how to turn a breech baby

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Delivery

You know your baby is in a breech position and you're panicking. Before you search the internet for "how to turn a breech baby," read this.

By April 1, 2018

Photo: iStockphoto

First of all, do not stress. Just because you think your service provider breech baby does not mean you will automatically have to have a C-section, especially if you are not yet 36 weeks along. Mark midwives around me thought my son might be breech, and suddenly every midwife in the whole practice seems to crowd into the exam room to chime in about acupuncture, yoga, confusing acronyms I've never heard of, and something called moxibustion. I felt totally overwhelmed by all the options and techniques they recommend. (Finally, an ultrasound revealed that what the midwife thought it was the baby's head is actually his bum-phew. Crisis averted.)

It is also important to know that the easiest technique to turn a breech baby is very low -upaya: only give it time. Most babies who turn on their own before their maturity date. In fact, your chances of having a breech baby decrease with each passing week. While about 30 percent of babies are breech at 30-32 weeks, only 3 percent still breech at term (37 weeks), said OB-GYN, a doctor at BC Women's Hospital in Vancouver.

You may have also heard that the position of yoga, swimming, belly dancing, spending time upside down, or perform exercises such as oblique pelvis can help. "Many of them are just about using the principle of gravity to get baby bums and out of the pelvis," said Giesbrecht.

Interestingly, most babies will change during the night, when you sleep, because of the position you are lying. "Many women do not even notice when the baby turns," said, a registered midwife in South Community Birth Program and Assistant Head of Midwifery at BC Women's Hospital and St Paul's Hospital in Vancouver.

There are several: the breech frank (bum-and the infant's head is on the neck of your womb, and feet road near his face folded in position penknife rather than tucked in), silly breech (one or both legs is under the bums baby and sit on top of your cervix) and complete breech (instead of head down, bum your baby over the cervix, and her knees tucked to his chest on the ball). Bum-first or feet-first is not the optimal position for normal delivery. Many hospitals and OBS will not allow women to attempt vaginal breech (although some do specialize in asking your carrier), and a midwife in Canada do not usually give birth to a breech baby, either. Trying to give birth at home with a breech baby is not recommended.

The midwife Ruth Comfort advises women to begin to have a conversation with them about the type of breech provider you are dealing with. "It affects the efficacy of alternative techniques. It's complicated because every woman is very different, and the reason the baby breech may be different, too. "Mother

The first time, or women who are very fit, it may have more trouble getting the baby to move from a breech position because the pelvic floor muscles and tight stomach, said Comfort. or third child may have more luck with the baby changing spontaneously. (However, said Giesbrecht, "the more babies you have, the higher the chance you have a breech baby-it's just statistics.")

A uterine fibroid or shape of your hip may mean the baby does not have the space to turn, and that there is little possibility that one of these methods will work. It could be cables tangled around the baby's leg or shoulder. (Unfortunately, this is not easily ascertained in ultrasound, so sometimes there is no way to know.) It could be your baby has a growth spurt and got trapped in a bum-down position.

"If the cable does not become a problem and the baby is not very involved or wedged in the pelvis, the goal is to deliver the baby space to turn on their own," said Comfort.

Here's a breakdown of the most common technique to change a breech baby.

This sounds intimidating acronym stands for, and that the intervention is done in a hospital, clinic or birth center care under the guidance of ultrasound. The doctor will use his hands to manipulate the baby's position by carefully pushing on the abdomen and stomach. ECV is usually best performed between 35-38 weeks, after nothing else has worked. baby's vital signs are monitored before and after the procedure. According to medical literature, said Giesbrecht, ECV has about 40 to 70 percent success rate. But in professional experience as an OB, he saw about a 50 percent success rate. The procedure only takes a few minutes, but can be very uncomfortable for women. "It hurts," Giesbrecht said, "but it is less painful than recovering from a C-section if the baby is not changed." spinal epidural for pain relief is an option, but you will last longer than the procedure ECV 2 to 5 minutes. (Epidural during ECV does not improve the success rate, adding Giesbrecht.)

This is the posture Leisure recommended for all pregnant women to determine fetal position optimal as your due date approaches-whether you carry a breech baby or not , For 10 to 15 minutes before bedtime or while watching TV, the rest in child's pose or rock back and forth on your hands and knees, if you're comfortable. It helps by relaxing the pelvic floor muscles and pull of gravity in your womb. Leisure said that while this technique is not "evidence-based," it was also harmless. You can also try some gentle pelvic rotation-around your hips as if you tried to belly-dance-to encourage the baby to move around.

Moxibustion is a form of Chinese medicine and acupuncture, but instead of acupuncture needles, a practitioner applies gentle heat in the form of a stick of mugwort, which looks a bit like a cigar. Only one end is lit, and the other (dark!) End gently applied to pressure points on the feet babies of pregnant women (known as BL67). Giesbrecht, OB, said that a meta-analysis of acupuncture and moxibustion showed no side effects, but these techniques are not necessarily shown to help, either. "There is no clear benefit or risk. It's no better than waiting, but it does not hurt, "he said.

The midwife Ruth Comfort, however, points to research from Europe. "There are some studies in Europe really good to prove the efficacy of acupuncture in the fetal position, as early as 32 weeks of pregnancy."

chiropractics and, more specifically, techniques Webster, about overcoming asymmetries in the pelvic and hip bones. If you used to visit a chiropractor regularly, ask him to check the tight ligaments or shorter. "This is about aligning the pelvis and optimize space for descent, but trust your instincts," said Comfort. "Do not do anything you're not comfortable with."

breech tilt, or tilt the pelvis, basically means lying on the floor and lift your hips, with your feet planted on the ground and your knees bent. Alternatively, some of the woman ironing board so that one end is on the edge of the couch, and the other end is on the floor, creating a sloping bridge. Lying on an ironing board with your head resting on the pillow and his feet elevated, for a period of 20 minutes. (How do you get yourself pregnant to, and off, the air conditioning is definitely not to be graceful. Ask for help.) "In addition to the risk of headache-and one of my patients relievers ironing board as he lay on it-there are no side effects of the method this, "Giesbrecht laugh.

Swimming, said Comfort, may not prove to the results to change a breech baby, but it can be quite relaxing for women. This treatment for tired joints and sore muscles at the end of pregnancy anyway, and it will not hurt the baby.

Have you ever heard the old wives tales about playing music on your stomach? The theory is that it might coax the baby whose head close to your ribs to change the direction of the head-down (also known as a dot) position, closer to the cervix and birth canal. There is no medical evidence to support this method, however. "I will not even comment on it," said Giesbrecht.

Depending on how many weeks pregnant you are, and what kind of alternative therapy that you're comfortable with, you can consider an all-or-none of the above suggestions before that time to adapt.

"Between 34 and 36 weeks we encourage as many natural techniques as you want to try it, plus just give it time," said Comfort. "It was only on a sign 36- or 37-week that would order an ECV, start, or pursue a vaginal breech birth, if it is an option for you."

These cans, of course, frustrating: after pregnancy feels like smooth sailing, a flurry of decisions may need to be made last-minute, depending on the FETSize al, breech presentation, and-after the big day arrives-length of your labor. Some pregnant women have trouble adjusting to the fact that they are no longer able to go forward with the kind of birth they always imagined.

"There is a lot of sadness about giving up the idea that you're low -Risk, that you no longer have a pregnancy 'normal', and that you can not have a delivery that you expect," said Comfort. "But I tell my patients not to worry too much and do not feel guilty if the baby is not going to change. Believe baby-he or she may breech for a good reason "

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