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Breech protocol

Ob/Gyn   (542 Views 7 Comments)
by XXXX5 XXXX5 (Member)

4,548 Profile Views; 24 Posts

Can anyone share breech vaginal delivery protocol? 

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LibraSunCNM is a MSN and specializes in OB.

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Vaginal breech birth is almost nonexistent in the U.S.  What specific info were you looking for, like if a mom presents actively delivering a breech?  I don't know how many protocols are actually out there for that.

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klone is a MSN, RN and specializes in Women's Health/OB Leadership.

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Right, either a physician will do it, or they won't. It's going to be highly individualized, and I'm doubtful that there would actually be a hospital protocol, other than "we don't do that."

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I know we will often deliver a breech twin B as long as the baby A  is vertex... that's the only kind of sort of policy I can think of when it comes to vaginal breech. 

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24 Posts; 4,548 Profile Views

Can you share your hospitals official policy on this- what is your protocol ?

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AZBlueBell specializes in Labor and Delivery.

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On 7/3/2019 at 12:48 PM, L&D4Lyfe said:

I know we will often deliver a breech twin B as long as the baby A  is vertex... that's the only kind of sort of policy I can think of when it comes to vaginal breech. 

Same for us. OP, our hospital has no actual policy for it. Everything is left up to the provider. Protocol is that when pt is complete they are moved to the OR for pushing and delivery in case a cesarean is needed for twin B. Other than that, it’s pretty much the same as any other delivery except it’s in the OR and there are 2 babies (and more staff).

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adventure_rn is a BSN and specializes in NICU, PICU.

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On 6/29/2019 at 8:09 PM, klone said:

I'm doubtful that there would actually be a hospital protocol, other than "we don't do that."

:lol2:

Where's Davey Do? I would like to request an illustration of a hospital handbook with a subtitle that says "Breech Vaginal Delivery Protocol" and subsequent text that says, "We don't do that."

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