Category Archives: Videos

The Birth of Leliana

Jessica with Leliana

Image: Jacqueline Sequoia, used with permission

From Atlanta, back to Asheville

Jessica’s baby remained persistently breech at term, and she was unable to find a provider in South Carolina to facilitate a vaginal breech birth. When she attempted to decline a CS and negotiate a vaginal birth, she was informed that if she came into the hospital in labour, she would be given general anaesthesia and her CS would be ‘a lot rougher.’ (Folks, the ACOG published something just for you: Committee Opinion No. 664: Refusal of Medically Recommended Treatment During Pregnancy.)

This was Jessica’s first baby, in a frank breech position (extended legs), with no additional complexities. Her sister, Family Practice Doctor Jacqueline Sequoia MD, heard about Dr David Hayes and Harvest Moon Women’s Health because they were hosting my physiological breech birth training. Jacqueline includes obstetrics as part of her practice and booked to attend the workshop with some colleagues. Jessica and her husband Brian met with Dr Hayes to consider their options, and once Jessica made her decision, found a rental apartment in Asheville on Craigslist.

Let’s contemplate that for a moment. In order to have support for a physiological birth, rather than the threat of a coerced CS, women are having to relocate to another state and rent temporary accommodation, because the baby is presenting breech.

When Dr Hayes and I arrived at Jessica and Brian’s apartment, Jessica’s labour appeared to be progressing well. As people entered her space, Jessica gradually moved into the tiny bathroom at the back of the apartment, reminding me of Tricia Anderson’s metaphor of cats in labour. I turned off the light. This labour had a journey, as all labours have. Throughout her journey, Jessica was surrounded by people who love her. At the end of it, Jessica beautifully and instinctively birthed her little girl, Leliana, who weighed 7lbs 8oz.

This video contains graphic images of a vaginal breech birth.

Being attuned to the general lack of training in physiological breech birth among health professionals, and the consequences for women and babies, Jessica and Brian were keen to share this video of Leliana’s birth to help others learn. If you would like to read more about the minimally invasive manoeuvres used at the end of this birth, you can read our blog on Shoulder Press and Gluteal Lift.

brian

Thank you, Jessica, Brian, Leliana, Dr Sequoia and Dr Hayes for sharing this video. The link to this blog post can be shared, but the video cannot be downloaded or reproduced without permission.

Shawn

Breech birth of the day …

It’s not every day you get to watch a sea otter pup come into the world! But when a pregnant wild otter took shelter in our Great Tide Pool Saturday, we had a unique opportunity to see it happen. Sea otters can give birth in water or on land. You’ll notice that mom starts grooming her pup right away to help it stay warm and buoyant—a well-groomed sea otter pup is so buoyant it’s practically unsinkable! For more video of the birth (spoiler alert: the miracle of life is graphic!) check out our YouTube channel: http://mbayaq.co/1R0v6oD . Besides keeping the pup afloat, grooming also helps get the blood flowing and other internal systems revved up for a career of chomping on invertebrates and keeping nearshore ecosystems, like the kelp forests in Monterey Bay, and the eel grass at Elkhorn Slough, healthy.Our sea otter researchers have been watching wild otters for years and have never seen a birth close up like this. We’re amazed and awed to have had a chance to witness this Monterey Bay conservation success story first hand in our own backyard. Welcome to the world, little otter!

Posted by Monterey Bay Aquarium on Sunday, 6 March 2016

The mechanisms, simplified

January 2015 – See below for videos explaining the mechanisms of breech birth in different maternal positionsdemonstrating

Yesterday, I was in snowy Salford – up north! Senior Lecturer and LME Elaine Uppal invited me with two goals: 1) to make sure her students thoroughly understood the mechanisms of breech birth in preparation for their vivas next week, and 2) to raise money for student electives abroad, particularly in Cambodia, where Elaine has a long-standing relationship with a midwifery twinning project.

After the study day, the students and I made two basic videos to assist their revision.

 

Good luck with your exams, student midwives!

Shawn

Taking a break .. not quite at the edge of the bed.

Taking a break .. not quite at the edge enough to hang & flex!

Jude Jones and Stacey Lee actively understanding women’s birthing positions

Videos: Essential Birth Prep

videosOver and over again, in my research and in personal conversations, I hear how important videos are to health professionals who are self-educating themselves about breech birth. I am still exploring the role of video as a learning tool, but they seem to assist professionals to develop pattern recognition abilities, and enable discussions about clinical decision-making. By watching and talking through what happens in birth videos, these skills can be practiced before they are required in a real-life context.

Here is a list of publicly available on-line videos for health professionals to watch when preparing to attend a breech birth, or to periodically update. Some of them may be close to your idea of ‘ideal,’ and some of them may present a different perspective, or an opportunity for discussion. All of them offer learning opportunity.

Suggested activities:

  • Identify key movements and rotations in the mechanism of breech birth
  • Consider and discuss what prompted intervention, if the video includes intervention
  • What would you do?

You can link to the original posting of the YouTube videos by clicking “View on YouTube” in the bottom right hand corner of the viewer.

Birth Video of a Breech Baby – Lisa Barrett’s Blog

Frank Breech Birth Video – Lisa Barrett’s Blog

Frank Breech Home Birth – Spinning Babies Blog, with Gail Tully

The Breech Home Birth of Annaka Faith

Nascimento Mariana, parto natural hospitalar pélvico – 04/jul/2013 – Natural breech hospital birth from Além D’Olhar fotografia on Vimeo.

Thank you to the very brave and generous mothers, fathers, midwives and doctors who have shared these videos so that others can learn about breech birth.

If you have posted a video of your breech birth, and would like to share that with others, please do include a link in the comments below. Alternatively, if you would like it to be used only in secure circumstances, you can e-mail to discuss using the link below.

– Shawn