Fetal delivery in breech position: Risks and your options

It is called “fetal breech position” when the baby toward the end of pregnancy, is in a position where the buttocks or feet are down, toward the cervix of the mother (also known as sitting or pelvic). The normal presentation for birth is head down (cephalic), but if your little one is breech, there are several paths you can follow, from exercises and positions to encourage rotation of the baby, to external maneuvers, births invested or require cesarean section.

About 3% of babies are in the breech position to reach the term (37 weeks), according to the Royal College of Obstetricians and Gynecologists. At the time of delivery, this presentation is risky because the head is the baby’s body larger part, and if this is the last part to be born, could get stuck in the birth canal. If this happens, the baby is at risk of injury, fetal distress or even death.

Three variants of this position

During pregnancy is normal that baby turns is given and change positions. Around eight months pregnant, your little one is placed in cephalic (head down) in preparation for childbirth. A baby is in a breech does not perform this maneuver.

Although any breech baby may occur, it happens more frequently if

From 36 weeks of pregnancy, breech presentation becomes an issue you should talk to your doctor. The aim is to try to put the baby to be born through normal vaginal delivery, which is the safest and most natural method of birth.

Of course, you must follow the instructions of your doctor, but as your case, they can be your options

Rotation positions to encourage baby

ECV. The doctor tries to rotate the baby with her hands applying gentle pressure on your tummy. The cephalic version has a success rate of 65% after 37 weeks of pregnancy, but in 0.5% of cases leads to a birth by emergency caesarean section (more information: External cephalic version: how it is done, pros and cons).

According to the American College of Obstetricians and Gynecologists, cesarean section is recommended for the birth of babies in breech position method. However, the decision depends largely on the experience you have the doctor in vaginal deliveries with breech baby.

Vaginal delivery is recommended only if

Read

Sources; American Academy of Family Physicians. Breech Babies: What I can do if my baby is breech? Accessed January 8, 2016; American College of Obstetricians and Gyneclogists. Committee Opinion: Mode of Term Singleton Breech Delivery. Accessed January 7, 2016; American Pregnancy Association. Breech Births. Accessed January 8, 2016; Lowdon, Gina. Breech Presentation Caesarean operation versus the normal birth. In: Journal of the Association for Improvements in Maternity Services. 1998 Autumn 10 (3). Accessed online 8 January 2016; Royal College of Obstetricians and Gynecologists. A breech baby at the end of pregnancy. Accessed January 7, 2016, The Society of Obstetricians and Gynaecologists of Canada. Clinical Practice Guidelines: Vaginal Delivery of Breech Presentation. Accessed January 8, 2016.