Your baby on board could be in a number of different breech positions, such as the following: Trusted Source Mayo Clinic Fetal presentation before birth See All Sources What are the different types of breech positions? ![]() This is instead of the coveted vertex presentation, which means positioned vertically in utero with her bottom up so she can exit your vagina head first. What does it mean if a baby is breech?Ī breech position is when baby’s buttocks, feet or both are poised to come out of the vagina first during birth. Fortunately, there are steps you and your doctor can take to change direction before you go into labor.įor some help understanding what breech means, including each type of breech position and whether turning your baby is possible before you deliver, read on. But if your full-term baby stays in breech position come delivery day, a vaginal birth can be difficult and maybe impossible. Planned caesarean section versus planned vaginalbirth for breech presentation at term: a randomised multicentre trial.Some babies don’t let on what end will ultimately be up until just before birth. TheBritish Journal of Obstetrics and Gynecology, 123(1), 49–57 The risks of planned vaginal breech delivery versus planned caesareansection for term breech birth: a meta-analysis including observational studies. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Women use different methods, like standing on their hands in a swimming pool, propping up their hips with pillows, or even using the stairs to help elevate their pelvis. ![]() As always, however, check with your doctor before using essential oils, as some are not safe for pregnant women.Īnother popular method for women with breech babies is inverting their bodies to encourage the baby to flip. Some mothers claim to have had success using an essential oil, like peppermint, on their stomachs to stimulate the baby to turn on its own. The ACOG notes that EVs are successful only about half of the time. It requires two people to perform and the baby will be monitored the entire time for any complications that might require delivering the baby. ![]() The procedure is usually performed in the hospital. Success rates for turning a breech pregnancy depend on the reason your baby is breech, but as long as you try a safe method, there’s no harm.Īn EV is a procedure in which your doctor will try to manually turn your baby into the correct position by manipulating the baby with their hands through your stomach.Īccording to the American College of Obstetricians and Gynecologists, most doctors will suggest an EV between 36 and 38 weeks of pregnancy. So what should you do if you have a breech pregnancy? While you will most likely have to talk with your doctor about scheduling a cesarean, there are also ways you can try to turn your baby. Overall though, most providers would prefer to take the safest route possible, so a cesarean is considered the preferred method of delivery for women with breech pregnancies. The British Journal of Obstetrics and Gynecology also looked at the same study and concluded that if a woman does want to have a planned vaginal delivery with a breech pregnancy, she might still have a chance to have a safe delivery with a trained provider. A cesarean is major surgery, which could account for the rate of complications for mothers. However, the rate of complications for mothers was about the same in both cesarean and vaginal birth groups. The rates of infant death and complications were significantly lower with planned cesareans for breech babies. However, breech deliveries do have the risk of more complications than a vaginal delivery.Ī 2000 study that looked at over 2,000 women across 26 countries found that overall, planned cesareans were safer for babies than vaginal births during breech pregnancies. The biggest question with this situation is what is the safest method for a woman to deliver a breech baby? Historically, before cesarean deliveries were common, doctors, and more commonly midwives, were taught how to handle breech deliveries safely. With breech deliveries, there is a higher risk for the baby to get stuck in the birth canal and for the baby’s oxygen supply through the umbilical cord to get cut off. In general, breech pregnancies aren’t dangerous until it’s time for the baby to be born.
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