It is also more likely that stirrups are used, so the obstetrician and midwife have easier access and can have better control of the delivery. BabyCenter aims to share products and services we hope you’ll find interesting and helpful. Risks for a breech baby. By 36 weeks of pregnancy, most babies are in the head-down position, which is the best and safest position for delivery. I had a breech baby with my first, like you I wanted a naturally birth but hospitals don't delivery breech babies anymore as no one is trained to. This helps to stop the urge to push before the cervix is fully dilated. Hope u feel better. a fractured pelvis in the past. The information contained in this site is not an alternative for specific, individual medical advice and guidance from your doctor or health care provider, where all surrounding conditions and circumstances are known. You are passing a message to a BabyCenter staff member. But because the pressure of a soft bottom or foot is not as great as a bony head, labour can take longer to establish. There are specific techniques used by midwives and obstetricians to support a breech birth. But because the pressure of a soft bottom or foot is not as great as a bony head, labour can take longer to establish. The earlier in the pregnancy the version is done, the greater the likelihood of this happening. If the membranes have been ruptured and there is thick meconium present. If you are worried about your own health, or your child’s well being, seek immediate medical advice. However, there are things that can make it more likely for a baby being breech. The baby may have swollen genitals and occasionally bruising. Because the baby grows so much in the last couple of months they aren’t able to move as freely and once their head goes into the “down” position in the mother’s pelvis, they tend to stay there. Active labor began around 9:30 a.m., spontaneously, declined vaginal exams (fine by me), sporadic pushing with every other contraction around 3:12 pm, pushing with every contraction began at 3:48 when rupture of membranes occurred with clear fluid. The breech baby is vertical, so the womb is “stretched” upwards. This is why turning the baby at around 37 weeks of gestation is thought to be the ideal time. X. There is sits (hopefully) until it is ready to be born. This really depends on each mother’s individual history and the position of her baby. A head feels hard, bony and can move freely from side to side – this is known as ballotable. Even if an external version is effective in turning the baby to a head down position, some babies will automatically flip back into a head up position. With mine whole bump goes rock hard. Breech is not an issue until 32-34 weeks, unless the womb has an unusual limitation in shape or size, such as a bicornate uterus. It's a … This results in uterine and abdominal muscle stretching and laxity. A breech position or breech baby means that the baby’s position inside the uterus is such that his feet or buttocks are near the uterine mouth. Only files 8MB or smaller of the following types are supported: JPEG, PNG, GIF. Please flag if you think our product match is incorrect. If a breech presentation is diagnosed by ultrasound, or less commonly by X-ray. Some women believe that if they lie in a particular way, do specific exercises or sleep in a special position that their baby will rotate to head down. The baby generally has enough room inside the uterus to change its position. Instead of trying to do a version and turn the baby, I opted to have a c-section scheduled, which will be at 40 2 days. When labor begins at 37 weeks or later, nearly 97 percent of babies are set to come out headfirst. For this reason, forceps are often used to control the “after coming head”. Because the head is the largest part of the baby the cervix has to be fully dilated to allow it to pass through. Going to have a hot bath and see if that helps. Baby boys may develop a hydrocele – this is where there is a collection of water within their scrotum. Seeing a bottom, legs or feet being born first. This is because generally, the baby descends, flexes, rotates and extends its body instinctively in order to be born. Around 3–5% of pregnant women at term have a breech baby. Congenital hip dislocation is more common in babies who were born in a breech presentation. Most of the rest are breech. 1 A breech baby at the end of pregnancy Published February 2008 Information for you Extended or frank breech – the baby is bottom first, with the thighs against its chest and feet I always say its better to call and be super paranoid and get checked to be safe rather than endup with the unexpected! It is important that the exact position of the umbilical cord and placenta are identified before an external version is done. Version is usually not done when: The bag of waters (amniotic sac) has ruptured. If the baby does not turn easily, then it must be assumed that the baby needs to stay where it is, and options for the birth (either by caesarean or vaginally) will need to be considered. Despite their best intentions, some women defer to having a caesarean section delivery because of the extent of their fatigue and exhaustion. If your baby is breech beyond 36 weeks it is unlikely to turn to the head first position by itself. It is possible for a breech baby to naturally turn after labour has begun. Some women choose to have a home birth with a