Hi all, I'm reading a lot about breech delivery's lately...Am feeling we are going 
a bit off topic.  There are lots of valid points being made regarding breech 
birth.  However, most of us posting are not OB's or birth attendants... I don't 
think I have read any OB's or CNM add to this discussion. I have seen good 
breech delivery's good outcomes and bad breech delivery's with bad 
outcomes.  And when parents have bad outcomes, no matter how bad they 
wanted a "natural" childbirth they tend to blame someone.  Usually the MD. 
who assissted the family to help carry out the their dream of a "natural" birth.  
If we weren't such a "suit" happy society maybe OB's would be more willing to 
deliver breech births.  And I agree with a previous poster..A breech delivery 
with a 4 th baby is a MUCH different story than a primip who's pelvis has not 
had a trial of labor. Some woman no fault of their own, are born with a more 
android shaped pelvis. Which may or may not be adequate for such a birth.  
There was a time when women did die in childbirth..Thank God those stats are 
low now.  I was working Labor when a mom came in in good hard labor, baby 
was breech and she was ready to push. 1st time mommy, it was only then 
that the discovery was made that baby was frank breech.  As sometimes 
happens with breech deliveries, the uterus thinks the largest part has come 
thru first (head down) and begins to close around the infants neck.  Despite 
execellent care and quick thinking, trying different positions, it was 45 min 
before the head delivered and I am sorry to say it was not a good outcome.  I 
realize bad things happen with every sort of delivery, but breech deliveries in 
my opinion are inherently known to have more things go wrong due to the 
nature of the anatomy and physiology of Labor and birth, cord accidents are 
far more common in breech births, especiallly a footling breech where the cord 
can fall thru the cevix with the foot.  A cord prolapse is a obsterical 
emergency. Why would someone risk their own experience for a water birth or 
even a unassisted home birth with a known breech presentation?  For the 
babies experience, or for the family's.  The safety of the baby and mommy 
would far outweigh my own desire for the sake of "experience".  I'm sure there 
would be a mourning for the natural birth, but having a safe journey outweighs 
it for me.  
I know my views are not shared by all.  And I may be the epitomy of the 
medical model, but I have seen the parents who wanted and desired a normal 
birth at the sake of safety and seen their dreams crushed and hearts broken.
Just the same way many parents feel that having a hospital birth or unplanned 
c/s destroyed the fullfilment of natural childbirth.  In my experience the former 
happens more often than the latter, and with the latter dreams are dashed, 
but hearts are not forever broken.  These topics are so deeply emotional.
Back to breastfeeding please.....Off topic subjects somehow seem to push us 
farther apart rather than joining in one unison with the protection, promotion 
and loving relationship breastfeeding enjoys.  Something we can all rejoice in.

Warmest Regards,
robin

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