C Section for Breech Baby How Many Weeks
Overview
What is a breech baby?
A breech baby, or breech birth, is when your baby'southward feet or buttocks are positioned to come out of your vagina offset. Your baby's head is up closest to your chest and its lesser is closest to your vagina. Most babies volition naturally move then their caput is positioned to come up out of the vagina first during birth. Breech is common in early on pregnancy and most babies will move to a caput-first position past 36 weeks of pregnancy. This caput-get-go position is called vertex presentation and is the safest position for birth.
How common is a breech babe?
In that location is a pocket-size chance that your baby will non move into a head-kickoff position before 37 weeks of pregnancy. Breech babies account for well-nigh 3% to 4% of all full-term pregnancies.
What are the types of breech position a baby tin be in?
In that location are several fetal positions your infant may present in. Ideally, your baby is positioned caput-down, facing your back, with their mentum tucked to their chest.
Breech babies can exist in a few different positions:
- Frank breech: The baby's buttocks are aimed at the vaginal canal with its legs sticking directly up in front of their body and the feet nigh their head.
- Consummate breech: The babe's buttocks are pointing downward and both the hips and the knees are flexed (folded under themselves).
- Piddling breech: One or both of the baby's feet indicate downward and will deliver before the rest of their body.
- Transverse lie: This is a class of breech presentation where your baby is positioned horizontally beyond your uterus instead of vertically. This would make their shoulder enter the vagina get-go.
How does a breech infant affect pregnancy?
Your pregnancy is usually non affected. Most breech babies are born healthy, although there is a slightly elevated chance for certain birth defects. Your baby'due south movements may experience a little dissimilar. Y'all will experience your baby'south kicks lower in your abdomen. Y'all may feel a hard lump closer to your ribs. This is your baby's caput.
If yous planned a vaginal delivery, a breech infant could modify these plans. When your baby is breech, a vaginal commitment can be complicated and dangerous. Your healthcare provider may feel comfortable attempting a vaginal breech delivery, just in most cases, they will recommend a Cesarean nascence (C-department).
How does a breech baby touch on delivery?
If your infant presents in a breech position later 36 weeks of pregnancy, your birthing plan will likely alter. It's usually unsafe for a breech baby to be born vaginally due to risks of injury. In most cases, a planned C-section is the safest way to deliver your baby. Some healthcare providers may be comfortable with a vaginal breech birth. In some cases, turning your baby to a head-downwardly position while they are still within your uterus is an pick. Your infant is then born caput commencement.
Symptoms and Causes
How can you lot tell if your infant is breech?
You may be able to tell if your baby is breech, especially if you accept had past pregnancies where your babe was head-showtime. The places where you feel lumps and kicks might indicate that your infant is breech. Let your healthcare provider know where you experience motion. They will feel your belly or exercise an ultrasound to confirm that your baby is breech.
What causes a baby to be breech?
It'southward not e'er known why a baby is breech. Some factors that may contribute to this position are:
- You are expecting multiples (twins or more than). This makes it harder for each baby to go into the right position.
- At that place is besides much or besides little amniotic fluid.
- The uterus is not normal in shape or has abnormal growths such as fibroids. Most of the time, the uterus is shaped like an upside-down pear. If it's shaped differently, in that location might not be enough room for a full-grown baby to motility into position.
- The placenta covers all or office of the neck (a condition chosen placenta previa).
- The babe is preterm. This means they are less than 37 weeks gestation and may not have turned to a head-first position.
- Your infant has a birth defect that causes them to not turn caput-downwards.
Diagnosis and Tests
How is a breech baby diagnosed?
Your healthcare provider may exist able to tell which way your baby is facing by placing their hands at sure places on your abdomen. By feeling where the babe's head, dorsum and buttocks are, it's commonly possible to find out what role of the baby is positioned to come up out of the vagina beginning. An ultrasound may be used to ostend the baby'due south position.
When is a breech baby diagnosed?
Almost all babies are breech at some point. As your pregnancy progresses, your baby will naturally motility to a head-down position — probably between 32 and 36 weeks. Your healthcare provider volition feel your abdomen and make up one's mind where your baby is positioned. This will happen during nearly of your appointments in the third trimester. Later on 37 weeks, a breech baby commonly does not plow on their own. Your healthcare provider will discuss delivery options with y'all.
Management and Treatment
What are the options for treating a breech babe?
If your baby is breech at 37 weeks of pregnancy, your healthcare provider may:
- Try turning your babe in your uterus into the caput-first position.
- Plan a C-section nascency.
- Plan a vaginal breech birth.
What are some complications of having a breech baby?
The complications of having a breech baby usually exercise not occur until it's time to deliver. Some breech babies can be safely delivered through the vagina.
The risks of attempting a vaginal breech nascency are:
- Injuries to your baby's legs or arms such as dislocated or broken bones.
- Umbilical cord bug. The umbilical cord can be flattened or twisted during delivery. This can crusade nerve or brain damage due to a lack of oxygen.
