Head out, butt in

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Most babies head out, but about four percent will butt into the world. Doctors usually know in advance a baby is breech and prefer to deliver via Cesarean section believing it is safer for the baby and mother. In 2000, a large study was released which supported this notion, and c-sections have been the preferred method for backwards babies ever since.

Researchers in Tel Aviv are turning the notion on its head, so to speak. They say that there are circumstances where a regular vaginal delivery is better than a c-section and especially safer for the mom.

Professor Glezerman’s research indicates that breech babies are no more at risk during a vaginal delivery than they would be with a c-section. For mothers it an even better story with reduced morbidity and mortality. He is on a campaign to bring back the vaginal delivery for breech babies.

It’s going to be a hard sell. C-sections are much easier to perform than a skilled vaginal delivery under these special circumstances. “We are trying to unite obstetricians and midwives in the field to revive vaginal delivery for breech presentations,” said Prof. Glezerman. His initiative provides scientific evidence to those physicians and midwives looking to return to traditional delivery methods.

Not very many doctors know how to do it so training will be necessary. “The skill has disappeared. Residents no longer taught these techniques, and senior physicians are doing it less and less. We need to go back to the future and relearn what has been forgotten.”

Source: American Friends of Tel Aviv University, ScienceDaily


 
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