I discuss in this episode:
- Why this topic is so important to me
- History of VBB
- External cephalic versions
- Criteria of inclusion and exclusion and quality of evidence for each criteria
- Evidence for what we quote for fetal and neonatal mortality risk
- Clients' experiences of navigating the system
- Midwives being the keepers of normal
- Some corrections/additions for what I have said
DISCLAIMER: There is never any midwifery care provided by podcast.
Here is some of the literature to review and discussed in the episode.
- SOGC guidelines: Management of Breech Presentation at Term
- The Term Breech Trial. Hannah et al. 2000
- PREMODA Study. Goffinet et al. 2006
On Macrosomia:
- Maternal and neonatal outcome after VBD at term of children weighing more or less than 3.8kg. Jennewein et al. 2018
- Risk factors associated with adverse perinatal outcomes in planned vaginal breech labours at term: a retrospective population based case control study. 2017
Video of VBB:
-https://www.youtube.com/watch?v=2KWSAFYgdoQ
- Experiences of clients wanting VBB. Homer et al. 2015
- Does breech delivery in an upright position instead of on the back improve outcomes and avoid cesareans? Louwen et al. 2016
Neonatal mortality rates
https://obgyn.onlinelibrary.wiley.com/doi/10.1111/j.1600-0412.2011.01143.x (full article)
Exclusion criteria were
birth before 37+0 completed gestational weeks, multiple pregnancy,
perinatal death due to major congenital defects (congenital heart, nervous
system and multiple malformations, lethal syndromes) and birthweight <1 000g
(in cases where information on gestational age was missing).
This means that the selection also included small babies of more than 1000g and unknown GA.
https://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.12449
Not the same exclusion/inclusion criteria we use
The cover art is by Eloise Roy