Worried about an after-coming entrapped head, we generally don't recommend breech (butt or feet first) deliveries. The head can be the biggest part of the newborn, and if it gets stuck with legs and trunk already outside, the results can be catastrophic.
Sandy is near term with breech presentation, being seen by a lay midwife (which means a home or other non-hospital delivery). The latter recommended that she see us to discuss possible version (trying to turn the baby around before labor) and/or a CS. She failed to answer our attempts to call to make an appointment, and when I called the midwife to find out her current status, was informed that Sandy now may be seeing an unlicensed lay midwife known to attempt home breech deliveries. The new lay midwife once had a license, but it was withdrawn after a couple of deliveries with negative outcomes and serious questions about her ability to provide appropriate care.
Once again, no license required for having children. Seriously, is she nuts? Sure glad my Samuel came into the world through a CS with his beautiful round head and his non-compromised brilliant brain. He's on his gyn rotation right now. I hope he reads these posts in his 'spare' time.
ReplyDeleteIt's like politics, people get focussed on specific issues (here, avoiding a hospital delivery), ignoring the big picture (a healthy baby).
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