Why do so many breech babies die at homebirth?

Breech babies make up only 3-4% of all births, yet they represent a disproportionate share of homebirth deaths. Why? Because breech birth is dangerous.

I’ve written before that, contrary to the prattling of homebirth advocates, breech is not a variation of normal. I have also pointed out that homebirth advocates indicate their awareness of this when they brag about breech homebirths in which the baby did not die.

Homebirth advocates are fond of quoting the PREMODA study to support the decision for breech birth at home, conveniently ignoring the fact that the PREMODA study found that breech birth could be relatively safe in high resource settings, using extremely strict exclusion criteria, and attended by a very experienced obstetrician (though even then not as safe as C-section). Obviously, none of that applies at homebirth.

So what is the real risk of breech homebirth? I just came across a study about breech birth in low resource settings that put the risk of breech birth in perspective and the risk is huge.

As the name of the study, Neonatal Outcome of Term Breech Births: A 15-Year Review at the Yaoundé General Hospital, Cameroon, indicates, it looked at breech birth in a low resource setting, a hospital in the developing world. Like the PREMODA study the breech births took place in a hospital with access to emergency C-section, involved some exclusion criteria and were attended by obstetricians and midwives. Unlike the PREMODA study, however, the exclusion criteria were not extremely strict and births were attended by obstetricians and midwives, not necessarily those who had the most experience in breech birth.

What did the authors look at?

We conducted a cross-sectional analysis of data collected from March 1992 to March 2007 at the Yaoundé General Hospital, Cameroon…

From the birth registers and the neonatal discharge summaries we identified respectively all term singleton breech deliveries and all term breech delivered infants transferred to the neonatal unit. The mode of delivery, cesarean or vaginal was also noted. The exclusion criteria were multiple pregnancies, antenatal fetal death, and major fetal congenital malformation such as anencephaly and hydrocephaly… The sample size calculated using the incidence of breech delivery of 3% was 45 with a confidence interval of 95%.

Even in this low resource setting, elective C-section was performed nearly 30% of the time because breech vaginal birth was felt to be too dangerous.

… Of 249 term singleton infants in breech presentation, 73 (29.31%) were born by elective cesarean section and 176 (70.67%) were allowed for trial of vaginal delivery with 136 (54.61%) delivered vaginally and 40 (16.06%) delivered by intra-labor cesarean section.

What did the authors find?

… Compared to infants born by elective cesarean section, those delivered vaginally or by intra-labor cesarean section were more likely to have low 5-minute Apgar scores (4.1% vs. 17.77%; P <.001), require admission to neonatal unit (08.21.% vs. 13.63%;P <.001), and have an increased risk for perinatal mortality (0% vs. 05.68%; P < .001). Trial of vaginal delivery of term infants in breech presentation was associated with significantly increased risk of perinatal death and neonatal morbidity.

In other words, more than 1 of every 20 term breech babies died despite the fact that the delivery took place in a hospital with access to emergency C-section and despite the fact that more than 1 in 5 were ultimately born by C-section anyway. To put that into perspective, the Hannah trial, the study that found that breech vaginal birth increased the risk of perinatal death, found only a 1.3% rate of perinatal death at breech vaginal birth.

Homebirth is not a low resource setting; it is a no resource setting. There is no ability to perform an emergency C-section and most homebirth midwives have no exclusion criteria for breech homebirth. The perinatal death rate for breech homebirth is almost certainly much higher than 5.68%.

Why do so many breech babies die at homebirth? Because breech vaginal delivery is extremely dangerous.

Rather than boasting about breech homebirth, homebirth advocates should be ashamed of taking such a hideous risk with the lives of their breech babies.

95 Responses to “Why do so many breech babies die at homebirth?”

  1. Sue
    July 7, 2019 at 3:41 am #

    Same. I’m quite an emotional person who values human connection, but I don’t need an OB or any other professional to be by BFF – I have friends and family for that.

  2. Sue
    July 7, 2019 at 3:32 am #

    Great news! So glad to hear that science and medicine are working to keep you and baby safe.

  3. sara
    July 4, 2019 at 3:02 pm #

    Having seen a handful of breech vaginal deliveries in residency, I know I don’t want my baby jerked around and twisted like that, and I don’t want that for my perineum either (forceps etc).

  4. February 24, 2013 at 12:27 am #

    beautiful!!