midwife, and feel confident that all will go well. The decision whether to try an ‘external version/rotation’ of the baby is made very carefully. Do you think contractions would feel different as the baby is breech? For tips and inspo visit our Stay at Home Hub. Sometimes a mother is given a drug beforehand which relaxes her uterine muscle. If your baby is in a breech position, the risks associated with a vaginal delivery are much higher than with a cesarean section. Many midwives and obstetricians use a “hands off” approach when it comes to observing a breech birth. I still thought i had food poisoning as they were giving me the spinal block in theatre ! These are a few of the more common “causes” of a breech baby: If you’ve already had a baby. Huggies® may amend the material at any time without notice. Just so you know, we may earn a commission if you buy something we’ve linked to here. Mothers may not be aware much earlier than 36-37 weeks that their baby remaining in a breech position is a problem. … Breech labours and births can be more exhausting and fatiguing for the mother, particularly in the first stage. Get expert guidance from the world's #1 pregnancy and parenting resource, delivered via email, our apps, and website. Mine is also breech... Also keep getting strange pains. It is also common for an epidural to be inserted for mothers who are having a trial of labour. with their bottom coming first, then a “trial of labour” is more likely. The baby’s head can become entrapped. This makes it easier for the breech baby to flip to head down around 28-32 weeks. Unless it is really necessary and it becomes obvious that intervention is necessary, the baby may not be touched until after it is born. The blood flow containing oxygen and nutrients to the baby then shuts down. Huggies® (and any healthcare professional, where relevant) intend for the information on this website to be up to date, timely and accurate but, to the extent that we are permitted by law, do not accept any liability or responsibility for claims, errors or omissions. At the start of labour, most babies are lying on their side, with their head facing towards either the mother’s left or right side. Currently in Australia, it is estimated that around 3-4 % of all babies at term are in the breech position but not all of them are born vaginally. We had an amazing team and it was the best birth experience. Because of the current increase in litigious actions, many healthcare practitioners do not consider “allowing” mothers in their care to have a vaginal breech delivery. Umbilical cord prolapse is more common with breech births. If the baby is still breech by the time labor contractions start, you should consult with your obstetrician about delivery via C-section. This constitutes an obstetric emergency and a caesarian section delivery becomes necessary. Being pregnant with multiples. Complete or flexed breech describes a baby that is bottom first with their knees bent and their thighs against their tummy and chest. This product is displayed based on comments within this post. While some women are able to deliver breech babies naturally, it is usually safer to deliver via C-section . An alternative is when the obstetrician uses her/his hands to control the delivery of the baby’s head. The descent of the baby, its condition, the mother’s progress and her physical and emotional state will all influence the likelihood of vaginal delivery. #4: A Breech Baby Can Turn In Labour. Around 40% of women who plan a vaginal breech birth will go on to have a caesarean section. Do you think contractions would feel different as the baby is breech? But there is no scientific evidence to support these claims. Most babies in the breech position are delivered via caesarean section because it is seen as safer than being born vaginally. The cord is slippery and can easily slide through the cervix and out of the vagina if there is space between the baby’s presenting part and the open cervix. The fetus is in the frank, complete breech, or footling breech position. If your baby is in a breech position at 36 weeks, you'll usually be offered an external cephalic version (ECV). Babies who were born in a frank breech position tend to extend their legs in the same position for a few days after birth. with placenta praevia. Uterine contractions start the same way when a baby is in a breech position as they do when the baby is head down. Forceps aren’t always necessary though. I felt exactly the same on Sunday and after hours of bh called hospital. If a mother has previously had a caesarian section delivery. Once the cord is exposed to the outside air and temperature, it constricts. This is more likely when the baby is close to full term because at that stage, the distance between their hips and the widest part of their skull measures the same. Become a Huggies Member for exclusive content and a chance to win a 6 month supply of Huggies. The obstetrician needs to be confident that there are fewer risks doing this than if the mother is supported to go on and have a vaginal breech birth. They scanned me to find that baby had turned! Amazon and the Amazon logo are trademarks of Amazon.com, Inc. or its affiliates. The majority of breech babies will turn on their own, before reaching full-term gestation. A baby lying in a breech position during pregnancy is bottom down or feet down, rather than head down position. Very strange and makes