possibility for normal delivery after baby having breech position

I am 36 week 4 days pregnant, according to the scan ,yesterday the baby having breech position. Is it possible to change baby’s position to cephalic?

I want to go for normal delivery but is it safe to go for it now or I will have to go for cesarean.

Please suggest.

 

possibility for normal delivery after baby having breech position
Answered
Obstetrics & Gynae

Answers ( 5 )

  1. Dr. Monika Gupta>
    Dr. Monika Gupta
    Hello Dear,

    Thank you for writing to us at MediMetry.
    As you are 36 weeks 4 days now, it's difficult for baby to change the position unless baby is small or you have polyhydramnios or unstable lie. Cesarean section is the safest mode of delivery as per guidelines. External cephalic version can be tried if your doctor feels right. Delivery if elective should be performed at or after 39 weeks by cesarean for breech.

    Hope this answers your query. Feel free to write back to us with follow-up questions.
    Stay connected to MediMetry for regular tips on safe & healthy pregnancy!
  2. User
    Should I try some exercise for breech to change the position ?
  3. Dr. Sarita Bishnoi>
    Dr. Sarita Bishnoi
    Hello Dear,

    Thank you for writing to us at MediMetry.

    The later in pregnancy a baby is breech, the more difficult it is for the baby to flip head down. The baby’s size grows in relation to the uterus and there is a smaller percentage of amniotic fluid for the baby to move freely. No exercise should be done on your own to turn the position.

    You may also agree to go through with a cephalic version (the doctor manually turns the baby head down through your abdominal wall). The baby is in the womb with the cord and placenta and there is a small risk in turning the baby manually. So this maneuver should be done with monitoring, by experienced professionals, in a setting ready for a cesarean if needed. There is about a 40-50% chance this will be successful. Sometimes the baby moves easily and sometimes the procedure is painful. It varies.

    In such a position you have three main choices:
    1. Elective cesarean section or
    2. Vaginal breech delivery or vaginal breech extraction using forceps
    3. Natural, active breech birth

    The main fears surrounding vaginal breech delivery are birth trauma and asphyxia. With a breech, the after-coming head does not have an opportunity to mold before passing through the birth canal. If the baby is small or premature there is a danger that the body may deliver easily leaving the head trapped behind an incompletely dilated cervix or an inadequate pelvis.
    So many hospitals have a policy of elective cesarean section at 38 weeks gestation for all breech presentations.

    Hope this answers your query. Feel free to write back to us with follow-up questions.
    Stay connected to MediMetry for regular tips on safe & healthy pregnancy!
  4. User
    Thanks so much mam for the advice.should I go for elective cs at 38 weeks or wait for the labor to start and then go for cs?how many stitches I will get and which stitches should I go for normal or organic?for how long I will have to take care of myself after cs?when can I continue up with routine things like mopping,climbing stairs and etc?
    • Dr. Monika Gupta>
      Dr. Monika Gupta
      Hello Dear,

      Thank you for writing to us at MediMetry.
      Let doctor decide whether you should wait upto 39 weeks or onset of labor. It's safe to go for it anytime after 38 weeks. Difficult to say in terms of number. Both are good. Patient becomes ambulatory usually after 6 to 12 hours of surgery. You can walk around and take care of your child in 24 hours. Rest from heavy work and sexual intercourse is for a month usually. Rest all you can do if you are comfortable.
      Hope this answers your query. Feel free to write back to us with follow-up questions.
      Stay connected to MediMetry for regular tips on safe & healthy pregnancy!