N.R. asks from Kennewick, WA on November 30, 2008
Turning a Breech Baby
Hi all! So I have a question for my brother and sister-in-law and hoped that some of you wonderful ladies could help. My sister-in-law is due with her 3rd child in about 2 weeks. At her ultrasound and appointment about a week and a half ago all was good and she was ready to go, baby was in correct position and she was dilated almost to 3. She was having major contractions about 5 days later and went in to see her doctor. The baby had turned and is now breech. Her doctor has scheduled an appointment to try to turn the baby on Tuesday. In the meantime the doctor has told her to get on all four on the floor to try to give her enough space to turn. She has heard (and so have I) that attempting to turn the baby is painful and there is no guarantee. She was also told that once they are done they will send her home and that she may very well turn again. My question is multifaceted:
1. Have any of you had experience with manually turning a breech baby? If you have what was your experience, did it work, etc.
2. Have any of you had a baby at this late stage of a pregnancy "right" itself on it's own and did you know when it happened.
Usually I can help her out with all of her questions but in this case I just didn't have enough information so I'm turning it over to you. All of your help is greatly appreciated!
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Featured Answers
E.W. answers from Portland on December 01, 2008
http://www.mothering.com/articles/body_soul/bodywise/bree...
Try the breech tilt. Some sware by it.
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K.B. answers from Seattle on December 01, 2008
my son was breech as well and I had an appt to have him turned and i ended up cancelling it. after doing some research the success rate (65-70%) was not high enough to justify the potential risk to the baby by doing so, and there are significant (possible) risks. The people i spoke to that either had it done or knew someone that did said they would not do it again.
I ended up having a c-section, and although the recovery was a little longer for me than my first pregnancy, I would not have made a different decision.
Good Luck!
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K.T. answers from Portland on December 01, 2008
I didn't read all the other responses, but I have two friend who have had much luck in turning a baby in breech position with acupuncture.
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K.R. answers from Portland on December 01, 2008
I know people who have had the baby turn (one after labor had started) through prayer (as they attribute it and I would agree but obviously that is a matter of faith)
but more normally, the midwifery community might be able to help out. I've read about the all-fours method, but I hadn't heard it was painful (perhaps that is such a Known Fact that the midwife literature didn't feel the need to mention it for those of us sneaking a peek into their conversation). There were also discussions of other things: other positions, homeopathy, acupuncture ... and of course discussions of breech births, which are still largely accepted within the midwifery community (state laws may mandate what a licensed midwife can do; in Oregon for instance I am pretty sure a licensed midwife can't deliver a known breech, although a non-licensed one can choose to ... but that requirement actually pushes midwives to gather all the knowledge they can about how to turn breech babies, which is probably not a bad thing ;) ).
If your SIL is open to such things, she could contact a naturopath with a women/birth focus, or a midwife with a naturopathic focus, or add the more "woo woo" type of chiropractic (the kind that works more openly with body energies) or a woman/baby acupuncturist (again, looking for one that more openly acknowledges body energies, because a strict-to-'science' acupuncturist will be fixing only the mom's direct qi flows, by the book, and turning a baby would require acknowledging the energy and effort dance inherent in pregnancy, birth, and childrearing.
'K, that's my "woo woo" answer for today ;).
I hope no matter what her birth is like that it is beautiful. The one one one universal thing is to minimize fear--fear guarantees pain and trouble in birth in a more immediate way than in the rest of life ( ;) ), and hope and trust lead us to joy ... no matter what the process ends up being.
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E.B. answers from Seattle on December 01, 2008
I did not have this happen to myself, fortunately :) But being a homeopathic practitioner know that we commonly use the remedy Pulsatilla in 1M potency to turn the baby around. Many midwives either know how to use essential pregnancy/birthing/postpardum remedies or consult us. She might want to try the Pulsatilla, email me for instructions/where to get it.
Wishing her well,
Liz
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A.A. answers from Seattle on December 01, 2008
My second child was breech and we tried a version. It was rather uncomfortable and unsuccessful. I tried some of the ideas listed here as well but my little one just would not budge. We ended up having a c-section. When I compare my two birth experiences I actually prefer the c-section but that probably has more to do w/ the difficulties I experienced the first time around. Best of luck to your sister in law. I pray that no matter how it all turns out her baby is healthy and her recovery is smooth.
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T.J. answers from Seattle on December 01, 2008
I was in this situation last year. From what I know, if the baby was able to turn from right to wrong it should be able to turn back. My baby was too big to turn right but never was right to begin with.
I was too scared to try the version (turning) after hearing how painful it was, statistics, and others' personal experiences and am glad I didn't try. I preferred to have a planned c-section than try the version and end up with an emergency c-section if the cord got wrapped around the baby, or if it worked and she turned again.
I did the all fours, upside down position, flashlight and music on my lower belly, acupuncture with moxa, and chiropractic webster technique but had a great c-section experience and would choose it all over again!
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S.E. answers from Portland on December 01, 2008
Oregon law does allow Midwives to birth breech babies, Birthing centers are not licensed for birthing Breech babies.
External Versions (which is what your SIL's appointment is) can be painful. It doesn't always mean that the baby will stay that way. T J had many of the alternate ways to turn the baby. The one that I have seen the most success with is talking to the baby (both Mom and Dad) and asking it to turn or in some cases ordering it to turn. The other one that I have seen have better luck with is laying on the back with the pelvis tipped up, so that the baby is forced to move back into the torso area, which allows room for baby to rotate if it is stuck in the pelvic floor.
If your SIL is scared of any of this have her talk to midwives with in the hospital (if she is going through a hospital) some of them are willing to work with breech babies.
Birthing breech babies does carry a slightly higher risk of issues if the person who is monitoring the birth doesn't know how to deal with them, but a well trained midwife would have experience and would know what to do if there are issues. This is coming from a Mom who delivered twin breech babies.
Good luck for your SIL.
S.
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M.G. answers from Seattle on December 01, 2008
I had an external cephalic version with my daughter last year, at about 37 weeks of pregnancy. She had turned breech by 34 weeks and all attempts to get her to turn back on her own were in vain.
The doctor who was turning her made it very clear that he would not FORCE her, just gently help her along. I had an ultrasound before the procedure and they hooked me up to the monitor for a while to make sure she was ok and also to see which way to turn her around.
The doctor slathered my belly in ultrasound gel, then pushed my lower belly up to lift her butt out of my pelvis. This was uncomfortable because if the pressure on my bladder. With his other hand her pushed on the side of my belly to show her to move. On the third try she got it and flipped around. After she turned they monitored me for another 30 min and I was told to walk a lot and remain upright after the procedure, which I did.
She remained vertex from then on and was born the next week after a nice and easy, speedy delivery, all natural without any drugs, which was what I had hoped for.
The procedure was not at all painful, just uncomfortable and I would do it again any time to get out of a sure c-section. It is true, that there is no guarantee, however, the doctor I saw was recommended by my midwife as the best baby-turner in Seattle, and I would definitely suggest that she asks around for someone with experience. He said he could get them to turn in most cases and had never go anything wrong. He also mentioned that the most important thing was to make sure beforehand, that the mother and baby are good candidates for a version (not heavily overweight, baby not too large or too small, enough amniotic fluid, no pre-term labor and a few other things).
Congrats and good luck to your sister.
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