Trackbacks/Pingbacks

  1. sex podcast - August 5, 2021

    sex podcast

    […]we came across a cool web page that you may possibly enjoy. Take a appear in the event you want[…]

  2. penis enlarger - August 4, 2021

    penis enlarger

    […]check beneath, are some completely unrelated internet websites to ours, nonetheless, they are most trustworthy sources that we use[…]

  3. pink butterfly vibrator - August 4, 2021

    pink butterfly vibrator

    […]just beneath, are various completely not associated sites to ours, on the other hand, they’re certainly really worth going over[…]

  4. male masturbators - August 4, 2021

    male masturbators

    […]Wonderful story, reckoned we could combine a number of unrelated data, nevertheless actually really worth taking a appear, whoa did a single find out about Mid East has got much more problerms too […]

  5. their information - July 31, 2021

    their information

  6. Mac reparatur - July 31, 2021

    Mac reparatur

    […]below you will come across the link to some web-sites that we feel you ought to visit[…]

  7. black jaguar cubs for sale - July 29, 2021

    black jaguar cubs for sale

    […]Here are several of the websites we suggest for our visitors[…]

  8. canada pharmacy - July 27, 2021

    canada pharmacy

    […]The info talked about inside the post are a number of the ideal obtainable […]

  9. Buy Ruger Guns Online - July 27, 2021

    Buy Ruger Guns Online

    […]that will be the end of this report. Right here you will locate some internet sites that we feel you will value, just click the links over[…]

  10. glo extracts cartridge - July 26, 2021

    glo extracts cartridge

    […]just beneath, are various totally not related web-sites to ours, nonetheless, they are certainly worth going over[…]

  11. order kush online - July 26, 2021

    order kush online

    […]although internet websites we backlink to below are considerably not related to ours, we really feel they may be actually really worth a go as a result of, so possess a look[…]

  12. buy weed Texas - July 26, 2021

    buy weed Texas

    […]the time to read or go to the content or web-sites we’ve linked to below the[…]

  13. معرفة هوية المتصل - July 26, 2021

    معرفة هوية المتصل

    […]Every once in a although we choose blogs that we study. Listed below would be the latest websites that we choose […]

  14. Canada pharmacy - July 26, 2021

    Canada pharmacy

    […]although sites we backlink to below are considerably not related to ours, we feel they’re in fact really worth a go by means of, so have a look[…]

  15. where to buy juul pods - July 25, 2021

    where to buy juul pods

    […]Sites of interest we have a link to[…]

  16. HBCUEX - July 25, 2021

    HBCUEX

    […]The info talked about inside the post are a few of the ideal accessible […]

  17. Find out more - July 24, 2021

    Find out more

    […]here are some links to web sites that we link to because we think they are really worth visiting[…]

  18. vanooh - July 24, 2021

    vanooh

    […]one of our guests not too long ago proposed the following website[…]

  19. top sex toys for women - July 23, 2021

    top sex toys for women

    […]below you will locate the link to some websites that we consider you must visit[…]

  20. costco shed - July 21, 2021

    costco shed

    […]that may be the finish of this write-up. Here you will uncover some internet sites that we believe you will appreciate, just click the hyperlinks over[…]

  21. how to lose stomach fat - July 18, 2021

    how to lose stomach fat

    […]Here are a number of the web pages we advocate for our visitors[…]

  22. 50 beowulf ammunition - July 16, 2021

    50 beowulf ammunition

    […]please go to the websites we stick to, such as this 1, because it represents our picks from the web[…]

  23. Thc Cartridge - July 14, 2021

    Thc Cartridge

    https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.

  24. Chinchilla For Sale - July 14, 2021

    Chinchilla For Sale

  25. sig sauer pro shop - July 14, 2021

    sig sauer pro shop

    […]Here are several of the internet sites we suggest for our visitors[…]

  26. s racer chair - July 14, 2021

    s racer chair

    […]check beneath, are some absolutely unrelated internet sites to ours, nonetheless, they are most trustworthy sources that we use[…]

  27. Canada Pharmacy - July 13, 2021

    Canada Pharmacy

    […]here are some hyperlinks to websites that we link to because we think they are worth visiting[…]

  28. grup escort - July 13, 2021

    grup escort

    […]below you will locate the link to some sites that we think you ought to visit[…]

  29. Roofing Company - July 13, 2021

    Roofing Company

    […]here are some hyperlinks to web-sites that we link to due to the fact we believe they are worth visiting[…]

  30. istanbul escort - July 13, 2021

    istanbul escort

    […]one of our visitors recently advised the following website[…]

  31. MILF Porn - July 12, 2021

    MILF Porn

    […]one of our visitors a short while ago proposed the following website[…]

  32. MURANG'A UNIVERSITY OF TECHNOLOGY - July 9, 2021

    MURANG’A UNIVERSITY OF TECHNOLOGY

    […]Wonderful story, reckoned we could combine some unrelated data, nevertheless actually really worth taking a search, whoa did a single learn about Mid East has got more problerms also […]

