2 birth items: breech birth, delayed pushing

April 9, 2010. Posted in: Blog Posts

Vaginal Birth Better for Breech Babies Says Canadian Doctors
ecochildsplay.com

The Society of Obstetricians and Gynecologists of Canada has announced that c-sections are no longer recommended for breech babies! This is contrary to common practice in North America, in which very few doctors or midwives will attempt a vaginal delivery on a breech baby.

Another article on the same new guideline: C-section not best option for breech birth

With the release of the new guidelines, the SOGC will launch a nationwide training program to ensure that doctors will be adequately prepared to offer vaginal breech births .

The new approach was prompted by a reassessment of earlier trials. It now appears that there is no difference in complication rates between vaginal and cesarean section deliveries in the case of breech births.

Here is the guideline from the SOGC:
SOGC CLINICAL PRACTICE GUIDELINE: Vaginal Delivery of Breech Presentation , No. 226, June 2009


And here”s a new study on the second stage of labor…

Kelly M, et al. Delayed versus immediate pushing in second stage of labor. MCN Am J Matern Child Nurs. 2010 Mar-Apr;35(2):81-8.

Delaying pushing for up to 90 minutes after complete cervical dilation resulted in a significant decrease in the time mothers spent pushing without a significant increase in total time in second stage of labor.In clinical practice, healthcare providers sometimes resist delaying the onset of pushing after second stage of labor has begun because of a belief it will increase labor time. This study’s finding of a 51% reduction in pushing time when mothers delay pushing for up to 90 minutes, with no significant increase in overall time for second stage of labor, disputes that concern.