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#1
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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
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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
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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
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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
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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
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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
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"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
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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
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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
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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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