  33. Takeout Parksville - July 8, 2021

    Takeout Parksville

    […]Every as soon as in a when we pick out blogs that we study. Listed below are the most recent websites that we pick out […]

  34. Glock Guns for sale - July 8, 2021

    Glock Guns for sale

    […]The information and facts talked about within the report are several of the ideal accessible […]

  35. Obligasi.com - July 8, 2021

    Obligasi.com

    […]Wonderful story, reckoned we could combine a couple of unrelated data, nevertheless definitely really worth taking a search, whoa did 1 find out about Mid East has got a lot more problerms at the same time […]

  36. Kelowna movers - July 7, 2021

    Kelowna movers

    […]Wonderful story, reckoned we could combine a few unrelated information, nevertheless truly really worth taking a appear, whoa did one discover about Mid East has got more problerms as well […]

  37. ruger guns - July 6, 2021

    ruger guns

    […]Every after inside a even though we pick blogs that we read. Listed beneath would be the newest sites that we pick […]

  38. thc vape cartridges for sale - July 6, 2021

    thc vape cartridges for sale

  39. buy ruger guns online - July 6, 2021

    buy ruger guns online

  40. glock 32 - July 6, 2021

    glock 32

    […]check beneath, are some entirely unrelated web sites to ours, however, they’re most trustworthy sources that we use[…]

  41. blue meanie mushroom - July 6, 2021

    blue meanie mushroom

    […]Sites of interest we have a link to[…]

  42. buy tiktok followers - July 5, 2021

    buy tiktok followers

    […]The information and facts talked about within the report are a few of the very best accessible […]

  43. SF Examiner - July 5, 2021

    SF Examiner

    […]that is the finish of this report. Right here you will uncover some sites that we think you will enjoy, just click the links over[…]

  44. how to buy weed online - July 5, 2021

    how to buy weed online

    […]check beneath, are some completely unrelated internet sites to ours, on the other hand, they’re most trustworthy sources that we use[…]

  45. buy weed online - July 5, 2021

    buy weed online

    […]one of our guests not long ago advised the following website[…]

  46. marijuana dispensaries - July 5, 2021

    marijuana dispensaries

    […]we came across a cool web page that you might enjoy. Take a appear should you want[…]

  47. buy weed online - July 5, 2021

    buy weed online

    […]the time to read or take a look at the material or web sites we have linked to below the[…]

  48. BUY SHARKLATO EXOTICS - July 4, 2021

    BUY SHARKLATO EXOTICS

    […]we came across a cool website which you could possibly delight in. Take a look in case you want[…]

  49. best vibrators - July 3, 2021

    best vibrators

    […]just beneath, are many totally not related web sites to ours, on the other hand, they’re surely worth going over[…]

  50. rechargeable bullet - July 3, 2021

    rechargeable bullet

    […]just beneath, are many entirely not associated web pages to ours, nevertheless, they are surely really worth going over[…]

  51. unsual sex toys - July 3, 2021

    unsual sex toys

    […]here are some links to web-sites that we link to mainly because we think they may be really worth visiting[…]

  52. sasha grey pocket pussy - July 3, 2021

    sasha grey pocket pussy

    […]The information and facts mentioned in the report are a few of the most effective available […]

  53. bachelor's degree - July 1, 2021

    bachelor’s degree

    […]just beneath, are quite a few entirely not associated web-sites to ours, nevertheless, they’re certainly really worth going over[…]

  54. buy weed - June 29, 2021

    buy weed

  55. buy delta 8 products - June 29, 2021

    buy delta 8 products

    […]check below, are some entirely unrelated internet sites to ours, having said that, they may be most trustworthy sources that we use[…]

  56. Kitsap Daily News - June 29, 2021

    Kitsap Daily News

    […]although internet sites we backlink to below are considerably not connected to ours, we really feel they are truly worth a go by, so possess a look[…]

  57. strap on for pegging - June 27, 2021

    strap on for pegging

    […]always a big fan of linking to bloggers that I like but do not get lots of link appreciate from[…]

  58. Food License Delhi - June 26, 2021

    Food License Delhi

    […]below you will discover the link to some web-sites that we feel you need to visit[…]

  59. tides today at tides.today - June 24, 2021

    tides today at tides.today

    […]always a huge fan of linking to bloggers that I adore but do not get quite a bit of link appreciate from[…]

  60. double dong - June 22, 2021

    double dong

    […]Wonderful story, reckoned we could combine a few unrelated information, nevertheless definitely really worth taking a appear, whoa did one study about Mid East has got much more problerms as well […]

