Baby is Breech – What to Expect?



Foetal movements are rife all though gestational period. Usually, around 3-4 weeks pre due-date, infants budge in a manner that their crowns are near the birth canal (vagina). Head-first delivery is often the case for majority of the infants.

However, three to four per cent of infants would not be making such shifts and at times the foot or butt portion of the infant might be nearest to the vagina during birthing – known as breech presentation that affects birthing process. Though breech infants are in good health at birth, one might require having a C-section in case therapy for rectifying breech position fails & the physician believes there is risk delivering breech infant vaginally.

Baby is Breech – When and how does one find out?

Amid thirty-two to thirty-seven weeks of gestation, the physician would conduct regular check-ups by palpating the pregnant bulge. With the due-date nearing, in case breech presentation is doubted then ultrasound scan might be conducted for confirming foetus’s position.

At times breech position isn’t detected till pelvic examination is conducted subsequent to labor commencing.

Baby is Breech – Why Me?

Mostly, breech presentation takes place without any known reasons. However, some factors augment the chances of breech baby.

  • An earlier pregnancy.
  • Multiple conceptions.
  • Deficit oligohydramnios/ excess polyhydramnios amniotic fluid encasing the foetus.
  • Placenta casing vaginal aperture – a condition called as placenta previa.
  • Irregular shape of uterus or uterine region having growth within like fibroid.
  • Infant is preterm or the mother has a past of giving birth to preemies.
  • The foetus has a birth anomaly. Birth anomalies are some what more pervasive among breech infants.

Treatment for Babies in breech position

A number of infants in breech position move by themselves when their delivery date nears. In case the infant does not shift, the physician might advice any of the below techniques to assist in favourably changing foetal position.

Version

Firstly, ultrasound scans are conducted for verifying foetal position. The physician would then be manually pushing or lifting the abdominal area to facilitate foetal movement to a non breech position.

Medications might be offered to the fetus for uterine relaxation. Close monitoring of foetal heart rate would be done. In case any issues arise, the infant might have to be delivered immediately through c-section. Although not likely, other problems might arise as an outcome of this technique like: membrane rupturing preterm (water breaking earlier), placenta abruption (placental separation from uterine region pre-birth) or issues with foetal heart rate.

This technique has been found to work in around fifty percent of times. However, even when the foetus is in a favourable presentation (crown faced downward), there is still a strong likelihood of it turning back to breech position pre-delivery. Version technique is generally not attempted till the woman is in thirty-six weeks of gestation for reducing chances of the foetus retracting to breech position.

Innate Methods

Although there’s absence of proof that such methods are working, women could enquire from their doctors whether they could attempt such techniques from their homes to rectify breech position.

  • In Breech-Tilt method, lying down flat face-up & placing cushions underneath the hip area. Now hips are to be propped up around a foot from the floor and staying in this pose for ten to fifteen minutes, thrice daily. Women should be relaxing their bodies and be watchful about not tensing the abdominal area. It might help in encouraging foetus to move position.
  • Infants are capable of hearing sound prior to delivery. Many individuals are firm believers that foetuses have a tendency of gravitating towards sounds. Hence, head phone can be placed on the lower-abdominal part & some tunes or your own pre-recorded voice could be played that might just do the trick.
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