Are either of them in touch with ICAN (international cesarean
awareness network)?  Not sure where you are, but they can check
http://ican-online.org for a local chapter, professional ICAN
subscribers (there could be a local OB who would do vaginal breech),
or just contact the advocacy director with questions.  The site can be
hard to navigate, but if you follow the "contact us" link at the
bottom of the main page, she is listed.  Her name is Gretchen
Humphries, and it is possible that the direct email would be
advocacyATican-onlineDOTcom (replacing the appropriate words with
symbols of course).  Good luck to your clients!

Cheers,
Michelle

On Wed, Mar 3, 2010 at 12:59 AM, Molly Brannigan
<[log in to unmask]> wrote:
>>
>> Hello Wise Ones-
>
>
> I am looking for research to help two clients.
>
> I have two clients who both have breech babies. Their OBs want to schedule a
> c/s right at 39 weeks. (In our area, C/S is the only option when babies are
> breech.) Both of my clients would like to wait to go into labor before their
> surgeries. They are concerned about iatrogenic prematurity and its possible
> effect on breastfeeding.
>
> Both OBs have said no, that the surgery will be safer if it is scheduled
> because "no one will be pulling extra hours after a double shift, you don't
> run the risk of a tired anesthesiologist, there will be less waiting time
> for an OR, etc".  I don't work in a hospital, so I couldn't say if these
> arguments are true or if they are just nice costumes for the old
> it-is-easier-for-us thinking. Neither OB has suggested that there is any
> health advantage for the baby in doing scheduling over waiting for labor to
> begin. At this hospital the primary c/s rate is around 29% for moms
> intending to give birth vaginally, so it would seem to me that they must be
> pretty well set up to do unplanned surgeries, but maybe I am wrong. The
> hospital does many thousands of births per year.
>
> In any case, my clients would like to bring research to their doctors that
> would back them up in their argument that waiting to go into labor before
> performing the surgery is connected to better outcomes for baby and/or
> better outcomes for breastfeeding. Is there any recent work on this topic?
>
> Thank you so much!
>
> Molly
>
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