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I Should Probably Just Stop Reading

Did you know that of the (relatively limited) studies that compare vaginal breech birth and surgical birth outcomes, there is not ONE that decisively shows one method is better than the other?  Surprisingly, most of them conclude that vaginal breech birth is safer.  However, the caveat is that breech birth is safer than c/s only with a skilled attendant.  In absence of an attendant experienced in breech births, the risks are about the same as c/s.

Ugh Ugh Ugh!

When I was deciding between home birth and hospital birth, I felt I was choosing between two very safe options.  Now, I feel that I'm choosing between the lesser of two evils.  Trouble is... I don't know which one is the lesser, and I can't find any magical source to help me.

I find the general misconception that a c-section "guarantees" a positive outcome disturbing.  There ARE NO GUARANTEES.  Every decision made during birth carries with it its own benefits, and its own risks.  Contrary to popular belief, surgery is not automatically the safest route to take.  It's just the route by which an OB is least likely to get sued, even if things go horribly wrong, because everyone will be able to say "we did all that we could."

Although Dr. Jenkins, Abby and Kelly are listening to my thoughts on the matter, it's frustrating that they seem to think my idea of a "perfect birth" and my desire to avoid a c-section are at the root of my concerns.  I don't have an idea of a perfect birth, and I've never said that I want to avoid surgery at all costs.  Every decision that I've made to this point, and the agonizing I'm doing over the decision facing me now, is because I want to do what's best for the babies.  I wish I could find a way to make that exceptionally clear to all involved.


( 5 comments — Leave a comment )
Jul. 14th, 2008 12:17 pm (UTC)
Hon, you're doing everything you possibly can for your babies. You're keeping excellent communication with the natural advocates as well as the folks on the side of the Machine That Goes 'PING'; you're preparing mentally for any birthing style that delivers two healthy babies. At this point I wish I could just settle you in the world's most comfortable chair and give you a stack of Baby Blues strip books, but I know you'll keep reading the scary stats like every other mom (lord knows I did) :) Just know you're doing your best, no one could ask you to do more ;)
Jul. 14th, 2008 01:00 pm (UTC)
Hang in there. Seems like you're making the best effort to make an informed decision. Sometimes the internet and the vast knowledge is a great thing, other times, I think I'm glad I had my kids prior to the ease of having any of that info at my fingertips.

Good luck...thinking positive thoughts for you and yours.
Jul. 14th, 2008 01:19 pm (UTC)
You're right on the money there with the "skilled attendant" bit - the studies that ruined breech for everyone, and ensured that attendants aren't skilled anymore, was confounded BIG TIME by this issue. Look at Maggie Bank's critique of the breech trials for more info. http://www.radmid.demon.co.uk/breechbanks.htm

I don't have any answers for you but to say that you sound far more aware and empowered than your average twin-carrying mama.
Jul. 14th, 2008 06:15 pm (UTC)
Good luck, it seems to be one thing after another huh? I hope everything goes well for you, and even if things aren't ideal, that you get the birth that you want.
Jul. 15th, 2008 05:55 am (UTC)
That was the hardest thing about my birth experience - because there was no magical sign that said "this is definitely the right choice". You kind of just have to wing it, even if you've done all the research - you're never going to know ahead of time what the right thing to do is.

No matter what you choose, I hope the birth goes smoothly and that you all make it home safe and sound.
( 5 comments — Leave a comment )