The influence of counseling on the mode of breech birth: A single-center observational prospective study in The Netherlands

Aims: To explore women's experiences of breech pregnancy and birth to identify areas in practice for improvement.Design: A descriptive exploratory study was conducted involving 20 women who had experienced a breech birth between 2013 and 2018.Methods: Semi-structured interviews were audio recorded and transcribed.Transcripts were examined using a free-form 'circling and parking' style of analysis.Foucault's concepts of power/knowledge were utilized to describe existing power relations.Results: Women experienced varying degrees of disciplinary power throughout their experiences. Knowledge was used as a means of enforcing disciplinary power by some

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“…How information is presented to women has been shown to greatly impact on the decision-making process (Abdessalami et al, 2017).…”

Section: Strategiesmentioning

confidence: 99%

Women’s experiences of breech birth and disciplinary power

Morris

Geraghty

Sundin

2021

Journal of Advanced Nursing

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“…[1][2][3][4] Studies of women's preferences indicate that a significant minority would like the opportunity to attempt a vaginal breech birth (VBB). 5,6 However, in the United Kingdom (UK), although breech presentation at term occurs in 3%-4% of pregnancies, 1 VBBs comprise only 0.3% of all births. 7 This limits opportunities for professionals to acquire breech…”

mentioning

confidence: 99%

Physiological breech birth training: An evaluation of clinical practice changes after a one‐day training program

Mattiolo

Spillane

Walker

2021

Birth

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National and international guidelines support maternal choice for mode of childbirth for breech presentation at term. [1][2][3][4] Studies of women's preferences indicate that a significant minority would like the opportunity to attempt a vaginal breech birth (VBB). 5,6 However, in the United Kingdom (UK), although breech presentation at term occurs in 3%-4% of pregnancies, 1 VBBs comprise only 0.3% of all births. 7 This limits opportunities for professionals to acquire breech

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“…Midwives were at times responsible for initial discussions with women around breech presentation and basic assessments. They were also involved in birth counselling 52 , 53 , mostly in regard to labor and birth positions and available pain-relief options 51 . Australian research reports, that in a service which employs a multidisciplinary breech team, midwives and obstetricians are equally responsible for facilitating breech birth 54 .…”

Section: Discussionmentioning

confidence: 99%

“…Research related to existing breech services or teams, indicates that midwives are involved in the counselling and care of women with a breech presentation [51][52][53] . Midwives were at times responsible for initial discussions with women around breech presentation and basic assessments.…”

Section: Midwives and Breechmentioning

confidence: 99%

Women’s experiences of breech birth decision making: An integrated review

2022

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INTRODUCTION Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this review is to present a synthesized summary of existing literature related to women’s experiences of breech birth mode decision-making. METHODS A systematic search of the literature was conducted in April 2021, utilizing five databases to identify and obtain peer-reviewed articles meeting the predetermined selection criteria. RESULTS Four major categories were synthesized from the integrated review: 1) Women who desire a vaginal birth may experience a range of negative emotions such as feelings of disempowerment, loss, uncertainty and a sense of isolation; 2) Women who experience a breech presentation at term experience significant pressures to conform to expectations of medical professionals and their families due to perceptions of risk related to breech birth; 3) Breech birth decision-making in a limiting system; and 4) Overall satisfaction with the decision to plan a vaginal breech birth. CONCLUSION Women with a breech presenting fetus at term experience a complex range of emotions and internal and external pressures due to perceptions of risk around breech birth. Midwives were seen as helpful throughout the breech experience. The reduced caesarean section rate for breech, observed in studies exploring specialized care pathways or dedicated services, could reduce the incidence of Severe Acute Maternal Morbidity.

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The influence of counseling on the mode of breech birth: A single-center observational prospective study in The Netherlands

Cited by 14 publications

References 23 publications

Women’s experiences of breech birth and disciplinary power

Women’s experiences of breech birth and disciplinary power

Physiological breech birth training: An evaluation of clinical practice changes after a one‐day training program

Women’s experiences of breech birth decision making: An integrated review

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