Will my doctor attempt to flip my infant if it's breech?
If your baby is breech, your healthcare provider may consider turning your baby then that y'all can have a vaginal delivery. In some cases, trying to turn your baby may not be condom or the risks outweigh the benefits.
Flipping your baby may non be safe if you have any of the following:
- Haemorrhage from your vagina.
- Placenta previa. This is when your placenta covers all or part of your neck.
- A nonreactive nonstress exam.
- An abnormally small baby.
- Low level of amniotic fluid.
- Low or loftier fetal heart charge per unit.
- Premature rupture of the membranes.
- Twins or multiples.
The most common method used to turn a breech baby is called external cephalic version (ECV). It'due south performed by your healthcare provider around 37 weeks of pregnancy. This process is performed in the hospital just in example an emergency occurs. Information technology involves placing hands on your abdomen and applying business firm pressure to turn your infant to a head-down position while your infant is still in your uterus. It is about 65% effective and carries some risks.
What are the risks of turning my breech baby?
The risks of ECV include the following:
- Premature labor.
- Premature rupture of the amniotic sac.
- Claret loss for either you or your baby.
- Emergency C-section.
- Your baby might plow back to the breech position.
Although the risk of having these complications is small, some healthcare providers prefer not to try to flip a breech baby.
Will my breech baby flip on their own?
Most babies volition flip to a head-downwards position before they reach full term (37 weeks). If your babe is still in a breech position at this time, your healthcare provider will determine if you tin can deliver vaginally or if you volition need a C-department.
How can I flip my baby if it's breech?
Some women will attempt calm methods to flip their baby to a head-showtime position. They may help, just at that place is no scientific evidence that they work.
- Bridge position: Lie on the floor with your legs bent and your feet apartment on the ground. Raise your hips and pelvis into a bridge position. Concord this position for 10 or 15 minutes several times a day.
- Child's pose: Rest in the kid'southward pose for x to xv minutes. It can help relax your pelvic muscles and uterus. You can as well rock back and forth on your hands and knees or make circles with your pelvis to promote activity.
- Music: Place headphones or a speaker at the lesser of your uterus to encourage your baby to plow.
- Temperature: Endeavor placing something cold at the pinnacle of your tummy where your baby's caput is. Then, place something warm at the bottom of your breadbasket.
A chiropractic technique, chosen the Webster technique, can likewise assistance your uterus relax. Some providers even recommend acupuncture. Both of these techniques need to be washed by a professional that your healthcare provider has recommended.
Prevention
How can I reduce my take chances of having a breech baby?
There is nix yous can practise to prevent your baby from being in a breech position. If your baby is in a breech position, information technology's not considering you lot did anything wrong.
Outlook / Prognosis
Can you deliver vaginally with a baby breech?
Information technology's possible to evangelize a breech baby vaginally. It can exist more than unsafe for the babe and the risk of injury is much college. If the umbilical cord is compressed during nascence, the baby could be deprived of oxygen and this could harm their brain and nerves. The string could besides slip effectually the baby'southward neck or arms, causing injury. Healthcare providers take diverse levels of comfort with vaginal deliveries of breech babies. Talk to your provider almost the risks and benefits of different types of nascency for a breech baby.
Living With
When should I encounter my healthcare provider?
Contact your healthcare provider if y'all experience whatever of the following symptoms during pregnancy:
- Astringent cramping or contractions.
- Vaginal bleeding.
What questions should I ask my physician?
Learning your baby is breech may give y'all concerns near your delivery. It's completely natural to accept questions. Some questions to ask your medico tin can include:
- How can I tell if my baby is breech?
- Is my babe OK?
- What are the benefits and risks of turning my baby?
- What are my options for delivery if my infant remains in the breech position?
- What are the health risks to my infant and me if they are born breech?
Frequently Asked Questions
Do nascence defects cause breech position?
Birth defects are slightly more common in breech babies. Information technology might be the reason that the infant didn't move to the head-downwardly position. Most babies who are breech at delivery are born without any wellness complications.
Will I demand a C-section if my baby is breech?
Virtually of the time, a C-section is the safest way to deliver a breech babe. Your risks of developing complications are much higher if you try to evangelize a breech babe through the vagina. However, some healthcare providers may experience comfortable performing a vaginal breech birth.
How does labor beginning if your baby is breech?
Having a breech baby doesn't change some of the first signs of labor like contractions or rupturing of your membranes. In most cases, your healthcare provider will recommend a planned C-department. If your commitment is planned, you may non have any labor symptoms.
If you are in labor and go to the hospital for delivery, your provider will confirm your baby'southward position a final time. Your provider could attempt a vaginal commitment, but it'south more probable they will keep with a C-department to be safe.
A note from Cleveland Dispensary
Having a breech baby can exist unexpected and change the vision you had for childbirth. Talk to your healthcare provider about what to await during a breech delivery. They can help yous sympathise the risks and benefits of a breech birth and then that you and your babe are kept safety.
Source: https://my.clevelandclinic.org/health/diseases/21848-breech-baby
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