Breech Birth: No Cesarean Needed

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Breech birth is one of the most misunderstood and controversial subjects when it comes to women’s pregnancy and delivery. A breech birth occurs when the baby has its head positioned up instead of down in the uterus. Therefore, coming into the world butt or feet first. Most women will never have the option to decide what they want to do when faced with a breech baby. A planned cesarean section is performed for 94% of all breech babies.

If your provider is an OB, DO, or hospital CNM, you most likely will not be given a choice. Breech births can be successfully carried out without a cesarean. In this blog, we will be discussing the different methods used to deliver these babies without a forced cesarian section. 

How Breech Birth Can Be Fixed Internally 

You may be given the option to try to turn your baby in a procedure called ‘external cephalic version’, or ECV. (This is a procedure where the provider attempts to shift the baby from head up to head down using a deep massage technique.) It can be quite painful, or not, depending on the provider’s technique and how difficult it is.

This procedure is about 74% successful and most people who have a successful ECV will go on to have a vaginal birth. For those whose baby doesn’t turn, the majority (88%) will have a cesarean birth – either by choice or because they are forced as they cannot find a provider willing or able to help them birth their breech baby vaginally.

Most hospital providers have not been trained in physiologic breech birth. Rather, they may have been trained in a procedure called “vaginal breech extraction”. This is where the pregnant person is on their back and the baby is pulled out using various maneuvers and ending with a forceps delivery of the head. This is dangerous and often results in damage to the baby, mother, or both. No wonder most providers are unwilling to provide vaginal birth as an option for clients with a breech baby.

How Breech Birth Can Be Done by Changing Position 

In contrast, there is a technique that uses the gravity of the baby moving naturally through the mother’s pelvis. Called “physiologic upright breech birth”. As the name implies, the client is either standing, kneeling, squatting, or on hands and knees. The baby births itself most of the time. A skilled provider will know if the baby needs any help and when to apply which maneuver.

There have been multiple studies that have found no differences in the long-term outcomes between planned CS or planned VBB. Some studies have found a slightly higher risk for the baby between pVBB and pCS. Although, some studies found no difference. The unknown factor is the skill level of the provider

Why Breech Birth is Usually Solved by a Cesarean 

There is almost no option for having a pVBB in the hospital, in the United States. Many people seek alternative options for the birth of their breech baby. Even though this is not their first choice. Home breech birth has been shown to have poorer short-term neonatal outcomes compared to hospital breech birth. But, we don’t know what really causes these poorer outcomes. Anything from an inexperienced provider, possible congenital anomalies, delays, or miscommunication during transfers are all potentially at fault. It’s very possible that home pVBB outcomes could be significantly improved by improving provider training for breech birth.

By eliminating the option for a hospital birth for pVBB, lawmakers, hospital administrators, and Obstetricians are effectively forcing people to have cesareans. This goes against state and federal rulings that protect a person’s right to refuse surgery, as well as moral and ethical mandates to respect bodily autonomy.

Breech Without Borders 

At Midwife360, Fadwah has been trained in the art of VBB and has attended a handful of pVBB in and out of the hospital setting, as well as several breech births in the hospital during twin births where the second baby is coming breech. She has attended and is working with Breech Without Borders Breech Pro Workshop to add to her skill level and to bring this valuable training to other providers in our community. All birth providers – CPM, CNM, OB, DO – are welcome to attend.

As a birth worker, there is always a risk of a person showing up in advanced labor with a breech baby. Rather than trying to rush into the OR for a cesarean that carries its own set of risks (not only for this birth but for the next birth and baby) why not learn the art of physiologic vaginal breech birth to assist the process safely? Go to midwife360.com to learn more about the upcoming Breech Without Borders workshop.

5 Benefits of a Home Water Birth

Throughout your pregnancy, the one thing that lingers in your mind often is the time of giving birth. There are a variety of birth options available today. Depending on your overall health and preference, you can choose to give birth from home, and a highly recommended method is a water birth.

Did you know today, thousands of women worldwide are choosing home water births? To find out why, keep reading.

What exactly is a home water birth? It is merely a birth that happens at home and is attended by a qualified midwife or doctor. In this case, the baby is born in the water, usually a birth pool. You may choose to labor in the water and get out to deliver, or you could decide to deliver in the water. The concept behind a water birth is that it will be gentler for the baby since it has been in the amniotic sac for nine months.

Are you thinking of having a water birth? Or are you still unsure whether it’s worth it? Let’s dive into some of the benefits of home water births to help you make an informed decision.

Benefits of a home water birth

Water births are becoming more popular each day. Wondering why? According to the American College of Obstetricians and Gynecologists, water births comes with some incredible benefits, making them a worthwhile pursuit. These benefits include:

Increased relaxation

Most women choose water births because of the relaxation benefits the water gives. How so? The answer lies in the water temperature and motion that helps in relaxation throughout the labor. Contractions usually lose their rhythm if you are tense. Once you are in the warm water, you feel relieved and relaxed, making contractions less stressful and shorter.

Being fully immersed in water also lowers your blood pressure, giving you a more relaxed feeling. Water birth is also less stressful for your baby.

Pain relief

If you want natural birth pain relief, then water birth is your friend. Many women opt to deliver their baby in the water because they won’t need pain relief medication like an epidural. Being in the warm water makes it easier for you to manage your painful contractions.

A higher sense of privacy

A birthing pool and a dimmed room is privacy on another level. Who would not feel relaxed in such a situation? Compared to bright labor wards, the ambiance in your home is significantly more comforting. Your focus is solely on labor with this form of privacy. For some people, quietness is pivotal to keeping them calm.

Increased sense of control

The water’s buoyancy effect lessens your body weight, allowing you to move freely and switch angles until you find a comfortable position. In a nutshell, being in the water makes you safer, secure, and more comfortable.

Reduced chances of episiotomy

An episiotomy is a surgical cut performed to enlarge your vaginal opening while giving birth. To avoid tearing and stitches, water birth comes in handy. It makes the perineum to be more relaxed and elastic. As a result, it reduces the incidences of tearing and enlarging the vaginal opening.

Water births present a gentler welcome to the world for you and your baby. Delivering in a birth pool comes with tons of benefits that make it a worthwhile option to consider. Benefits range from reduced labor pain and increased relaxation, to the privilege of giving birth surrounded by your loved ones.

Contact us today for more information about home water births.