my bump feel quite sore, not sure if it's the stomach upset making the bump sore or if its something with the bump that's giving me a stomach upset. When the labour is well managed and the baby monitored, the risks are minimised. With good progress in labour, the likelihood of having a vaginal breech birth is higher. Multiple births such as twins, triplets or quads. Reasons for a breech baby are usually unknown. If the baby is still in the breech position at the end of pregnancy, a caesarean may be recommended. In Australia, most babies who are in the breech position are delivered via caesarian section. Likewise, accupuncture, candling (moxibustion), homeopathic drops and/or aromatherapy are not effective in changing the way a baby is first presenting themselves to the world. Babies who are breech in the last three months of pregnancy are more likely to have developmental hip dysplasia (DDH) Random, mild contractions in the early morning along with some bloody show. During the month before 30 weeks, many babies are breech. If a mother has a very small pelvis or she has had trauma e.g. It is common for the baby to have an electrode placed on their bottom and for the mother to be connected to a monitor. For the fastest help on, More posts in "July 2012 Birth Club" group, Create a post in "July 2012 Birth Club" group, Breastfeeding: the trick to a comfy latch. Delivering a baby when he is in the breech position is not the most optimal delivery since it poses numerous risks that could damage his brain or cut-off the air supply temporarily. It is considered normal in the second trimester for babies to be in the breech position. There are 3 variations of the breech position: Footling breech, where one or both legs of the baby are folded with the footor feet close to the birth canal; the feet will be born first in this position. Footling breech: Baby is head-up with one or both feet hanging down (meaning she’d come feet-first if delivered vaginally). A breech birth is when the baby is born with their bottom, legs or knees coming out first, rather than their head. Be warned ! When there is a problem with the baby e.g. During each contraction, the muscles in your uterus tighten and then release. Worth bearing in mind! Breech means that the buttocks of the baby are closest to the birth canal instead of the baby’s head. Been feeling a bit funny today - had an upset stomach twice and have a feeling across the bottom of my bump like its very sore. A mother may complain of feeling a hardness under her rib cage and struggles to get comfortable because of this. In a worst case scenario, a caesarian section delivery then needs to be done. When a mother has had more than four babies. This is because the baby’s bottom/legs/feet don’t fit as well into the mother’s pelvis as the baby’s head does. This way any change in the status of the mother and her baby is quickly detected. Giving birth to a breech baby. ® Registered Trademark Kimberly-Clark Worldwide, Inc. © KCWW | Kimberly-Clark Australia & New Zealand. Whereas a bottom is softer and more irregular; it doesn’t move as freely as a baby’s head does. That’s why, in some cases, your provider may recommend a … Around 25% of all babies are in the breech position from 32 weeks of gestation and over the next eight weeks, this reduces to just 3%. There are no guarantees of a vaginal delivery though. Feeling a distinctive hard and bony head in this region, rather than a softly rounded bottom, is one of the key factors in diagnosing a breech presentation. I read somewhere that one way of telling the difference between BH (Braxton Hicks) and real contractions is that the top of my bump would be hard as well but this is where the babies head is so its always hard! It is estimated that around 25% of all babies who are in the breech position after 35 weeks of gestation will turn themselves without any help at all. Most breech babies are in this position. Both of these can be indicators of other complications with the mother and/or her baby. Meconium is the baby’s first bowel motion and if the baby’s anus is close to the mother’s vagina, fresh meconium is easy to see. Prematurity is by far the most important factor which influences the likelihood of having a breech birth. When considering ways to turn a breech baby, your provider may talk to you about external cephalic version (ECV). But if your baby is breech, it means he's poised to come out buttocks or feet first. My mw reakons bh but if they become regular to call her. Breech Baby Causes. The mother has a condition (such as a heart problem) that prevents her from receiving certain tocolytic medicines to prevent uterine contractions. I'm booked for a c-section next week as the baby hasn't turned and I'll be 39 weeks at that point so hoping baby holds on until then but just wondered if anyone had ever had anything like this with a breech baby? This is especially the case when a mother has not had a previous vaginal birth. Im 39 weeks today and today found out that the baby is breech. If the baby is in a frank breech position e.g. Sometimes though, it’s not evident that the baby is in the breech position until labour has begun and even then it’s not always clear. Finding a practioner who is skilful and willing to support a “trial of labour” can be a challenge. They have stopped now though. Breech position of baby A breech baby may be lying in one of the following positions: Frank or extended