Anyone know of an OB in Alexandria who is willing to deliver breach baby?

[Anonymous]

That this is a question shows how well we’ve been insulated from the tragedies that can result from not using some very necessary modern medical interventions.

[Anonymous]

Anonymous wrote:Get an ECV.

Not possible if you have an anterior placenta.

[Anonymous]

Anonymous wrote:Nope. It was a CT scan in 1998. Some years after that there were medical reports of childhood cancers in the in-utero children. Then, I was annoyed. But we all made it through.

I mean they don’t even like to do CT scans of non pregnant women’s abdomens, because of the amount of radiation and possible effects on fertility.

[Anonymous]

Anonymous wrote:I read studies that said that if your baby is breech, the likely cause is moms anatomy and that future babies would be breech too.

The odds of a breech are higher for someone who previously had a single breech baby, but they are still relatively low in the absolute, only about 10%.

First-time breech presentation at term occurred in 4.2% of first pregnancy deliveries, 2.2% of second pregnancies and 1.9% of third pregnancies. The rate of breech recurrence in a second consecutive pregnancy was 9.9%, and in a third consecutive pregnancy (after two prior breech deliveries) was 27.5%. The relative risk of breech recurrence in a second pregnancy was 3.2 (95% CI 2.8–3.6), and in a third consecutive breech pregnancy was 13.9 (95% CI 8.8–22.1).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2883072/

My first baby was breech and my next two were not.

[Anonymous]

19:37 did you deliver the breach baby vaginally or did you have a C-section and VBAC the others?

[Anonymous]

Anonymous wrote:19:37 did you deliver the breach baby vaginally or did you have a C-section and VBAC the others?

I tried ECV and failed. Had a c-section at 40w1d. VBAC'd the next two and currently pregnant with #4 and planning another VBAC.

My OB happens to do breech deliveries and the breech baby was in a position where he said he could do it if I chose that, but he emphasized that the risk was higher due to it being my first birth. So that is why I decided to go with the c-section.

[Anonymous]

I’m a psychiatrist and just had to evaluate a mom in the hospital after she lost a very healthy pregnancy during a delivery she insisted on. She agreed to the section too late. Med school taught me that good OBs will do what they can to try to avoid interventions, but the hell if I’m going to risk losing a lifetime with my child over the worry of how one delivery may not fit my expectations.

[Anonymous]

OP, you are only 32 weeks. The baby has PLENTY of time to flip on it's own. Good luck.

[Anonymous]

Anonymous wrote:Nope. It was a CT scan in 1998. Some years after that there were medical reports of childhood cancers in the in-utero children. Then, I was annoyed. But we all made it through.

My best friend was carrying a huge baby and they took some scans of her bones and uterus to see if the head could fit during delivery. I’ve always wondered about those scans. They looked like X-rays to me. This was in a foreign country in around 2014.

[Anonymous]

God people are awe full; your not going to kill your baby having a breach vaganally. It’s a skill and if you find a provider trained it’s fine. Here is updated evidence, it’s just not a skill taught in the US much anymore.

https://evidencebasedbirth.com/breech-vaginal-birth-with-dr-rixa-freeze-and-dr-david-hayes/

[Anonymous]

Anonymous wrote:God people are awe full; your not going to kill your baby having a breach vaganally. It’s a skill and if you find a provider trained it’s fine. Here is updated evidence, it’s just not a skill taught in the US much anymore.

https://evidencebasedbirth.com/breech-vaginal-birth-with-dr-rixa-freeze-and-dr-david-hayes/

I am the 21:43 PP and I agree, the tone of some of these posts is hysterical. A patient who is properly screened, monitored, and then delivered by an experienced provider is very low risk overall, even if the risk may be slightly higher than a "regular" vaginal delivery. If I'd already had a successful vaginal delivery under my belt at the time of my breech pregnancy, I probably would have gone that route.

That being said, very few providers have the necessary skills and experience today. Also, OP is already 32 weeks along, so I think it would be very hard to get one of these very few providers to take her on for a breech delivery now. I am not in the DMV area, but my doctor doesn't like to take on new patients past 30 weeks.

[Anonymous]

Anonymous wrote:

Anonymous wrote:God people are awe full; your not going to kill your baby having a breach vaganally. It’s a skill and if you find a provider trained it’s fine. Here is updated evidence, it’s just not a skill taught in the US much anymore.

https://evidencebasedbirth.com/breech-vaginal-birth-with-dr-rixa-freeze-and-dr-david-hayes/

I am the 21:43 PP and I agree, the tone of some of these posts is hysterical. A patient who is properly screened, monitored, and then delivered by an experienced provider is very low risk overall, even if the risk may be slightly higher than a "regular" vaginal delivery. If I'd already had a successful vaginal delivery under my belt at the time of my breech pregnancy, I probably would have gone that route.

That being said, very few providers have the necessary skills and experience today. Also, OP is already 32 weeks along, so I think it would be very hard to get one of these very few providers to take her on for a breech delivery now. I am not in the DMV area, but my doctor doesn't like to take on new patients past 30 weeks.

I agree wholly with the bolder, and it’s sad. Also don’t *quite* understand the hysterical posters who are also saying a good OB minimizes interventions but also taking about counseling bereaved mothers...so are they saying the OBs and hospitals that do breech are “bad”

[Anonymous]

Evidence based birth is natural childbirth propaganda cherry picked by a nurse with an agenda. It’s not a reputable source of information. And attempting vaginally breech is risky. In 2021 we have modern medicine and a safe alternative : a scheduled C section. Back in the day providers had to deliver those babies. Now we have a safe alternative that minimizes risks to the infant. That is why a c section for a breech baby is the standard of care. Unless you are planning to have ten children or something, I don’t see why you would even entertain the possibility.

[Anonymous]

OP, you're taking a risk. I had a breech baby in the aughts. I think the death rate then was 2%. I never saw my OB smile bigger than when I said I'd rather have a scheduled C than a VBAC. She scheduled that C faster than you can say C.

It's not about how much you can bench press. It's about getting the baby out safely with minimal risk to you as the mother. My breech kid is now a teen, and I have zero regrets about my decision. She got out safely and is healthy and awesome.

[Anonymous]

^^2% death rate for VBACs^^