: [ozmidwifery] Fwd: term breech trial

Is there a way  to get ob's and midwives the training they need to support breech births? I would be happy to put in energy to push for this to happen.   As much as I would love to see women birthing breech vaginally in the local hospital, I am under the impression they do not have the skills.  Ob's are likely to be very hands on aren't they? Breech in an upright position hands off as Maggie Banks decribes-definately. But a highly managed breech???   I have come across a few women with breech babies near term or undiagnosed in labour but have not had the confidence in the hospital to suggest to the women birthing there that they push for a vaginal birth.   Also the Ob's when questioned have been using that as the excuse -lack of skill- for not supportive vaginal breech when asked about it by the women I have been with. I know we can educate women about the best way to birth their baby but in most cases they want supportive (and skilled) caregivers on board too.   Thanks Honey Student Midwife Doula       ----- Original Message ----- From: Justine Caines To: OzMid List Sent: Wednesday, October 11, 2006 11:08 AM Subject: Re: [ozmidwifery] Fwd: term breech trial Hi Chris I am a rural consumer, with knowledge of practices pretty much across the country. The term breech trial has done us in.  I agree the paper turning it on its head (no pun intended!) is basically being ignored.  The only vaginal breech I hear of or see in the stats, (other than those at JHH with Andrew Bisits) in the system are the undiagnosed ones and if a woman is very lucky the 2nd twin who is dragged out by forceps after she has consented to an epidural (often the only way she will be allowed to have twins vaginally). So what to do? Midwives: Raise this in clinical forums and instead of presenting the evidence for vaginal breech ask Drs what their evidence is for routine c/s. If you come across women with a breech on board provide them with all the info Consumers:  Put it out there that breech does not necessarily equal c/s and continue to mount the arguments of the furphy of risk (for much of obstetrics).  Support women we meet to demand choice. JC Justine Caines National Policy Co-ordinator Maternity Coalition Inc PO Box 625 SCONE NSW  2329 Ph: (02) 65453612 Fax: (02)65482902 Mob: 0408 210273 E-Mail: [EMAIL PROTECTED] www.maternitycoalition.org.au