Description

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

This episode is for information purposes.

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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 werebirth before 37+0 completed gestational weeks, multiple pregnancy,perinatal death due to major congenital defects (congenital heart, nervoussystem 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.12449⁠Not the same exclusion/inclusion criteria we use

The cover art is by Eloise Roy