We are honored and grateful to have Rixa Freeze (researcher, doctor,mother and author of the blog, “Stand and Deliver“) sharing this knowledge with us! Rixa brings her knowledge as a historian and her passion around breech birth to her teaching, and to this class in particular.
Rixa became passionate about breech birth after realizing that it was a particular facet of birth that has remained in the “dark ages” as far as evidenced bases research that supports a woman’s choice.
We are so excited to have her present research that provides an option for women to consider vaginal breech birth as a reasonable, safe option.
This presentation reviews research on term breech that has emerged since the 2000 Term Breech Trial. From a PubMed search of “breech” and “pelvic presentation” in the title & abstract, I extracted over 1,900 articles published between 2000-2017. I examine the evidence on term breech broken into several categories: neonatal morbidity, perinatal/neonatal mortality, long-term childhood outcomes (1-18 years old), short-term maternal morbidity, maternal mortality, long-term maternal outcomes, and outcomes for the mother’s future babies. I examine where the evidence falls for developed versus developing countries and for planned breech births at home. I present research updates on other relevant topics, such as upright breech birth and the role of maternal positioning in altering the dimensions of the pelvis. I also discuss how vaginal breech skills help make cesarean sections safer for head-down babies that are deeply wedged in the maternal pelvis.
I finally put all of the evidence together—short- and long-term for both mother and child and the mother’s future babies—and demonstrate the complex risk calculus involved in answering the question, “Is vaginal breech birth safe?”
The required donation for this class is $45. Once you enroll, you will receive access information via email.