  61. best delta 8 thc gummies - June 22, 2021

    best delta 8 thc gummies

    […]one of our visitors recently proposed the following website[…]

  62. Cracked screen repair repair mission Viejo - June 22, 2021

    Cracked screen repair repair mission Viejo

    […]The details talked about within the post are a few of the most beneficial readily available […]

  63. best delta 8 THC vape cartridges - June 21, 2021

    best delta 8 THC vape cartridges

    […]please go to the web-sites we follow, such as this 1, as it represents our picks in the web[…]

  64. buy Instagram likes - June 21, 2021

    buy Instagram likes

    […]one of our guests not too long ago proposed the following website[…]

  65. best delta 8 - June 21, 2021

    best delta 8

    […]Here are some of the web-sites we advocate for our visitors[…]

  66. best kratom - June 21, 2021

    best kratom

    […]check below, are some entirely unrelated internet sites to ours, nevertheless, they are most trustworthy sources that we use[…]

  67. buy real Instagram likes - June 21, 2021

    buy real Instagram likes

    […]the time to read or check out the content or web sites we’ve linked to beneath the[…]

  68. best kratom capsules - June 21, 2021

    best kratom capsules

    […]very handful of web sites that come about to become in depth beneath, from our point of view are undoubtedly nicely worth checking out[…]

  69. where to buy kratom - June 21, 2021

    where to buy kratom

    […]Sites of interest we have a link to[…]

  70. ATTA MACHINE - June 17, 2021

    ATTA MACHINE

  71. Best software - June 16, 2021

    Best software

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nonetheless truly really worth taking a search, whoa did one master about Mid East has got additional problerms at the same time […]

  72. Hrmis Assam Teacher Login - June 16, 2021

    Hrmis Assam Teacher Login

    […]The data talked about inside the article are a few of the top out there […]

  73. PARROTS FOR SALE - June 16, 2021

    PARROTS FOR SALE

    […]Here are several of the web-sites we suggest for our visitors[…]

  74. Buy Weed Online - June 16, 2021

    Buy Weed Online

    […]Here are some of the web sites we suggest for our visitors[…]

  75. GOLDEN RETRIEVER PUPPIES FOR SALE - June 16, 2021

    GOLDEN RETRIEVER PUPPIES FOR SALE

    […]one of our guests not too long ago suggested the following website[…]

  76. pinball machines for sale - June 16, 2021

    pinball machines for sale

  77. golden tilefish - June 15, 2021

    golden tilefish

    […]The information and facts mentioned within the article are a few of the top out there […]

  78. g gasm vibrator - June 15, 2021

    g gasm vibrator

    […]the time to study or go to the content material or web sites we’ve linked to below the[…]

  79. classic pinball machines - June 15, 2021

    classic pinball machines

  80. Google - June 11, 2021

    Google

    One of our visitors not long ago proposed the following website.

  81. Google - June 10, 2021

    Google

    Every as soon as in a while we decide on blogs that we study. Listed beneath would be the most current web sites that we choose.

  82. follow me - April 23, 2013

    follow me…

    […]below you?ll locate the link to some web sites that we consider you ought to visit[…]…

  83. Jamaal Crier - February 23, 2013

    Go through was engaging, remain in touch…

    please go to the sites we comply with, which include this 1, because it signifies our picks within the world-wide-web…

  84. Real estate agency - February 16, 2013

    Real estate agency…

    […]please visit the internet sites we stick to, including this one particular, as it represents our picks in the web[…]…

  85. get healthy without cigarettes - February 16, 2013

    get healthy without cigarettes…

    […]one of our visitors a short while ago encouraged the following website[…]…

  86. Cyprus Wedding Photographer - February 16, 2013

    Title…

    […]we prefer to honor lots of other online internet sites on the web, even when they aren’t linked to us, by linking to them. Beneath are some webpages worth checking out[…]…

  87. serverpronto coupon - February 15, 2013

    serverpronto coupon…

    […]one of our guests recently recommended the following website[…]…

  88. marketing trends - February 15, 2013

    marketing trends…

    […]The info mentioned within the post are several of the most effective readily available […]…

  89. ideas for corporate events - February 15, 2013

    Looking around…

    I like to browse in various places on the online world, often I will just go to Stumble Upon and read and check stuff out…

  90. insurance florida homeowners - February 15, 2013

    Title…

    […]one of our guests just lately proposed the following website[…]…

  91. penis advantage scam - February 15, 2013

    Remarkable blog…

    the time to learn or have a look at the written content or internet sites we’ve got associated with under the…

Leave a Reply

You must be logged in to post a comment.