N.S. asks from Chicago, IL on October 10, 2007
Experience with Breech Baby?
I am currently at the 32 week mark and I still have a ways to go but I have a quick question for all you moms out there with experience in this dept. I was at my 2 week exam yesterday and my midwife said she thinks the baby is breech as of now but that she cannot tell for sure yet since it is early on. She said that at the next exam she will either be able to tell or she'll have to check with an ultrasound device to see which way the baby is lying inside. She gave me the worst case scenerio with breech's and she also said what protocol is in order to alter a breech before delivery. I was just wondering if any of you have experience with breech's and how it worked out. Also, does anyone have experience with alternative therapies to turn the baby in the right direction and have it stay put to deliver vaginally. Also, did any of you have your baby breech and then have it turn in the last
weeks? All experiences are welcome. Thanks!
(PS with my other pregnancies I had vaginal deliveries so I don't know if uterus size affects the positioning of the turning as well.)
So What Happened?™
Thank you ladies for all your input and experiences. It sounds like it may be a little more common than I thought to have the baby turn later on in the pregnancy so that is good to hear. Of course I am still very worried about it and will do whatever I can in the next few weeks to try and resituate the baby but nature will take its coarse regardless. I am going to do some accupuncture as well and see how that works. We'll see! Wish me luck!!!
C.G. answers from Chicago on October 10, 2007
As someone else recommended, try the website www.spinningbabies.com. Find out if your midwife can do a vaginal breech delivery. If not, I know there are doctors at Northwestern who do. C-section is not necesarily the safest way to deliver all breech babies. Most babies turn before term- only 4% are breech at the due date so most likely your baby will turn.
C. answers from Chicago on October 10, 2007
Both my babies were breech. I was REALLY nervous about doing the manual version thing, so I was very glad when the choice was taken away by my water breaking early and needing the c-section...didn't necessarily prefer the c-section, but I was really nervous about the version procedure. Like others said, it's success rate is not that high, also they supposedly do an epidural for it because it is very painful without and with the pain, you'd tense up and the baby is then less likely to turn, there's the risk of the cord around the neck and then needing an emergency c-section and on and on went the risk factors. After explaining all that I asked "And you STILL recommend doing that?!?!?!?!" I didn't want the c-section, but that version sounded terrible and terribly unnatural moreso than surgery to take the baby out gently! Having had regular births, sounds like there's a good chance your baby will turn on it's own. With me, the doctor didn't find an obvious reason for the breech postion with both babies (he looked for a reason with the second), but there seems to be some reason since we're two for two. He said sometimes the reason is a short umbilical cord or the shape of the uturus...but doesn't seem the case with you since you've had others naturally. I did have several little quick ultrasounds at the end appointments to check the baby's positions.
J.P. answers from Chicago on October 10, 2007
I found out my son was breech at 34 weeks and he was transverse, or sideways. I didn't have a choice so I had a cesarean. I did have the "version" done to try to move the baby manually.
I would NEVER recommend this to ANYONE. It was the most painful thing I have ever experienced. I was very motivated to have a vaginal delivery etc but the version did not work. The percentage of successes are very low. I felt I needed to try everything to help turn but at 34 weeks the babies are so big the chance of them moving are slim. I wish you luck but do know that a cesarean isn't terrible and I recovered perfectly.
M.P. answers from Chicago on October 14, 2007
I haven't had this happen to me but I'm only 23 weeks along. I know that certain chiropractors do something to turn the baby. My midwives will deliver breech if everything else looks good. Good luck.
M. answers from Chicago on October 15, 2007
My first baby was breech. I tried to have her moved. Like some of the others I would NOT recommend this. I had a c-section and everything went fine. I delivered my second baby naturally. Goo Luck! I'm sure it will work out.
K. answers from Chicago on October 10, 2007
Oh N. work on this one NOW - do not wait until your next US!!! I say this from experience - my son was most definitely breech from 30 weeks on and he never budged. :( I tried EVERYTHING to turn him.
A few resources for you:
www.spinningbabies.com - great info on helping baby positioning
Also try knee-chest position several times per day for 5-10 minutes at a time. Try swimming. Try the breech tilt (lay with your hips above your head and try and relax. Try putting frozen peas on your babies head. Visualize your baby turning head-down. Put your ear phones low on your pelvis and play music. Talk to your baby.
I also went to Dr. Nella at Bucktown Chiropractic - she does the Webster Maneuver which has been shown to help breech babies turn. My midwife recommended her.
Most babies at this point will turn around on their own before the birth, but it never hurts to give it a little help. The longer you wait the harder it gets for the babe to turn because there's less room.
If nothing works by 37 weeks you can try an ECV (version) where they manually turn the baby. I tried this. Apparently it works about 50% of the time. Didn't work for me. It wasn't painful I didn't think.
If for some reason the baby does NOT turn you do NOT HAVE TO HAVE A C-SECTION. One month after I had my son, ACOG revised their guidelines on breech birth. They now say that it is AS safe to vaginally birth a breech baby (as long as it's frank breech) as a normal one IF you have someone who is experienced in delivering breech babies. Mostly this will be older OBs since the art of delivering a breech baby is somewhat lost on the younger generation.
Good luck! Please feel free to email me if you have any other questions. I ended up with the C/S and now I have to deal with VBACs for the rest of my life :(
**************** Update in response to a few messages I've gotten about this *************
First of all, the abstract and reference for the ACOG revised guidelines:
Obstet Gynecol. 2006 Jul;108(1):235-7.
ACOG Committee Opinion No. 340. Mode of term singleton breech delivery.
ACOG Committee on Obstetric Practice.
In light of recent studies that further clarify the long-term risks of vaginal breech delivery, the American College of Obstetricians and Gynecologists recommends that the decision regarding mode of delivery should depend on the experience of the health care provider Cesarean delivery will be the preferred mode for most physicians because of the diminish-ing expertise in vaginal breech delivery. Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for both eligibility and labor management. Before a vaginal breech delivery is planned, women should be informed that the risk of peri-natal or neonatal mortality or short-term serious neonatal morbidity may be higher than if a cesarean delivery is planned, and the patient's informed con-sent should be documented.
Second, I haven't personally sought out a physician who can deliver breech babies vaginally, but a paper from the 1980s that involves nearly 400 vaginal breech deliveries was authored by Dr. Edmund Confino, currently at Northwestern (and specializing in infertility). If I had to start looking for an experienced practitioner I'd probably start by asking him.
S.N. answers from Chicago on October 10, 2007
I also had a breech baby. She turned breech during the last month of pregnancy. The version failed, but I didn't think the procedure was too bad. My midwife and OB were there and they gave me a relaxant before the procedure and then I used my hypnobirthing methods during which helped (at least I got to use the hypnobirthing for something). We also tried chiropractic, crawling around the house on hands and knees, etc. My midwife suggested doing sommersaults in a swimming pool, but I didn't go there. We did a C section and that was fine too. We had a birth plan that my OB was great with. So overall I am happy with our breech birth experience. Who is your midwife? I have been looking for one since we moved to IL. Thanks
J. answers from Chicago on October 10, 2007
No experience with trying to turn a baby, but my son, who was a smallish baby, was still breech up until about week 34 (turned on his own). Good luck!