While it is much easier to perform a C section than successfully deliver a breech baby vaginally, says Prof. Glezerman, many women can benefit medically by the return to traditional techniques. "We are trying to unite obstetricians and midwives in the field to revive vaginal delivery for breech presentations," he notes. Prof. Glezerman's initiative provides scientific evidence to those physicians and midwives looking to return to more traditional birth methods for breech.
Back to the future
Prof. Glezerman says that retraining the obstetrics community in these traditional methods is an urgent task, because the medical field now has two generations of medical residents with hardly any training in vaginal birth for breech deliveries. "The skill has disappeared," he explains. "Residents are no longer taught these techniques, and senior physicians are doing it less and less. We need to go back to the future and relearn what has been forgotten."
At the Rabin Medical Center in Israel, Prof. Glezerman runs workshops for the newest generation of gynaecologists and obstetricians on techniques for vaginal delivery for breech babies. His courses include techniques of breech delivery, changing presentation from breech to head and management of different breech presentations. With these workshops, Prof. Glezerman hopes to reintroduce critical delivery skills into the field, and raise awareness that breech presentation of babies does not always necessitate C-section deliveries.
Of course, says Prof. Glezerman, physicians still need to be able to recognize dangerous risks when they arise. In those cases, vaginal delivery is not a viable option ― but doctors must judge each situation individually.
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