Printer Friendly

Going head over heels can be a good thing.


If you know of someone who has had a cesarean section in recent years, there's a good possibility that it was done because the fetus was trying to make its way out feet-first. Many of today's obstetricians seem to be much less apt than their forebears to attempt an external cephalic version (ECV, or turning around a breech presentation) in order to do a normal delivery. Instead, the option of choice has been the c-section.

Although this may be the easy way out for the baby, as well as the mother and the doctor, one Phoenix obstetrician argues that such a routine is wrong. Dr. Joseph Hanss found that doctors attempted to turn the baby around before resorting to cesarean section in a little less than one-third of the 357 breech cases reviewed for a recent American Journal of Obstetrics and Gynecology article. In the other cases, in which no ECV attempt was made, most of the babies were delivered by c-section--a more painful and costly procedure that requires longer recovery time than that for a normal birth. Those who did make the attempt were successful in one of two tries--and were thus usually able to deliver the baby vaginally. A near .500 batting average is pretty good in anybody's league.

Therefore, if you are having a baby, or contemplating one, don't hesitate to ask your doctor at the first prenatal examination how he handles a breech presentation should it occur. If c-section is his routine solution, you might consider seeking care elsewhere.
COPYRIGHT 1991 Benjamin Franklin Literary & Medical Society, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1991 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:study shows that most obstetricians use cesarean section rather than external cephalic version for breech presentation
Publication:Medical Update
Date:Feb 1, 1991
Previous Article:Total body fat: a weighty issue.
Next Article:Don't let foot pain spur you to despair.

Related Articles
C-Section Rate Reduction.
Planned Breech Homebirth.
Baby Is Breech, Now What?
Boldly into the breech controversy.
Cesarean facts. (News & Notes).
Effective alternative treatments for breech presentation.
Term breech trial discredited.
Active breech birth: the point of least resistance.

Terms of use | Copyright © 2017 Farlex, Inc. | Feedback | For webmasters