There is an abnormal level of amniotic fluid. The mother has an abnormal shaped uterus. Many women who have normal pregnancies can have ECV. You should not have ECV if you have: Vaginal bleeding.
A placenta that is near or covering the opening of the uterus. A low level of fluid in the sac that surrounds and protects the baby. An abnormal fetal heart Premature rupture of the membranes.
Twins or other multiples pregnancy. The success rate of ECV depends on several factors: How close you are to your due date. How much fluid is around your baby. How many pregnancies you have had. How much your baby weighs. How the placenta is positioned. How your baby is positioned.
The risks of ECV are small, but include: Early onset labor. Premature rupture of the membranes. Minor blood loss for either the baby or the mother. Fetal distress leading to an emergency C-section. Natural methods Some people look to natural ways to try and turn their baby. Breech tilt, or pelvic tilt: Lie on the floor with your legs bent and your feet flat on the ground.
Raise your hips and pelvis into a bridge position. Stay in the tilt for about 10 to 20 minutes. You can do this exercise three times a day. It may help to do it at a time when your baby is actively moving in your uterus. Inversion: There are a few moves you can do that use gravity to turn the baby. They help relax your pelvic muscles and uterus. A second option is to gently rock back and forth on your hands and knees. You also can make circles with your pelvis to promote activity. Music: Certain sounds may appeal to your baby.
Place headphones or a speaker at the bottom of your uterus to encourage them to turn. Temperature: Like music, your baby may respond to temperature. Then, place something warm not hot at the bottom of your stomach. Well-nourished and peppy women may also go a full pregnancy length, of course. Going into labor and then having a planned cesarean is recommend by Dr.
Michel Odent in his book, Cesarean. Going into labor spontaneously is safer for the breech vaginal birth, as well. Women who are trying to flip their baby often find it necessary to slow down the efforts and come to terms with a breech birth. When facing a cesarean, it can be nurturing to you and your baby to plan a cesarean with skin-to-skin, delayed cord clamping, and breastfeeding on the operating room table or in the recovery room.
Give yourself some time and compassion to feel your feelings and explore your options to adapt to the options you have available to you. With a breech, going all the way to 42 weeks may or may not be more of an issue. Some providers will have to end any plans for a vaginal birth by now. Midwifery statutes often limit midwifery care out of the hospital to weeks or , depending on where you live. Intelligent and experienced monitoring may rule out issues that arise post dates that may complicate labor.
With slow metabolism postdates issues with breech position may need extra attention before 42 weeks. Continue body balancing and daily stretching but stop inversions for three days. Walk with a stride. Not every breech baby will turn on their own. Adding body balancing has abundant anecdotal reporting to show success. But this balancing should be individualized if the pregnant person has followed general guidelines closely for weeks without success.
Be compassionate to you and your baby. You are both doing the best you can with the resources you have. Choose your path. Consider why it feels that way. Perhaps your choice is safety over manner of birth? Sometimes babies choose, too. The labor goes too fast to do surgery for the birth. Remember reaching in and pulling out the baby is not reasonable if a cesarean is available in the region unless this is a second twin subsequent triplet or travel is impossible due to weather, war, or whatever reason.
Life is real. Be real with your own experience. Inducing a breech is not recommended in out of hospital settings. Even in the hospital, the risk rises. Induction by herbs is also considered out of scope for breech. Try body balancing and see if labor begins on its own.
That would be a non-invasive, non-manipulating approach. It is a rare possibility that the baby flips to head down during labor. Her labor was mild and not picking up, so after 24 hours we transferred and found that the baby had flipped. Another mother had Dynamic Body Balancing in early labor with one of Dr. Carol Phillips students who was also a midwife. Her breech baby turned head down during transition phase of labor!
If the plan is to have a cesarean once labor begins, call the hospital and alert them of labor immediately. Go to the hospital right away. Breech births can go quite quickly and you want to be where people are ready to help you. While it can be totally normal to have a hour or longer breech birth, many breech labors are quite short.
Because the softer bottom is first, it may take you by surprise that you are progressing with such little pain though some breech births are as painful as head down births. A cesarean can be more complicated if the baby is wedged low in the pelvis.
That is why there is a recommendation to have the cesarean in early labor. But cesareans are done everyday with head down babies low in the pelvis. Rushing around and doing things in a hurry might. Alert your hospital before labor and again once you start labor. Be firm that you know what you are about and that they need to get the Operating Room ready while you are on your way. Mostly, a leisurely transition into the hospital can be sustained with a sense of humor and practicality.
There can be a sense of calm while you and the staff take the steps to welcome your baby. This is your birth. Be present with how your experience unfolds. ECV can improve your chance of having a vaginal birth.
If the fetus is breech and your pregnancy is greater than 36 weeks your health care professional may suggest ECV. The placenta has come away from the wall of the uterus placental abruption. ECV can be considered if you have had a previous cesarean delivery. The health care professional performs ECV by placing his or her hands on your abdomen.
Firm pressure is applied to the abdomen so that the fetus rolls into a head-down position. Two people may be needed to perform ECV. Ultrasound also may be used to help guide the turning.
The fetus's heart rate is checked with fetal monitoring before and after ECV. If any problems arise with you or the fetus, ECV will be stopped right away. ECV usually is done near a delivery room. If a problem occurs, a cesarean delivery can be performed quickly, if necessary. Prelabor rupture of membranes. More than one half of attempts at ECV succeed.
However, some fetuses who are successfully turned with ECV move back into a breech presentation. If this happens, ECV may be tried again. ECV tends to be harder to do as the time for birth gets closer.
As the fetus grows bigger, there is less room for him or her to move. Most fetuses that are breech are born by planned cesarean delivery. A planned vaginal birth of a single breech fetus may be considered in some situations. Both vaginal birth and cesarean birth carry certain risks when a fetus is breech. However, the risk of complications is higher with a planned vaginal delivery than with a planned cesarean delivery. Another problem that can happen during a vaginal breech birth is a prolapsed umbilical cord.
It can slip into the vagina before the baby is delivered. If there is pressure put on the cord or it becomes pinched, it can decrease the flow of blood and oxygen through the cord to the baby. Although a planned cesarean birth is the most common way that breech fetuses are born, there may be reasons to try to avoid a cesarean birth.
A cesarean delivery is major surgery. Complications may include infection, bleeding, or injury to internal organs. The type of anesthesia used sometimes causes problems.
Having a cesarean delivery also can lead to serious problems in future pregnancies, such as rupture of the uterus and complications with the placenta. If you are thinking about having a vaginal birth and your fetus is breech, your health care professional will review the risks and benefits of vaginal birth and cesarean birth in detail.
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