If you are using a midwife, your midwife will refer you to a doctor for a scheduled C-section. In rare cases, a cesarean breech birth may not be recommended or even possible. For instance, if a breech labor progresses too quickly, a vaginal birth may be the only option.
During a twin birth in which the first twin is head-down and the second twin is breech, both babies may best be delivered vaginally.
No matter what position a baby is in, every labor and delivery is unique. Even though you and your doctor have a birth plan for labor and delivery, plans can change. If something unexpected happens, your doctor may need to make some quick decisions to keep you and your baby safe.
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Top of the page. Breech Position and Breech Birth. Topic Overview What is breech position? There are three main breech positions : Frank breech.
This is why we promote our Aware Practitioner Workshops for bodyworkers. Should manual external cephalic version be done earlier?
A few midwives recommend version manually turning the breech baby to head down at 30 —31 weeks. Anne Frye, author of Holistic Midwifery, reported a very low incidence of breech at term when her midwifery group manually rotated babies during this gestational age. Attempting to turn the baby now is over a month before the medical model of turning breeches. Utmost gentleness must be the protective factor. If forcing a baby to turn harms the baby or placenta, the baby is too young to be cared for outside of the Neonatal Intensive Care Unit.
Midwives who turn babies now believe there is less chance of hurting a baby and proceed very carefully, stopping at once if there is resistance. Typically, there is less resistance from the uterus because there is more fluid and the baby is still very small.
Body work is suggested before attempting this, especially for first-time moms or women who had a difficult time with their first birth. There are risks to a manual version, so the baby should be monitored closely in between each degrees of rotation. If your baby is breech during this time your doctor or midwife will begin to talk about how to help the baby flip head down, and possibly about scheduling a manual version for weeks.
Getting body work and having acupuncture or homeopathy may help soften the ligaments and a tense uterus to either help the baby flip spontaneously or to allow more success in an attempt at a version. Also, an obstetrician may suggest manually flipping the baby to a head down position at this time. A few midwives will also offer this, perhaps even earlier, at weeks.
Accidents can occur, even when there is good intention. The baby must be listened to and the version stopped immediately if the heart rate drops. You may also agree to go through with a cephalic version at this time. The baby is in the womb with the cord and placenta and there is a small risk in turning the baby manually. This maneuver should be done with monitoring by experienced professionals, in a setting ready for a cesarean if needed.
Sometimes the baby moves easily and sometimes the procedure is painful. I suggest getting chiropractic, myofascial, acupuncture, homeopathy, or moxibustion or all of these before and after the version. Doing the Three Sisters of Balance SM or following the Turning Your Breech Baby guidelines daily beforehand and just before the procedure would be relaxing and helpful. More birth professionals are using our approach in the hours or the week before the procedure and report that fewer procedures are necessary and those that are seem to be easier than average to do when the baby is able to be turned.
Rarely does a baby flip to breech this late in pregnancy but they can. Parents and providers may learn that baby is breech during a routine bio-physical ultrasound exam during this time or later in pregnancy. You may find turning easier if you keep doing the activities listed above.
Though many breeches are born about weeks gestation, some will happily go to 41 or 42 weeks. For a head down baby, 41 weeks and 1 to 3 days is a common time for labor to begin on its own. SStarting labor at this gestation can certainly be normal for a healthy breechling, too. If the pregnant person has a tendency to be somewhat overweight or lower energy, which can indicate low thyroid function, a longer pregnancy may be more likely.
This tendency deserves looking after. Well-nourished and peppy women may also go a full pregnancy length, of course. Going into labor and then having a planned cesarean is recommend by Dr. Michel Odent in his book, Cesarean. Going into labor spontaneously is safer for the breech vaginal birth, as well. Women who are trying to flip their baby often find it necessary to slow down the efforts and come to terms with a breech birth. When facing a cesarean, it can be nurturing to you and your baby to plan a cesarean with skin-to-skin, delayed cord clamping, and breastfeeding on the operating room table or in the recovery room.
Give yourself some time and compassion to feel your feelings and explore your options to adapt to the options you have available to you. However, the risk of complications is higher with a planned vaginal delivery than with a planned cesarean delivery. Another problem that can happen during a vaginal breech birth is a prolapsed umbilical cord.
It can slip into the vagina before the baby is delivered. If there is pressure put on the cord or it becomes pinched, it can decrease the flow of blood and oxygen through the cord to the baby. Although a planned cesarean birth is the most common way that breech fetuses are born, there may be reasons to try to avoid a cesarean birth. A cesarean delivery is major surgery.
Complications may include infection, bleeding, or injury to internal organs. The type of anesthesia used sometimes causes problems. Having a cesarean delivery also can lead to serious problems in future pregnancies, such as rupture of the uterus and complications with the placenta. If you are thinking about having a vaginal birth and your fetus is breech, your health care professional will review the risks and benefits of vaginal birth and cesarean birth in detail.
You usually need to meet certain guidelines specific to your hospital. The experience of your health care professional in delivering breech babies vaginally also is an important factor.
Breech Presentation : A position in which the feet or buttocks of the fetus would appear first during birth. External Cephalic Version ECV : A technique, performed late in pregnancy, in which the doctor attempts to manually move a breech baby into the head-down position.
Fetus : The stage of human development beyond 8 completed weeks after fertilization. Fibroids : Growths that form in the muscle of the uterus. Fibroids usually are noncancerous.
Placenta : Tissue that provides nourishment to and takes waste away from the fetus. Placenta Previa : A condition in which the placenta covers the opening of the uterus. Placental Abruption : A condition in which the placenta has begun to separate from the uterus before the fetus is born.
Prelabor Rupture of Membranes : Rupture of the amniotic membranes that happens before labor begins. Also called premature rupture of membranes PROM. Ultrasound Exam : A test in which sound waves are used to examine inner parts of the body. If your pregnancy is unexpected, you may be feeling scared or confused about what to do.
It is important…. Visit The Symptom Checker. Read More. Recovering from Delivery Postpartum Recovery. Babies are more likely to be breech if: They are early, or premature. They are part of a multiple birth two or more babies. There is an abnormal level of amniotic fluid. The mother has an abnormal shaped uterus. Many women who have normal pregnancies can have ECV. You should not have ECV if you have: Vaginal bleeding. A placenta that is near or covering the opening of the uterus.
A low level of fluid in the sac that surrounds and protects the baby. An abnormal fetal heart Premature rupture of the membranes. Twins or other multiples pregnancy. The success rate of ECV depends on several factors: How close you are to your due date.
How much fluid is around your baby. How many pregnancies you have had. How much your baby weighs. How the placenta is positioned. How your baby is positioned. The risks of ECV are small, but include: Early onset labor. Premature rupture of the membranes. Minor blood loss for either the baby or the mother.
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