Breech Conference

The First Amsterdam Breech Conference; Teach the breech! June 30 and July 1 2016, Amsterdam

[Breech Conference @TeachTheBreech]

We are still in Aabenraa in Denmark. Sygehus Sonderjylland is beautiful and brand new. With a big area for teaching and practicing.
Such an exciting and energetic breech seminar!

[Breech Conference @TeachTheBreech]

Implementing all these knowledge in practice. “How to build a breech clinic” by @SisterShawnRM

[Breech Conference @TeachTheBreech]

Andrew Bissits telling us about normal breech birth. Pace and pain are just the same as in cephalic presentation. When the bi-trochanteric diameter is born, there’s should be adequate progression from there. And it should take no more than 5 minutes to get the whole baby out.

[Irma Scholten @ScholtenIrma]

Stuitencongres in Aabenraa, Denemarken! Voor geinteresseerden is @LVR131 zeer fanatiek aan het twitteren via @TeachTheBreech. Ik luister gewoon even ;).

[Breech Conference @TeachTheBreech]

Well..., in this conference there’s high incidence of Anne’s

[Breech Conference @TeachTheBreech]

Problems with the after coming head:
Shoulderpress, rocking shoulderpress, alignment of the head, adjusted Mauriceau manouvre, Piper forceps.

[Breech Conference @TeachTheBreech]

2 nuchal arms: push the baby back up, turn 180 degrees, turn back another 180 degrees.

[Breech Conference @TeachTheBreech]

So a nuchal arm can be a problem! The baby will not rotate, the anterior arm is the one to go for. The baby will face the side of the problem.

[Breech Conference @TeachTheBreech]

Problems with the arms...
This part of the course always asks a lot of your brain to think in 3D pictures!
A see-trough pelvis on labouring woman would be really helpful! 😬😉

[Breech Conference @TeachTheBreech]

Anke Reiter @OB_Anke emphasizes the responsibility we have in preventing unnecesareans!
And the other very important phrase is: breech is not a n emergency!

[Breech Conference @TeachTheBreech]

Emphasizing the normality of breech birth! Focus on recognizing the mechanism. And if necessary restoring the mechanism!

[Breech Conference @TeachTheBreech]

Heej! These babies are in breech position!

[Lea Polak @LeaPolak]

#artsenleefstijl De invloed van ondervoeding vroeg-midden-laat tijdens de zwangerschap. Voeding tijdens de zwangerschap heeft gevolgen voor latere gezondheid. #kinderwensdiëtist

[Adja Waelput @adjawaelput]

Gezonde voeding loont als je zwanger wilt worden. Dat blijkt uit onderzoek onder stellen die bezig zijn met #IVF
Mannen: ook jullie leefstijl is belangrijk! Ben solidair, eet gezond, stop met roken en alcohol! Regine Steegers op #artsenleefstijl

[Breech Conference @TeachTheBreech]

Monitoring a baby in breech position in the pushing phase is hardly possible, when the breech is born the fetal thorax is in the pelvis and the fetal heart trace cannot be heart.

[Breech Conference @TeachTheBreech]

Point of by return; the breech is progressing past the vaginal inlet. After that it takes about one-and-a-half minute before the baby is born.
Is there’s no progression after “the point of no return” you might have an obstructed birth.

[Breech Conference @TeachTheBreech]

No standardized position in stirrups!

[Breech Conference @TeachTheBreech]

RCOG guideline advises maternal position according to the preference of the labour if woman and the attending midwife/doc.

[Breech Conference @TeachTheBreech]

Don’t offer a c-section for breech presenting in labour! These women haven’t had an ultrasound in the 3rd trimester because they are low risk! Treat them as low risk.
And, most important, woman in labour can be counseled and need to give consent for any intervention.

[Breech Conference @TeachTheBreech]

Over and over again we discuss the definition of a footling breech!
We should only use this diagnosis for a baby with extended legs and the breech above the maternal pelvis.

[Breech Conference @TeachTheBreech]

Confirm woman that any choice they make on breech birth is a good one. The most likely outcome is a healthy baby and a healthy mother.

[Breech Conference @TeachTheBreech]

Upright breech seminar has started! 130 participanten, 10 countries. We are in Sygehus Sønderjylland, Aabenraa, Denmark.

[Breech Conference @TeachTheBreech]

For counseling: use the renewed RCOG guideline.
If you start counseling: how are you feeling? What do you know about breech all ready? Where did you find that information? What is important to you about giving birth?