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A baby is breech when they are positioned feet or bottom first in the uterus. Ideally, a baby is positioned so that the head is delivered first during a vaginal birth. Most breech babies will turn to a head-first position by 36 weeks.
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Read More »Overview Types of breech positions during pregnancy. What is a breech baby? A breech baby, or breech birth, is when your baby’s feet or buttocks are positioned to come out of your vagina first. Your baby’s head is up closest to your chest and its bottom is closest to your vagina. Most babies will naturally move so their head is positioned to come out of the vagina first during birth. Breech is common in early pregnancy and most babies will move to a head-first position by 36 weeks of pregnancy. This head-first position is called vertex presentation and is the safest position for birth. How common is a breech baby? There is a small chance that your baby will not move into a head-first position before 37 weeks of pregnancy. Breech babies account for about 3% to 4% of all full-term pregnancies. What are the types of breech position a baby can be in? There are several fetal positions your baby may present in. Ideally, your baby is positioned head-down, facing your back, with their chin tucked to their chest. Breech babies can be in a few different positions: Frank breech : The baby’s buttocks are aimed at the vaginal canal with its legs sticking straight up in front of their body and the feet near their head. : The baby’s buttocks are aimed at the vaginal canal with its legs sticking straight up in front of their body and the feet near their head. Complete breech : The baby’s buttocks are pointing downward and both the hips and the knees are flexed (folded under themselves). : The baby’s buttocks are pointing downward and both the hips and the knees are flexed (folded under themselves). Footling breech : One or both of the baby’s feet point downward and will deliver before the rest of their body. : One or both of the baby’s feet point downward and will deliver before the rest of their body. Transverse lie: This is a form of breech presentation where your baby is positioned horizontally across your uterus instead of vertically. This would make their shoulder enter the vagina first. How does a breech baby affect pregnancy? Your pregnancy is usually not affected. Most breech babies are born healthy, although there is a slightly elevated risk for certain birth defects. Your baby’s movements may feel a little different. You will feel your baby’s kicks lower in your belly. You may feel a hard lump closer to your ribs. This is your baby’s head. If you planned a vaginal delivery, a breech baby could change these plans. When your baby is breech, a vaginal delivery can be complicated and dangerous. Your healthcare provider may feel comfortable attempting a vaginal breech delivery, but in most cases, they will recommend a Cesarean birth (C-section). How does a breech baby affect delivery? If your baby presents in a breech position after 36 weeks of pregnancy, your birthing plan will likely change. It's usually unsafe for a breech baby to be born vaginally due to risks of injury. In most cases, a planned C-section is the safest way to deliver your baby. Some healthcare providers may be comfortable with a vaginal breech birth. In some cases, turning your baby to a head-down position while they are still inside your uterus is an option. Your baby is then born head first. Symptoms and Causes How can you tell if your baby is breech? You may be able to tell if your baby is breech, especially if you have had past pregnancies where your baby was head-first. The places where you feel lumps and kicks might indicate that your baby is breech. Let your healthcare provider know where you feel movement. They will feel your belly or do an ultrasound to confirm that your baby is breech. What causes a baby to be breech? It’s not always known why a baby is breech. Some factors that may contribute to this position are: You are expecting multiples (twins or more). This makes it harder for each baby to get into the right position.
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Read More »The uterus is not normal in shape or has abnormal growths such as fibroids. Most of the time, the uterus is shaped like an upside-down pear. If it's shaped differently, there might not be enough room for a full-grown baby to move into position. The placenta covers all or part of the cervix (a condition called placenta previa). The baby is preterm. This means they are less than 37 weeks gestation and may not have turned to a head-first position. Your baby has a birth defect that causes them to not turn head-down. Diagnosis and Tests How is a breech baby diagnosed? Your healthcare provider may be able to tell which way your baby is facing by placing their hands at certain places on your abdomen. By feeling where the baby’s head, back and buttocks are, it’s usually possible to find out what part of the baby is positioned to come out of the vagina first. An ultrasound may be used to confirm the baby’s position. When is a breech baby diagnosed? Almost all babies are breech at some point. As your pregnancy progresses, your baby will naturally move to a head-down position — probably between 32 and 36 weeks. Your healthcare provider will feel your belly and determine where your baby is positioned. This will happen during most of your appointments in the third trimester. After 37 weeks, a breech baby usually does not turn on their own. Your healthcare provider will discuss delivery options with you. Management and Treatment What are the options for treating a breech baby? If your baby is breech at 37 weeks of pregnancy, your healthcare provider may: Try turning your baby in your uterus into the head-first position.
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Read More »: Rest in the child’s pose for 10 to 15 minutes. It can help relax your pelvic muscles and uterus. You can also rock back and forth on your hands and knees or make circles with your pelvis to promote activity. Music : Place headphones or a speaker at the bottom of your uterus to encourage your baby to turn. : Place headphones or a speaker at the bottom of your uterus to encourage your baby to turn. Temperature: Try placing something cold at the top of your stomach where your baby’s head is. Then, place something warm at the bottom of your stomach. A chiropractic technique, called the Webster technique, can also help your uterus relax. Some providers even recommend acupuncture. Both of these techniques need to be done by a professional that your healthcare provider has recommended. Prevention How can I reduce my risk of having a breech baby? There is nothing you can do to prevent your baby from being in a breech position. If your baby is in a breech position, it’s not because you did anything wrong. Outlook / Prognosis Can you deliver vaginally with a baby breech? It's possible to deliver a breech baby vaginally. It can be more dangerous for the baby and the risk of injury is much higher. If the umbilical cord is compressed during birth, the baby could be deprived of oxygen and this could harm their brain and nerves. The cord could also slip around the baby’s neck or arms, causing injury. Healthcare providers have various levels of comfort with vaginal deliveries of breech babies. Talk to your provider about the risks and benefits of different types of birth for a breech baby.
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