If they're still breech at around 36 weeks' gestation, the obstetrician and midwife will discuss your options for a safe delivery. If your baby is in a breech position at 36 weeks, you'll usually be offered an external cephalic version ECV.
This is when a healthcare professional, such as an obstetrician, tries to turn the baby into a head-down position by applying pressure on your abdomen. It's a safe procedure, although it can be a bit uncomfortable. If an ECV does not work, you'll need to discuss your options for a vaginal birth or caesarean section with your midwife and obstetrician. If you plan a caesarean and then go into labour before the operation, your obstetrician will assess whether it's safe to proceed with the caesarean delivery.
If the baby is close to being born, it may be safer for you to have a vaginal breech birth. The Royal College of Obstetricians and Gynaecologists RCOG website has more information on what to expect if your baby is still breech at the end of pregnancy.
If your baby is lying sideways across the womb, they are in the transverse position. Although many babies lie sideways early on in pregnancy, most turn themselves into the head-down position by the final trimester. Lie down in bed or on the couch. The arms and hands are likely near the head, and their tiny movements give them away.
Then feel for the back, butt, and legs, as well as larger movements. You may find it helpful to use a baby doll to play with different possible positions. If your baby is breech or in some other position besides head down, there are several options for delivery. Factors at play here include:. Before that point, the fluid in the uterus gives your baby plenty of space to move around. To confirm, you may also have an ultrasound or pelvic exam. This is done in a setting in which baby can be monitored and you can have an emergency cesarean section C-section if needed.
Your provider uses their hands to manually turn the baby head down. The success rate of this procedure is around 58 percent. You can have a repeat ECV, but space runs out the closer you get to birth, so it may be more difficult the second time. Around 85 percent of breech babies are born via C-section. While this surgery is routine, it involves some risks, including:.
The American College of Obstetricians and Gynecologists explains that some women may be candidates for a vaginal birth even if their babies are breech. This possibility is determined on a case-by-case basis and involves a review of your medical history and weighing the benefits of vaginal delivery versus the risks of C-section. Your baby moves a lot throughout your pregnancy. Your healthcare provider is also keeping tabs on whether baby is head down and can help guide you with options for repositioning or an alternate birth plan, if necessary.
The positions of your baby in the womb becomes important as your due date approaches because they should be in the best position for delivery. As your…. If you hear your doctor mention cephalic presentation, you might wonder what it means and whether it's a good thing. Learn more about birth positions…. Your baby dropping is one of the first signs that your body is getting ready for labor.
Tell by where the baby kicks, if that changes, too, then baby changed positions. Ligaments around the womb are loose. Wear a pregnancy belt for walking and doing an activity like house and yard work. By Weeks, if baby favors only your right , and kicks towards your left:. There is a gracious center of activity without stress. May we all find it. We expect baby to settle in, change position once or twice a week if there is room, if not, we are hoping baby favors the left by now.
If balance and flexibility are well established this may be less important to have happen. If baby has fingers wiggling in front, add balance. The lack of engagement is an issue for the posterior baby in starting labor or keeping labor going. At 40 weeks, take a lovely walk and bath. Do something unrelated to pregnancy. Give yourself a break. Serious focus on fetal position and engagement takes up your day but again, be chill about it.
Just be focused on 3 x a day doing the engagement activities. If baby is truly in a good position, and many providers say so without knowing much about fetal position in detail, then you only have to deal with the politics of labor onset and not likely the actual challenge of helping baby engage to start labor. Walk and make love. Labor wants baby engaged before labor will open the cervix. Since engagement is a result of fetal flexion and fit in the brim and an aligned brim makes engagement easier, balance and engagement activities are useful in early labor.
A start and stop labor pattern is a clear sign that engagement help is needed. Flexibility and softness help gravity be more effective. Once a series of balancing activities have been done, gravity helps labor progress.
0コメント