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

[Anonymous]

Anonymous wrote: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.

I am not the PP who posted the link to the EBB site and I have no idea what that site is. I am 21:43 PP who chose to have a c-section. But vaginal breech delivery is not just some crazy crunchy thing. Much of the earlier data that led to an abrupt drop on breech deliveries included risky scenarios, like VBAC breech, non-frank breech, first births, fetal anomalies such as growth restriction, inexperienced providers, and other issues.

I don't want to pretend there isn't any added risk, but we know a lot more today about how to reduce that risk than we did back when breech delivery was more widespread.

I don't think breech vaginal is a realistic option for OP at this point anyway, but just for funsies, from ACOG, as of 2018:

Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for both eligibility and labor management. There are many retrospective reports of vaginal breech delivery that follow very specific protocols and note excellent neonatal outcomes. One report noted 298 women in a vaginal breech trial with no perinatal morbidity and mortality 12. Another report noted similar outcomes in 481 women with planned vaginal delivery 13. Although they are not randomized trials, these reports detail the outcomes of specific management protocols and document the potential safety of a vaginal delivery in the properly selected patient. The initial criteria used in these reports were similar: gestational age greater than 37 weeks, frank or complete breech presentation, no fetal anomalies on ultrasound examination, adequate maternal pelvis, and estimated fetal weight between 2,500 g and 4,000 g. In addition, the protocol presented by one report required documentation of fetal head flexion and adequate amniotic fluid volume, defined as a 3-cm vertical pocket 12. Oxytocin induction or augmentation was not offered, and strict criteria were established for normal labor progress

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/08/mode-of-term-singleton-breech-delivery

[Anonymous]

Anonymous wrote: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.

Is what you’re saying that the doctors and hospitals in the area (Tchabo, GW, etc.) who support vaginal breech delivery in appropriate circumstances aren’t practicing modern medicine? Or these practitioners are deviating from a standard of care? Because it seems like plenty of people use GW and Tchabo is pretty well respected in the community.