It is interesting that breech birth has become such a controversial issue. For centuries, it was considered normal and just another form of birth. It is surely something one needs extra training for and not something to be taken lightly. That is why we offer classes on breech birth at every conference. Babies can turn breech easily, so it is important to always be prepared for this possibility. Since most doctors no longer do breech birth, the medical world is losing its skill in the art of breech; the only option then is to have a cesarean or to find one of the few midwives willing to assist in a vaginal breech birth.
My dear friend Cornelia Enning, one of our conference speakers, does a class on breech in water because she says this is the best way to help breech babies. Cornelia says that breech birth in water is safer, in part because it improves fetal oxygenation by increasing uterine blood supply during immersion. Frank breeches need no special maneuvers because water alters the effects of gravity. Mobility of the mother in water allows better interaction of the baby through the pelvis and any maneuvers that may be required are easier in water. You can attend Cornelia’s breech workshop at our conference in Finland.
~ Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
The Best Dream Ever: Otto’s Breech Birth
I woke up feeling tired and grumpy. By 8 pm I started having period-type pains, which came in irregular waves and were completely bearable, so I didn’t think much of them really.
My husband, Fin, fell asleep at about 11:30 pm and I tried sleeping, too, but couldn’t. I was suddenly really hungry and thirsty, so I went to the kitchen and ate some food and had a drink. The contractions were getting more intense, but still bearable—I really didn’t want to wake the midwives until I was completely sure that this was the real thing.
At around 1:30 am I asked Fin to get me a sick bucket and a hot water bottle. I think it was at this point that I realized this might be the real thing. I stayed in bed a while longer, just keeping calm and breathing through the contractions. I then got up and really needed the loo and had a huge contraction on the toilet. I was still breathing through them, but I started to get quite vocal and loud. I called Fin and he rushed out of bed and said, “Okay I’m going to call the midwives.” I remember thinking that I was making a bit of a pathetic fuss!
Just after 2 am I had two enormous contractions while standing up with my hands on the arm of the sofa. I was very vocal through these (read: “I shouted my face off!”). I was definitely on a different plane of consciousness and my body was taking over. When Fin was off the phone to the midwives he said he was going to call a cab so we could head to St. Mary’s Hospital for the birth, but after another big contraction I said, “You need to call an ambulance now!” I was still leaning on the sofa, and after the second big contraction I said to Fin, “This can’t be right—I am having urges to push!” One more contraction made me yell out, “I can feel something!” I put my fingers behind me and there was something, a bottom or maybe a leg, just starting to present itself. Fin got on the phone to 999.
I was now on all fours on the floor with my face on the sofa. It was at this point that another quite vocal contraction woke my 10-year-old daughter, and in the middle of a contraction, I became aware of her in the doorway. When that one was over, I didn’t want her to be scared (she wasn’t anyway!) and also I wanted her to feel part of things so I smiled and said, “‘Hi Star! Come and hold my hand!” which she did, although she was keeping a very curious eye on what was happening at the other end too!
The paramedics (five of them!) bundled into my flat and stood in a semicircle behind me. I had two contractions which pushed the baby’s bottom (still in the sac) out, but I felt it go back in again. I felt the bottom come out and go back in again twice, and it must have been during the second one that the sac broke and then the next contraction pushed the bottom out fully. The legs and torso followed, and then I felt the arms ping out one by one—a very odd sensation! Star said that seeing her brother’s body out while his head was still in was the coolest thing she’d ever seen in her life.
I suddenly realized that there were no midwives there to advise me whether to push with the next contraction or what to do, and I saw two paths ahead of me: either I could panic, tense up and try to push, or I could relax, trust my body and see what happened. The contraction, quite a mild one, came. I felt my vagina relax and get bigger to allow the head through, then close up when he was out. Otto Gaze-O’Brien was born at 2:33 am on November 9, 2010.
I had no stitches or anything. Bizarrely, it didn’t even hurt afterwards.
The paramedics passed Otto through my legs (I was still on all fours) so I could have a rather awkward cuddle. They tried to cut the cord straight away, but I refused, as I wanted it to stop pulsing.
Our midwife, Liz Noonan, arrived at our flat about 10 minutes after our baby was born, and Fin, Star and I sat on the sofa giggling like school children and asking each other, “Did that actually just happen?!” It felt like a dream—like the best dream ever. About 30 minutes after I gave birth to Otto, Star watched me squat to deliver the placenta. She said, “Mama, that was beautiful. It was…it was majestic!”
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|Download Breech Birth, a collection of 15 articles by some of the greatest minds in the natural childbirth world. Articles in this e-book include “Breech Birth from a Primal Health Research Perspective” by Michel Odent, “Instinctual Breech Birth” by Sister MorningStar and “Three Surprise Breeches” by Ina May Gaskin. Available on Amazon or on Smashwords in a variety of formats.|