Double breech extraction?

Numerous people have written here about have a breech extraction with Baby B, what would be the difference with the doc doing an extraction on baby A as well? why dont they do it?

 

Baby feet or bums don't dilate the cervix as well as a baby head. So it would be quite a toss-up whether they would be able to deliver baby A breech, let alone B. When B is delivered breech, it's because the cervix is already dilated from A. HTH

 

That title makes me want to :faint: every time I read it! :escape:

 

QUOTE(DATJMom @ Apr 29 2009, 10:26 PM) [snapback]1294425[/snapback]
That title makes me want to :faint: every time I read it! :escape:


:laughing:


I think Amanda said it perfect. :good:

 

My ob wouldn't do a vaginal delivery if baby B was breach, each doctor is different on that fact but the main reason is that if you deliver butt 1st there is a chance that the head is too big and won't fit out and then your are stuck with baby 1/2 in and out and requires medical emergency..

 

Mine would have gone ahead with a vaginal delivery if A was head-down but B still breech. As it turned out, both were breech, so c-section it was. If A can be delivered, sometimes B will flip around or the doctor can flip him/her.

 

I also wanted to add that I did have a breech extraction with baby B and I absolutely promise that you do not want to have a double breech extraction even if they would do it. I had a really smooth breech birth and it was still pretty rough. Definitely wouldn't have wanted to do it twice. I cringe everytime I watch the birth video of DS (baby B). Just thought I'd let you know

 

I had a breech extraction for B but A needed to be head down. She needed to pave the way (and my oldest already did to some extent as well, being 9lbs+). My girl was close to 8lbs so getting B out by breech extraction was pretty fast and smooth (4 minutes later). He was only 1 oz lighter.

 

Amanda's right. I wonder though at how dangerous it really is. I was born breech as was my brother... but that was well over 30 years ago. Still, I think there's almost no one who'll let you deliver a single baby, or a baby A breech now.

My baby B was breech and her actual delivery was quick and almost totally painless (my OB grabbed her feet and with 1 push she was out). Of course she was 2 1/2 lbs smaller than her sister.

 

QUOTE(Dielle @ Apr 30 2009, 02:15 AM) [snapback]1294624[/snapback]
Amanda's right. I wonder though at how dangerous it really is. I was born breech as was my brother... but that was well over 30 years ago. Still, I think there's almost no one who'll let you deliver a single baby, or a baby A breech now.

My baby B was breech and her actual delivery was quick and almost totally painless (my OB grabbed her feet and with 1 push she was out). Of course she was 2 1/2 lbs smaller than her sister.


My midwife has delievered many breech babies (both singletons and twins) and said that proper breech extraction is no longer taught in medical schools...predominately because of the potential lawsuits and it's just "easier" to do a c-section. With twins, if Baby A is head down, the flood gates are wide open, if you know what I mean, so breech delivery isn't nearly as precarious for Baby B...the problem with breech is that you may not be dilated enough and the baby could get stuck or the umbilical cord can come out early and then be pinched closed as the baby comes out (think of a water hose that gets kinked). If you are trained in breech deliveries, these complications can be handled and dealt with safely...but like she said, very few doctors were truly taught it because medical schools teach you lots of things...including how to NOT get sued!

 

I guess I'll just have to hope that they, or at least A decides to cooperate, even though looking online it does seem like it's possible to do a double breech delivery with the right person doing the delivery.

 

QUOTE(kumphort @ Apr 30 2009, 09:54 AM) [snapback]1294837[/snapback]
I guess I'll just have to hope that they, or at least A decides to cooperate, even though looking online it does seem like it's possible to do a double breech delivery with the right person doing the delivery.


Why would you want to risk that?

 

I say that if you can find someone who is willing to do a double breech (and unfortunately, I think that may be a long shot) I say go for it. Regardless of the discomfort of the extraction, it will be less than a c/s. As for the risk...remember, if the person is trained, the risk is negligible...there are risks with ANY procedure...vaginal, c/s, breech extraction...you can't get away from it. But I wouldn't worry too much...most Baby A's seem to be head down by the end of it anyway...or at least it seems that way from this board!

 

In my experience you do not want to do a double breeh extraction. David was a breech extraction and it was the worse pain (even with the epidural) I have ever felt. They were trying to turn him and they could not grab him. The Drs. were elbow deep in me. Then they finally grabbed a foot and pulled him out. But the problem was that his head got stuck and was not able to be freed from me until the episiotomy occurred.

Trust me, seeing your baby hanging from you was the most scariest I have ever felt. My hear sinks every time I think about it.

Jenn

 

Eek. No way would I risk doing that, and neither would any doc I know around this area. Way too risky.

 

QUOTE(Jenn Bland @ Apr 30 2009, 11:49 AM) [snapback]1295214[/snapback]
The Drs. were elbow deep in me.


This sentence alone makes me want to book a c-section regardless. :faint:

It seems to me that many doctors are overly risk averse, and too quick to book c-sections in a lot of situations. But with twins it seems like there's so much more potential for things to go wrong, why take the added risk?

 

QUOTE(faerieprncs @ Apr 30 2009, 07:36 AM) [snapback]1294815[/snapback]
My midwife has delievered many breech babies (both singletons and twins) and said that proper breech extraction is no longer taught in medical schools...predominately because of the potential lawsuits and it's just "easier" to do a c-section. With twins, if Baby A is head down, the flood gates are wide open, if you know what I mean, so breech delivery isn't nearly as precarious for Baby B...the problem with breech is that you may not be dilated enough and the baby could get stuck or the umbilical cord can come out early and then be pinched closed as the baby comes out (think of a water hose that gets kinked). If you are trained in breech deliveries, these complications can be handled and dealt with safely...but like she said, very few doctors were truly taught it because medical schools teach you lots of things...including how to NOT get sued!


this is exactly right! when properly trained, doctors/midwives can assist in breech births (and it wouldn't be an extraction necessarily - you would push just the same as for a baby who was head down) with minimal risk. so few medical personnel are trained for it though because of the fear of lawsuits. this is changing though - they recently had a big to-do/symposium in Vancouver regarding breech births. it really becomes a question of which has the higher risk - a c-section or a vaginal breech birth. we've been trained to think that c-sections are "safer" but i'm not sure that's accurate - i just think the risks are different, KWIM? i know of one lady in my twins club who's babies were both breech & she was able to find an OB who would deliver them vaginally (he wasn't thrilled about it, but he had a lot of experience with it - he said that up until 2000 breech births were usually done vaginally). her baby B flipped head down though after baby A was born without complications. it's really a matter of deciding what YOU are comfortable with (in consultation with your doc) and then possibly needing to find a doc who is willing to support your choice. GL!