Breech is a normal birth position
When did birth start to be considered a disease? This seems absurd. A woman's body has been programmed by all the mothers prior to labor and birth, to know how to birth naturally if given the experience by the generation or two prior to this current mother's experience. Our bodies carry muscle memories.
Mothers, still today, experience a natural expulsion of a baby if the conditions are right. Mother's who are unconscious have shown that the body can birth a baby by itself. Mothers are still choosing to birth by themselves when they find no other provider, to honor their decision to have a natural birth after a cesarean.
Attending a Breech conference last November brought to the attention of the attendees that breech is a variation of the "normal" cephalic position for a baby to birth. Babies can find their way to earth side even in such a position. When a provider is present, the provider can assist, but only if necessary. Certain signs of normal were presented and certain maneuvers were demonstrated and practiced in case of a baby needing extra help, or a mother needing extra confidence while birthing her baby.
Breech studies have been done, and the first Term Breech study suggested to doctors that a cesarean section was safer than Breech. A follow up study was done, and the first study did not get the same results. The 2nd study found Breech birth is as safe as cesarean. However, there was no study in regards to breech as compared to vaginal breech birth.
The second study also noted that the mothers who had a cesarean, had a greater risk for themselves and their babies for following pregnancies and births. In the long term risks for mother having a cesarean, her child will more likely have asthma, type 1 diabetes, allergies, altered stem cell epi-genetics and altered gut microbiome. For mother, she will have a higher risk of morbidity, have fewer children, be more likely to have another cesarean section and have less fertility.
In the Netherlands trial of mothers with cesarean sections, the side affects were: 1/300 became opioid users. In a 1st cesarean for a mother, 26 babies were saved. In the second cesarean for the mothers, 27 babies were lost to death and 4-5 mothers died with the second cesarean in a sample of 10,000 mommies. 153 of the moms had postpartum hemorrhage, 17 had uterine rupture, 4 had an abruption, and others had acretta. A first cesarean is a deferred risk in the USA, which moves the risk to the next baby or to mother.
In Africa, a cesarean section will cause 1/100 women to die. In Tanzania, 13 neonates will die, and 19 mothers will die. A provider can influence the mother. If providers are trained and skilled in breech, it is just as safe to birth a breech baby as it is to birth a cephalic positioned baby.
Let's encourage those we know to become empowered mothers and to encourage our doctors and providers to become skilled in breech birth. Mothers, trust the wisdom of your bodies and others, trust in the wisdom of mothers and mothers to be. Trusting mothers, can simply pass on trust to our birthing babies. Wouldn't it be nice if this process, could help develop a more trusting ( in a good way) society, starting with the trusting child of its empowered mother, who was trusted during the pregnancy and labor and birth process.
Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births, by Stuart James Fischbein and Rixa Freeze
Evolving Evidence Since the Term Breech Trials: Canadian Response, European Dissent and Potential Solutions by Betty-Anne Daviss, Kenneth C. Johnson, and Andre B. Lalonde
Selective vaginal breech delivery at term-still an option, by Toivonen E, Palomaki O, Huhtala H, Uotila J
Cut, Stapled and Mended. When one woman Reclaimed Her Body and Gave Birth on Her own Terms after Cesarean, by Rosewood, Rosanna (Confidence Books 2013)
Everything Below the Waist; Why Health Care Needs a Feminist Revolution, by Jennifer Block (St. Martin's Press. 2019)