Waterbirth, often called the Gentlest of Gentle Births, has taught us many things during the past thirty years. The use of water during the birth process for a beech position of baby was at first considered risky. But, experience in facilitating breech births in water is growing throughout the world. One of the things we clearly see babies do is unfold more easily in the water. Breech babies, when born on land, and water born vertex babies transition in very similar ways. This course will review the cardinal rules when attending a breech birth – hand off, hands and knees, patience, leave the cord intact – and discuss the variabilities of how the water changes the perspective when attending a breech birth. Special emphasis will also be given on the fetal primitive neurologic reflexes and how they are expressed in a breech birth.
Learning Objectives:
Objective 1: Identify the different types of breech positions in the womb
Objective 2: Discuss the primitive reflexes of fetus during the birth process
Objective 3: List the four cardinal rules of attending a breech birth
Objective 4: Explain the physiology of newborn transition and why the water environment for breech birth is safe, including the impact of delayed cord clamping on newborn transition
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