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Not a good antenatal visit



 
 
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  #1  
Old January 26th 05, 12:37 PM
Anne Rogers
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Default Not a good antenatal visit

I had my 39 +3 day antenatal visit yesterday and the midwife couldn't
feel the baby's head in my pelvis anymore and the heartbeat was high
up on the right hand side, rather than low on the left.

The baby has been super active right from the word go and hasn't
slowed down lately so the midwife suspects that baby has turned back
to breech again despite my best efforts to sit properly etc.

She has booked me in for an ultrasound on Wednesday afternoon to find
out what is going on. If the baby is breech I'll then be scheduled for
a c-section, which has me worried sick.


bummer, you really are too late for a version now, but you don't have to
sign the consent forms for a c-section, then they will have to provide
someone who can deal with a breech delivery

hopefully if your baby has managed to turn it can manage to turn again,
crossing my fingers for you

Anne


  #2  
Old January 26th 05, 02:16 PM
Hillary Israeli
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Default

In 1106739452.44a63160203d89c7f867ee97b36a01d5@teran ews,
Anne Rogers wrote:

*bummer, you really are too late for a version now, but you don't have to
*sign the consent forms for a c-section, then they will have to provide
*someone who can deal with a breech delivery

They will have to provide such a practicioner? What, they are mandated to
pull one out of their butt or something?? Seriously, I can't imagine. I
can see refusing surgical delivery, and seeking other care - but I don't
understand how the hospital can be forced to provide a type of
practicioner who may or may not be on staff at that facility!

-h.
--
Hillary Israeli, VMD
Lafayette Hill/PA/USA/Earth
"Outside of a dog, a book is a man's best friend. Inside of a dog, it is
too dark to read." --Groucho Marx



  #3  
Old January 26th 05, 02:25 PM
Iuil
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"Hillary Israeli" wrote

They will have to provide such a practicioner? What, they are mandated to
pull one out of their butt or something?? Seriously, I can't imagine. I
can see refusing surgical delivery, and seeking other care - but I don't
understand how the hospital can be forced to provide a type of
practicioner who may or may not be on staff at that facility!


That's the situation in the UK where hospitals have "catchment areas" and
you tend to attend the hospital in whose area you live. The NICE guidelines
state that breech birth is a variation of normal, therefore it's within
every woman's right to insist on a vaginal breech birth and it's up to the
hospital to provide a midwife or doctor who is competent in assisting at a
breech birth. If there isn't such a person employed by the local NHS trust,
then the onus is on them to hire someone externally on a case-by-case basis.

Jean


  #4  
Old January 26th 05, 04:11 PM
Ericka Kammerer
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Wildwookie wrote:


She has booked me in for an ultrasound on Wednesday afternoon to find
out what is going on. If the baby is breech I'll then be scheduled for
a c-section, which has me worried sick.


Why on earth wouldn't they try an external version?
The likelihood of success is a tad lower this late, but on
the other hand, if the baby is breech, there was obviously
room to turn! I can't imagine going for a c-section without
attempting a version, unless there was some reason to believe
that the version would be dangerous.

Best wishes,
Ericka

  #5  
Old January 26th 05, 04:12 PM
Ericka Kammerer
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Anne Rogers wrote:


bummer, you really are too late for a version now,


Why? I am unaware of any reason not to try a version.
It's beyond the optimal window of time, but if it doesn't succeed,
what have you lost?

Best wishes,
Ericka

  #6  
Old January 26th 05, 05:14 PM
Hillary Israeli
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In ,
Iuil wrote:

*That's the situation in the UK where hospitals have "catchment areas" and
*you tend to attend the hospital in whose area you live. The NICE guidelines
*state that breech birth is a variation of normal, therefore it's within
*every woman's right to insist on a vaginal breech birth and it's up to the
*hospital to provide a midwife or doctor who is competent in assisting at a
*breech birth. If there isn't such a person employed by the local NHS trust,
*then the onus is on them to hire someone externally on a case-by-case basis.
*

Ah. I don't imagine that is the case here - I tthink they couldget away
with saying the "standard of care" for breech presentation is c-section.

--
Hillary Israeli, VMD
Lafayette Hill/PA/USA/Earth
"Outside of a dog, a book is a man's best friend. Inside of a dog, it is
too dark to read." --Groucho Marx



  #7  
Old January 26th 05, 05:17 PM
Welches
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Default


"Iuil" wrote in message
...

