VAGINAL DELIVERY OF BREECH BABIES, NEW GUIDELINES RELEASED

SOCIETY OF OBSTETRICIANS AND GYNAECOLOGISTS OF CANADA (SOGC) PRACTICE GUIDELINE: VAGINAL DELIVERY OF BREECH PRESENTATION

SOGC notes that many women who end up with a breech pregnancy can safely deliver vaginally so doctors should not automatically perform a cesarean section (Ubelacker, 2009, June 17). Dr. Robert Gagnon, chair of the SOGC’s maternal fetal medicine committee, explains: “Breech pregnancies are almost always delivered using a cesarean section, to the point where the practice has become somewhat automatic…What we've found is that, in some cases, vaginal breech birth is a safe option, and obstetricians should be able to offer women the choice to attempt a traditional delivery” (Ubelacker, 2009, June 17). Executive vice-president Dr. Andre Lalonde highlights that a reliance on cesarean deliveries has meant a large proportion of Canadian obstetricians lack training in vaginal breech birth. SOGC will develop programs with universities to ensure new medical school graduates and practising physicians are trained in techniques to safely deliver breech babies vaginally. This clinical practice guideline (SOGC, 2009) reviews the physiology of breech birth; discerns the risks and benefits of a trial of labour versus planned Cesarean section; and recommends to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, paediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth.

SOGC practice guidelines: http://www.sogc.org/guidelines/documents/gui226CPG0906.pdf

French: http://www.sogc.org/guidelines/index_f.asp

News: http://www.parentcentral.ca/parent/article/652174

This is good news for those moms hoping to have a vaginal delivery as well as for breastfeeding. We know that cesarean births are associated with delayed lactogenesis (that's medical terminology for "milk coming in") and as expected, a delay in initiating breastfeeding. (Chen et al., 1998;Deweyet al., 2003; Evans et al., 2003;Grajed & Perez-Escamilla, 2002; Leung, Lam, & Ho, 2002; Nissen et al.; 1996; Rowe-Murray & Fisher, 2002; Wittels et al., 1997).

Unfortunately it's not for moms expecting multiples. The new guidelines apply only to singleton pregnancies.

Now it will be just a matter of time to get the New OB/GYN's trained to do it!

Thanks, Happy Breastfeeding.
Camilla Aviss RN,BHSc(N),CCCE
MULTIPLE REASONS LACTATION SUPPORT SERVICES
www.multiplereasons.com
Remember: "There's Multiple Reasons To Breastfeed"

The Famous "Indiscreet Breastfeeding Manifesto"

the Indiscreet Breastfeeding Manifesto, first published by Sundae Horn in Mothering Magazine in 2001.

I will nurse my child anytime, anywhere, no matter who is present or what I am wearing.
I will bare my breast with pride and confidence.
I will not apologize for nourishing and nurturing my child.
I will not smother my child with a napkin or blanket.
I will smile at everyone around me and ignore rude stares.
I will know that I am giving my child the perfect infant food from the most efficient, ecological, and economical delivery system.
I will know that I am giving my child the healthy start that is his or her birthright.
I will set an example for women and girls, educate the public, dispel breastfeeding myths, de-sexualize the breast, and make the world a better place, all through the simple act of feeding my child.

Seems Common Sense doesn't it? I sometimes wonder are we helping or hindering breastfeeding in public with "Nursing Rooms"? I think they are great on one hand, especially if you're supplementing at the breast and need to get the lact-aid, feeding tube in place and aren't comfortable doing so out in public. On the other hand are we saying, to breastfed you have to do this behind closed doors?

Of course our Human Rights support Breastfeeding anywhere, any time, anyplace.THANKFULLY!
Aren't we fortunate to live in a country that either is supported and protected.

For those moms who do breastfeed openly in public. THANK YOU. You are not just nourishing your baby you are changing attitudes and beliefs.

Happy Breastfeeding!
Camilla Aviss, RN,BHSc(N),CCCE
MULTIPLE REASONS LACTATION SUPPORT SERVICES
www.multiplereasons.com

Remember "There's multiple reasons to breastfeed"

New Webpage!!

Check out my new web page! www.multiplereasons.com
It's finally up and running! Thanks to Michelle at Oakville Moms for doing such a great job on my site! www.oakvillemoms.com
Check it out and let me know what you think?
As well if there are articles or topics you would like to see, drop me a line and let me know.

Thanks!
Camilla Aviss RN,BHSc(N),CCCE
MULTIPLE REASONS LACTATION SUPPORT SERVICES
multiplereasons@sympatico.ca
www.multiplereasons.com
Remember "there's multiple reasons to breastfeed"