breech – the baby is bottom first, with the thighs against its chest and feet up by its ears. In normal pregnancies, a baby usually turns head-down to get into position in preparation for birth. Glad its not just me! I was expecting low cramps but my contractions were high and they said with breech it can feel different ... Good luck ! I accepted the fact that my baby wasn’t meant to be delivery naturally and a C section was the safest and option for me and my baby. Frank/extended breech Extended or frank breech is also a bottom-first position, but the baby’s knees are not bent. In preterm babies their head is bigger and their bottom is narrower. You may not know until your midwife or obstetrician tells you. Contractions help you do that. If the placenta is positioned low in the uterus e.g. Uterine contractions start the same way when a baby is in a breech position as they do when the baby is head down. an abnormality – even when the amount of amniotic fluid is normal. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website. With a breech birth, the baby’s head is generally sitting just below the mother’s diaphragm and rib cage. Having a unique uterus isn’t a reason not to try for a natural, physiologically-supported vaginal breech birth. Another risk is that the umbilical cord can become compressed and the flow of oxygen to the baby is diminished. This is because their skull bones have not had the same opportunity to mould as if they were born head first. Multiple pregnancy. It's so hard to tell when you should call and when your being paranoid isn't it?! Some 3 to 5 percent of pregnancies end in breech birth. Breech babies tend to have more rounded heads. That means that, in utero, babies shift from the typical head-first position to one of three breech positions. The prevalence of breech presentation decreases from about 15% at 29-32 weeks gestation to between 3-4% at term. If your baby is in a breech position at 36 weeks you will be offered ECV (external cephalic version), a manual procedure to turn the baby in the womb. With a breech there is less of a chance that the cervix will be blocked. When there is more than one baby, labour may be preterm. 3% of women (3 in 100) who start labour near to their due date do not know that their baby is in a breech position. Feeling the baby’s head in the upper part of the mother’s uterus. The success rate of an external version is around 40-70% depending on the skill of the individual practitioner. Transverse breech: Instead of lying vertical across your uterus, baby is lying sideways. When there is an abnormal volume of amniotic fluid – either too much, known as “polihydramnios” or insufficient, known as “oligohydramnios”. Some babies develop a bruised hip from a breech birth; most commonly the hip which came first through the mother’s pelvis. If necessary, plans are made for a caesarian section delivery before either of them is compromised. It is important to have a backup plan in case there are complications. If the baby is looking upwards to the top of the mother’s uterus then this makes the presenting part even bigger. Footling breech – the baby’s foot or feet are below the bottom. Think of a plug in the bathroom sink and you’ll have a fair idea of “good fit”. With numerous birth defects being the possibility, it is best to try all options possible to change the baby… Vaginal breech birth with your local doctors may also be an option. We call this undiagnosed breech – one that is not diagnosed in the antenatal period. Risks include the umbilical cord cutting off his blood supply or his head or shoulders becoming stuck. Artificial rupture of the membranes is not recommended. Hopefully a warm bath will help but if it doesn't get better I'll maybe drop a call to the ward just to check. Between 29 and 32 weeks of gestation, the estimate is 15% of babies are presenting bottom first. If there are abnormalities with a mothers uterus. When the last baby has been born, the placenta (or placentas) is expelled in the usual way. Flexed breech – the baby is bottom first, with the thighs against the chest and the knees bent. With a baby that's head down, the baby's head often plugs the cervix, so there is minimal fluid loss. Essentially, the risks of having a breech birth are closely matched to the weeks of pregnancy. I've had a natural breech birth, and the contractions felt exactly the same as head first. There is a risk of trauma to the baby’s head, especially if the birth is rapid and the baby is premature. Breech labours and births can be more exhausting and fatiguing for the mother, particularly in the first stage. There are some fairly classic signs which can raise the suspicions of a health care practitioner. Because the baby’s head is so heavy it tends to move into the head first position and find its comfortable niche in the mother’s pelvis. Due to their higher than average rate of possible complications for the baby, breech births are generally considered higher risk. When the rest of their body is out of the mother’s vagina but their head is still not out, there are major concerns with the baby’s oxygenation and obstructed labour. If the baby can make the lateral flexion into the pelvis, the baby has a good chance of being born well vaginally. A baby is not considered breech until around 35 or 36 weeks. The bigger baby gets, the less space baby has to move. 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