Speaker Type: 2020, Advancing the Art of Breech Birth Add-on Lecture Pack 2022
Country: France
Biography:
Dr. Rixa Freeze has a PhD in American Studies from the University of Iowa. Her doctoral studies focused on the history of healthcare and medicine with specialization in pregnancy, childbirth, and maternity care. Her dissertation examined why women in North America choose unassisted home births. She worked as a visiting assistant professor for 9 years at Wabash college. Her current research interests include human rights in childbirth, autonomy and informed consent, and vaginal breech birth.
She has published two articles about home birth: “Staying Home to Give Birth: Why Women in the United States Choose Home Birth” (JMWH 2009) and “Attitudes Towards Home Birth in the USA” (Expert Review of Obstetrics & Gynecology 2010). She recently published the article “Breech birth at home: Outcomes of 60 breech and 109 cephalic planned home and birth center births” with BMC Pregnancy & Childbirth. In 2019 she published an article about outcomes of breech at home, birth centers, and hospitals (Midwifery Today) and a book chapter “Freebirth in the United States” in the 2020 book Birthing Outside the System: The Canary in the Coal Mine.
Dr. Freeze is the founder and president of Breech Without Borders, a 501(c)3 nonprofit dedicated to breech training, education, and advocacy. She also blogs at Stand and Deliver (rixarixab.blogspot.com).
This lecture documents a physiological approach to vaginal breech birth: upright birth with mother and baby actively participating in the process. This biodynamic method combines gravity, maternal movement, and a baby assisting in its own birth to create optimal conditions for a successful vaginal breech birth.
A discussion of the key principles of physiologic birth; resent studies documenting how upright breech birth leads to shorter labors, fewer birth injuries, fewer maternal injuries, and fewer maneuvers compared to supine breech birth; and 10 steps of physiological birth.
I will demonstrate how what we see on the outside tells us what’s happening on the inside.
This presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers:
Upright maneuvers:
Front to Back (aka "Face to Pubes" or "Prayer Hands")
Side to Side (aka Louwen maneuver)
Upright Lovset
Shoulder press
Rock & Roll
Ritgen
Finger forceps (aka Finger Flexion or Crowning Touch)
Mauriceau-Banks/Cronk (upright MSV)
Chin tuck
Elevate-flex-rotate (for hyperextended head in the pelvic inlet)
Supine maneuvers:
Lovset
Burns-Marshall
Bracht
Pinard
MSV (Mauriceau-Smellie-Veit)
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