Breech Waterbirth: Perspectives and Controversy
A steady decline in the rate of vaginal term breech birth over the past three decades has led to a resurgence of vaginal breech birth in many parts of the world. The dedication of researchers, teachers, providers, and non-profit organizations has fostered on- going studies, published research, and provided hands-on training. Within that dedicated group of professionals there is a controversy surrounding using water for second stage. There are strong opinions on either side. Dr. Herman Ponette, the head obstetrician at the H. Surreys Hospital in Ostend, Belgium, was the first obstetrician to detail his experience using water immersion for term breech vaginal birth in the early 1980s. Using water as a comfort measure for early labor is not currently in question. Most experienced breech providers have limited experience using water for the actual birth. This session will examine the pros and cons of facilitating breech birth in water from a provider perspective. A brief discussion of fetal reflexes and newborn transitional physiology will be included as well as a summary of the current research. Using photos, video of breech waterbirths, and video demonstration on models of hand positions and techniques to assist with a breech birth will introduce the participant to this topic and create an interest for further research and investigation.
Barbara Harper is an internationally recognized expert on waterbirth and gentle birth, a published author of books and journal articles, who founded the non-profit organization, Waterbirth International, in 1988, with one goal in mind – to ensure that waterbirth is an “available option” for all women. During the past five decades Barbara has worked as an obstetric, pediatric, and critical care nurse, midwife, midwifery instructor, childbirth educator, and Blissborn Hypnosis teacher/trainer. She teaches unique seminars within hospitals, nursing schools, midwifery and medical schools and community groups worldwide. Her bestselling book, ‘Gentle Birth Choices,’ has been translated into 9 languages, including Chinese. Her latest collaborative book project was published in May 2021, called Bringing Birth Home. She is also working on a new book project called Gentle Birth Wisdom. She lives in Boca Raton, Florida teaching Blissborn Classes and attending occasional births.
Charlotte Sanchez is a childbirth educator and midwife. Supporting women and their families in the natural home birth process consecutively now for 30 years. As an Atlanta midwife, she believes in a woman’s right to determine her own choice of care during pregnancy and birth. Charlotte received her training through an extensive internship before becoming a Certified Professional Midwife (CPM), a program developed by the North American Registry of Midwives. She gained vast experience co-directed a free standing family birthing center in the state of Michigan. As well as founding Pregnancy Beat a national pregnancy website featuring expert articles, videos, birth stories and a community for mothers. It was after attending home births throughout the United States and Canada in places such as Windsor, Michigan, Ohio, Kentucky, California and Georgia that she now resides in Atlanta. Recently after completing 10 years serving as Vice President of the Georgia Midwife Association Charlotte decided to move forward to pursue her passion with teaching. She specializes in water birth, vbac, twins and breech birth. She has trained highly motivated students who have became practicing Midwives. Personally Charlotte is a mother of four children whom three were born gently into the hands of midwives, with the last a home water birth 25 years ago.
1. Demonstrate suggested hand maneuvers used during a frank breech birth.
2. Discuss the current trends in breech literature.
3. Describe the sequence of fetal reflexes as they apply to breech birth.
4. Explain how to decide when to proceed in water and when to leave the water.
A steady decline in the rate of vaginal term breech birth over the past three decades has led to a resurgence of vaginal breech birth in many parts of the world. The dedication of researchers, teachers, providers, and non-profit organizations has fostered on- going studies, published research, and provided hands-on training. Within that dedicated group of professionals there is a controversy surrounding using water for second stage. There are strong opinions on either side. Dr. Herman Ponette, the head obstetrician at the H. Surreys Hospital in Ostend, Belgium, was the first obstetrician to detail his experience using water immersion for term breech vaginal birth in the early 1980s. Using water as a comfort measure for early labor is not currently in question. Most experienced breech providers have limited experience using water for the actual birth.
This session will examine the pros and cons of facilitating breech birth in water from a provider perspective. A brief discussion of fetal reflexes and newborn transitional physiology will be included as well as a summary of the current research. Using photos, video of breech waterbirths, and video demonstration on models of hand positions and techniques to assist with a breech birth will introduce the participant to this topic and create an interest for further research and investigation.
Accreditation
Midwifery CEUs - MEAC Contact Hours
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 1 Hour, the equivalent of 0.1 CEU. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.
CERPs - Continuing Education Recognition Points
Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators.
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. This program is approved for 1.25 R-CERP.
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.
Tags / Categories
(IBCLC) Psychology, Sociology, and Anthropology, Breech Birth, Waterbirth
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