Shiloh Jolie-Pitt seems to have been a footling breech
Thanks so much to anonymous for sending that link.
So, that makes more sense to me. Turning a footling breech is very difficult if possible at all. And, to be honest, I would have a cesarean for a footling breech as well. Is that weird?
I've often thought of what circumstances I would submit to a cesarean. I've come up with a few.
- baby with myelomenincocele (scheduled)
- baby with hydrocephalus (scheduled)
- baby with a serious heart defect (scheduled)
- footling breech (after labor began)
- prolapsed cord (whenever it might occur)
- a compound presentation ([remind me to tell you a story about this] - in labor)
- baby that was incompatible with life, but who could donate organs to another child (scheduled)
- persistant mal-presentation (after trying everything under the sun and, obvious, in labor)
Those are the ones I can think of off-hand... might be more.
Story mentioned above: A midwife-friend I know from a birth center I once worked at called and told me she'd been attending a woman for about 24 hours or so. She said things had really slowed down a lot and she wasn't sure what more to do. I asked what position the baby was in and she told me she could feel a hand. (!) I asked if the baby's hand was on the head and she said she thought so. So, I see a compound presentation that very well might not make it through and the body is pooping out. The mother does NOT want to go to the hospital and midwifery is illegal in this state. I really encouraged the midwife to take mom to the hospital, but she wasn't ready to do that yet.
I hear from another midwife that she called and asked her what she should do about 12 hours after my call. How come the baby isn't coming? When pressed to describe the presentation, the midwife said the ARM could be felt. This midwife nearly screamed at her to get the woman to a hospital or the baby was going to die. I guess this midwife's imploring was stronger than mine because she did take her in and the baby born by cesarean (of course) - and all are well.
It is this kind of ineptness that docs despise. This midwife is one who has seen a lot of complications, but when one believes that ALL babies are able to be born vaginally - God/the Universe is sure to bring that believer to his/her knees in humility to reality.
I wish all midwives were perfect. I wish all doctors, nurses, and midwives were perfect! I have seen equal ineptness from docs and nurses - so, if you are a doctor reading this thinking, "See?!? I told you they were stupid!" you have your stupid peers, too. We just see them in court.
What would YOU have a cesarean for (or for VBACs, a repeat cesarean)?
I wonder how many women really consider this question.