"Hillary Israeli" wrote

They will have to provide such a practicioner? What, they are mandated to
pull one out of their butt or something?? Seriously, I can't imagine.
I
can see refusing surgical delivery, and seeking other care - but I don't
understand how the hospital can be forced to provide a type of
practicioner who may or may not be on staff at that facility!


That's the situation in the UK where hospitals have "catchment areas" and
you tend to attend the hospital in whose area you live. The NICE
guidelines
state that breech birth is a variation of normal, therefore it's within
every woman's right to insist on a vaginal breech birth and it's up to the
hospital to provide a midwife or doctor who is competent in assisting at a
breech birth. If there isn't such a person employed by the local NHS
trust,
then the onus is on them to hire someone externally on a case-by-case
basis.

Nice theory. Postcode lottery. Where I used to live when pregnant with #1,
it was "we have midwives trained in breech delivery and will aim to deliver
is possible". Here with #2 it is "we have a u/s consultant trained in
external versions. if that fails we have no one trained in breech delivery
so are not prepared to try it."
I don't think you'd get away with it unless you truned up with the baby
mostly out :-)
Debbie


  #8  
Old January 26th 05, 05:35 PM
Irene
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Default


Hillary Israeli wrote:
In ,
Iuil wrote:

*That's the situation in the UK where hospitals have "catchment

areas" and
*you tend to attend the hospital in whose area you live. The NICE

guidelines
*state that breech birth is a variation of normal, therefore it's

within
*every woman's right to insist on a vaginal breech birth and it's up

to the
*hospital to provide a midwife or doctor who is competent in

assisting at a
*breech birth. If there isn't such a person employed by the local

NHS trust,
*then the onus is on them to hire someone externally on a

case-by-case basis.
*

Ah. I don't imagine that is the case here - I tthink they couldget

away
with saying the "standard of care" for breech presentation is

c-section.

--

I also think there isn't any sort of requirement (in the US) to find
someone qualified to deliver a breech baby vaginally - and I don't know
about you, but if someone says that they don't feel comfortable doing
it because they don't know how to do it properly, I don't think I want
them to try!

Irene

  #9  
Old January 26th 05, 10:08 PM
Buzzy Bee
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Default

On Wed, 26 Jan 2005 16:17:57 GMT, "Welches"
wrote:


Nice theory. Postcode lottery. Where I used to live when pregnant with #1,
it was "we have midwives trained in breech delivery and will aim to deliver
is possible". Here with #2 it is "we have a u/s consultant trained in
external versions. if that fails we have no one trained in breech delivery
so are not prepared to try it."


There's plenty of precedent for trusts employing an independent
midwife to attend if they have no one available. They might try to
pull the "we have no one qualified" but per the NICE guidelines (as
Jean has quoted already) that's their problem and there are usually
solutions available. They cannot force someone to have a c-section
beacuse they have not bothered to adequately train their staff in
normal birth (there are plenty of opportunities for midwives to learn
about breech birth).

Megan
--
Seoras David Montgomery, 7th May 2003, 17 hours. http://seoras.farr-montgomery.com
EDD 11th March 2005 (another boy!)
  #10  
Old January 26th 05, 10:34 PM
Buzzy Bee
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Default

On Wed, 26 Jan 2005 06:35:32 +0000, Wildwookie
wrote:


She has booked me in for an ultrasound on Wednesday afternoon to find
out what is going on. If the baby is breech I'll then be scheduled for
a c-section, which has me worried sick.


I gather you are in the UK. If the baby happens to be breech, you
need not automatically agree to an elective c-section. You are
entitled to an attempt at a version even if you are now past the
optimal time frame for one. There are also other ways to try and turn
the baby and if all else fails you have a right to attempt a vaginal
delivery, as Jean has said. The NICE guidelines very clearly state
that a breech baby is not cause for an automatic c-section, there are
various options available. If they say they have no staff available
they can find someone - an independent midwife, for example, can be
hired (there is plenty of precedent for this happening).

www.aims.org.uk has lots of good information about the various options
open to you if the baby is still breech and if you have difficulty
getting what you want, I highly recommend phoning them for help/advice


Megan
--
Seoras David Montgomery, 7th May 2003, 17 hours. http://seoras.farr-montgomery.com
EDD 11th March 2005 (another boy!)
 




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