scispace - formally typeset
Search or ask a question
Journal Article

Can all-fours breech birth ever be a reality within the NHS?

01 Jul 2010-The practising midwife (Pract Midwife)-Vol. 13, Iss: 7, pp 29-30
About: This article is published in The practising midwife.The article was published on 2010-07-01 and is currently open access. It has received 3 citations till now. The article focuses on the topics: Breech presentation.
Citations
More filters
Journal ArticleDOI
TL;DR: How routine midwifery practice during labour can communicate certain understandings about birth is shown and attention is given to how midwives' activity during labour and birth implicitly introduces a sense of danger, an imagined risk that confines practice and operates to unsettle normality.
Abstract: Midwifery activity in the labour room coalesces around routine surveillance practices. When engaging in such practice, midwives have to cope with attempting to instil a sense of confidence in the mother's embodied ability to give birth to her baby spontaneously while concurrently attending to an array of risk-focused tests and measurements. Midwives are vigilant about the potential harm that may come to mother and baby while at the same time they are responsible for facilitating a normal birth. This article sets out to explore the tension between these two tasks and shows how routine midwifery practice during labour can communicate certain understandings about birth. Using empirical evidence taken from an ethnographic study of midwifery talk and practice, attention is given to how midwives' activity during labour and birth implicitly introduces a sense of danger, an imagined risk that confines practice and operates to unsettle normality.

79 citations


Cites background from "Can all-fours breech birth ever be ..."

  • ...Other pre- minent midwives in the UK have used the independent sector in order to facilitate less risk-adverse forms of practice (Scamell 2010)....

    [...]

  • ...The methodological implications of the research design, such as in terms of author impact and construction of identity, translation of culture, and sequential consent, have been discussed elsewhere (Scamell 2010)....

    [...]

  • ...The methodological impli cations of the research design, such as in terms of author impact and construction of identity, translation of culture, and sequential consent, have been discussed elsewhere (Scamell 2010)....

    [...]

  • ...Other pre-eminent midwives in the UK have used the independent sector in order to facilitate less risk-adverse forms of practice (Scamell 2010)....

    [...]

Journal ArticleDOI
TL;DR: Current guidelines recommending caesarean section on the basis of available evidence are critically examined, factors which must be considered in order to provide safe care are outlined, and the role of the midwife is explored.
Abstract: The unexpected diagnosis of breech presentation upon admission in labour affects approximately 1 in 100 women and presents an ethical dilemma for health professionals involved, particularly when this occurs in the context of midwifery-led care. This article critically examines current guidelines recommending caesarean section on the basis of available evidence, outlines factors which must be considered in order to provide safe care, makes recommendations for women-centred counselling and explores the role of the midwife in this situation.

12 citations


Cites background from "Can all-fours breech birth ever be ..."

  • ...Indeed, we have the strange conflict between the RCM’s Campaign for Normal Birth (2005), which advocates encouraging women to birth in an upright position, and concerns voiced by authors such as Scamell (2010) that facilitating an all-fours birth may put the midwife at professional and legal risk....

    [...]

  • ...Given the continued debate about whether breech presentation is an abnormality or an unusual normal (Cronk, 1998; Scamell, 2010), it may be useful to define a collaborative category, normal for breech....

    [...]

Journal ArticleDOI
TL;DR: Despite a shift in clinical practice favouring cesarean section for breech presentation, adequate skills are still needed for a safe vaginal breech birth.
Abstract: Despite a shift in clinical practice favouring cesarean section for breech presentation, adequate skills are still needed for a safe vaginal breech birth. This case report illustrates the physiological mechanism of vaginal breech birth. The accompanying pictures are a testimony to the "hands-off" approach and could be used for educational purposes.

3 citations