Once Baby Is Head Down Can It Turn Again
When a baby is positioned bottom-down belatedly in pregnancy, this is called the breech position. This page explains how and why this occurs. Breech births tin sometimes exist more complicated for both mother and baby, and therefore planning for the birth requires discussion with your dr. or midwife.
How will I know whether my babe is in the breech position or not?
Virtually babies settle into a head-down position, ready for nascency, by almost the final month of pregnancy. Health professionals telephone call this a 'vertex' or 'cephalic' position.
It is fairly common for a baby to be in a breech position before 35 to 36 weeks gestation, but most gradually turn to the head-down position earlier the final month.
Your physician or midwife will feel your abdomen when you take your pregnancy check-ups in 2nd and third trimesters – this is called an 'abdominal palpation'. When they feel your abdomen at 35 to 36 weeks, they will appraise whether the baby has settled into a head-down position in grooming for nascency. If they suspect your baby might be in a breech position, they can confirm this with an ultrasound scan.
In that location are iii main types of breech position. All of them involve the baby being in a lesser-downwards, head up, position. The variations of breech include:
- frank breech – the babe'due south legs are straight up in front of its body in a V shape, then its anxiety are upward near its face
- complete or flexed breech – the baby is in a sitting position with its legs crossed in forepart of its body and its feet near its bottom
- footling breech – one or both of the baby's feet are hanging below its bottom, then the human foot or anxiety are coming first
What does it mean for my babe?
While your baby is notwithstanding in the womb, information technology is just every bit condom for them to exist in a breech position as it is for them to be head-downward. There are no long-term effects on children who were in a breech position during pregnancy. The birth process, however, is oft more challenging when babies are still breech at the first of labour.
Why do some babies remain in a breech position?
Often it is unclear why a baby remains in a breech position. Some of the common reasons include:
- likewise much or as well little amniotic fluid around the baby
- the length of the umbilical cord
- multiple pregnancy – for example, often one twin will exist in a head-down position and the other in a breech position
- uterine fibroids
- an irregular size or shape of the mother's uterus
Tin my babe nonetheless plow after 36 weeks?
Some breech babies plough themselves naturally in the last month of pregnancy. If this is your offset baby and they are breech at 36 weeks, the chance of the baby turning itself naturally before you go into labour is about one in 8. If you've already had a baby and this one is breech at 36 weeks, the chance of them turning naturally is about one in 3.
If your baby is in a breech position at 36 weeks, your doctor or midwife might propose you retrieve about an ECV, or external cephalic version, later on 37 weeks. This will increment your chances of your baby turning to a head-down position.
Some people think that yous might be able to encourage your baby to turn by property yourself in certain positions, such as kneeling with your bottom in the air and your head and shoulders flat to the footing. Other options you might hear include acupuncture, a Chinese herb called moxibustion and chiropractic handling. There is no good prove that these piece of work.
Talk to your doctor or midwife before trying any techniques to exist sure they exercise non harm you or your infant.
What are my options?
The safest way to have a baby, for both female parent and child, is a head-beginning vaginal nascency.
Just if you don't want to attempt ECV, or if you try it but information technology doesn't work, and then the options are a caesarean section or a vaginal nascence.
Women are often encouraged to take a caesarean birth if their baby is breech. Merely a breech vaginal birth might be possible, depending on your individual circumstances, the type of breech position your baby is in, and the skills of the doctors and midwives bachelor to you. If your local service can't offer these services, you can ask to be referred to another wellness service that can provide these options for you lot.
Source: https://www.pregnancybirthbaby.org.au/breech-pregnancy
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