twin breech presentation 35 weeks!

[Guest guest]

Hi all

Here's one--a friend, 28 yr old, second birth, petite build has been

suspiciously large throughout with some yang rising/yin fire?

dizziness months 5-7. Per phone, I had her increase her food intake,

decrease portions and eat every two hours the last two months which

alleviated her dizziness. We discussed the possiblity of twins but

ultrasounds and dopplers were negative. She never reported for

treatment. Just found out she was carrying breech twins at 35 weeks.

I referenced several books but Zita West was the only one who

mentioned about twins with regard to the standard moxa protocol. She

mentioned that it was contraindicated because of possible " heads

locking " and cord compression with the contractions which cause the

version. She also mentioned that intervention with moxa on breeches

was contraindicated for Rh neg, which this mother is, because of

possible blood mixing. My questions are:

1. Sounds like she's right about the moxa intervention, no?

2. Are the several herbal interventions I've found also

contraindicated for the same reason?

3. Any other ideas?

She presents with a swollen pale tongue with now faded red spots all

over the tip and sides like strawberry. She also has a 2 year old

who nursed during the pregnancy although " not a lot " . She said she

felt " bad " when the baby nursed. She's temperamental and easily

angered (when not pregnant), doesn't have the greatest diet although

she's quite small (4'11 " 98 pounds before). Doesn't eat a lot of

veggies--lots of fruit, burgers etc. Now, at 35 weeks she feels good

(the babies are fully formed and 5 pounds each or so). She may just

not have the spleen for this one. She says the rules are that if she

goes into labor before 36 weeks, the midwife is out with auto C-

section. If they are both still breech at term, C-section. If only

one is breech, the midwife is allowed to attempt the birth. I guess

this is Texas law.

Her first labour was 42 hours with n/v starting at 30 hours but was

easily control with acupressure at P6 with each contraction.

Otherwise, one of us pressed Bl 32 at the same time and she (we)

made it through to a normal delivery. BTW, the pain control you can

get with the Bl 32 acupressure is really quite impressive if it is

done consistently throughout labor. And because the pain is less,

the patient lasts longer and stays more focused, happy and confident.

This mom is ferocious about doing everything safely possible to have

a natural, midwife/acupressure birth. However, I must say that even

if someone says it's ok, I doubt I'll try it. Thought it would be a

good discussion anyway.

 

Regards, Shanna