Most babies will settle into a head-down position by about the last month of pregnancy. About 3 in babies are still in a breech position near the due date. If your baby is in a breech position at 36 weeks, your doctor or midwife might suggest you think about an ECV, or external cephalic version , after 37 weeks. This will increase the chance of your baby turning to a head-down position. ECV is not suitable for everyone. Things may be different if you have had a caesarean section before — in this case, if you wish to explore the option of vaginal breech birth, you will need to discuss this with your obstetrician.
You may be advised to have a caesarean section again. Often, women are encouraged to have a caesarean birth if their baby is breech because it might be safer for the baby. But a vaginal birth is still an option in the right circumstances, such as:.
The birth process might be more challenging if your baby is breech. But there is a chance that the head, or the head and arms, may not follow easily, once the body is born. In this case, it is important that a midwife or obstetrician with skills and experience in breech births is present to assist your baby to be born. Upright maternal positions, such as kneeling or a hands and knees position, are recommended when you give birth to a breech baby.
In such cases, there are a number of techniques that can be used to assist your breech baby to complete the birth vaginally, or it may be necessary to proceed to an emergency caesarean section. The progress of your labour will be monitored closely. If there is any delay in the descent of your baby, a caesarean section might be recommended.
Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Pregnancy screenings can provide valuable information before your baby is born about the risks for common birth defects. 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. It found that for full-term babies, the rates of death and serious illness in infants were 3. That means that for every 41 vaginal breech deliveries, one baby would be harmed. So what makes a woman a good candidate for vaginal breech birth? Good care also includes capping the amount of time the woman can be in labour, and promptly switching to a C-section if necessary.
Most women choose a C-section, says Berger. But others to try a vaginal birth. Midwives and family doctors are even less likely to have the needed experience.
In contrast, when she does deliveries at the Ottawa Hospital, Daviss can stay in the room and do the delivery, but the OB is technically in charge. Barrett sees it differently. This is a sensitive subject, because there have been turf wars around other mandatory transfers of care for more minor interventions, such as inducing a head-down baby.
That said, she feels that breech birth is unique, because of the limited number of midwives who have the expertise to do it. This transfer of care issue was key for Jamie McCallum, the mother with two breech babies. She originally pushed for a home birth before Daviss convinced her to go to The Montfort Hospital instead, explaining that she could keep control through the whole birth. See all in Preschooler. See all in Life as a Parent.
See all in Video. You might also like You might also like. Forceps and ventouse assisted birth. I've written in my birth plan that I want to avoid a caesarean. Is this realistic? What are the reasons for having a caesarean section? Will an external cephalic version ECV turn my breech baby? Birth partner's guide to pain relief.
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