How Can I Tell if My Baby Is Breech at 35 Weeks

Overview

Types of breech positions during pregnancy.

What is a breech babe?

A breech baby, or breech birth, is when your infant's anxiety or buttocks are positioned to come up out of your vagina outset. Your babe's head is up closest to your breast and its lesser is closest to your vagina. Most babies will naturally movement so their caput is positioned to come out of the vagina showtime during nascence. Breech is common in early on pregnancy and most babies will move to a head-first position by 36 weeks of pregnancy. This head-showtime position is called vertex presentation and is the safest position for nascence.

How mutual is a breech baby?

In that location is a modest chance that your babe will not movement into a head-commencement position earlier 37 weeks of pregnancy. Breech babies account for about iii% to 4% of all total-term pregnancies.

What are the types of breech position a infant can exist in?

There are several fetal positions your baby may present in. Ideally, your baby is positioned head-down, facing your back, with their mentum tucked to their chest.

Breech babies can be in a few dissimilar positions:

Frank breech: The baby'south buttocks are aimed at the vaginal canal with its legs sticking straight upwardly in front of their trunk and the anxiety near their head.
Complete breech: The baby's buttocks are pointing downwardly and both the hips and the knees are flexed (folded under themselves).
Little breech: 1 or both of the baby's feet indicate downwards and volition evangelize earlier the balance of their body.
Transverse lie: This is a form of breech presentation where your infant is positioned horizontally across your uterus instead of vertically. This would make their shoulder enter the vagina get-go.

How does a breech babe bear on pregnancy?

Your pregnancy is usually not affected. Nigh breech babies are born salubrious, although there is a slightly elevated risk for certain nascency defects. Your babe'southward movements may feel a little different. You will feel your baby'south kicks lower in your belly. You may feel a hard lump closer to your ribs. This is your baby'south head.

If y'all planned a vaginal delivery, a breech baby could change these plans. When your baby is breech, a vaginal delivery tin be complicated and dangerous. Your healthcare provider may feel comfortable attempting a vaginal breech delivery, but in most cases, they will recommend a Cesarean birth (C-section).

How does a breech baby affect delivery?

If your infant presents in a breech position subsequently 36 weeks of pregnancy, your birthing plan will likely change. It's unremarkably unsafe for a breech baby to be born vaginally due to risks of injury. In nearly 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-down position while they are still inside your uterus is an choice. Your baby is so born head outset.

Symptoms and Causes

How can y'all tell if your baby is breech?

Yous may exist able to tell if your babe is breech, especially if y'all have had past pregnancies where your infant was head-first. The places where you feel lumps and kicks might indicate that your baby is breech. Let your healthcare provider know where you feel movement. They will feel your abdomen or do an ultrasound to confirm that your baby is breech.

What causes a baby to be breech?

It's not always known why a infant is breech. Some factors that may contribute to this position are:

You lot are expecting multiples (twins or more). This makes it harder for each baby to go into the right position.
There is too much or too piddling amniotic fluid.
The uterus is not normal in shape or has aberrant growths such as fibroids. Nigh of the time, the uterus is shaped like an upside-down pear. If it'due south shaped differently, in that location might not be enough room for a full-grown baby to move into position.
The placenta covers all or part of the cervix (a condition called placenta previa).
The baby is preterm. This means they are less than 37 weeks gestation and may not take turned to a head-outset position.
Your infant has a birth defect that causes them to not turn head-downwards.

Diagnosis and Tests

How is a breech baby diagnosed?

Your healthcare provider may be able to tell which mode your baby is facing by placing their hands at sure places on your abdomen. By feeling where the baby'due south head, back and buttocks are, it's usually possible to find out what part of the baby is positioned to come out of the vagina get-go. An ultrasound may exist used to confirm the babe'southward position.

When is a breech infant diagnosed?

Almost all babies are breech at some point. As your pregnancy progresses, your baby will naturally move to a caput-downwards position — probably betwixt 32 and 36 weeks. Your healthcare provider will feel your belly and decide where your infant is positioned. This will happen during most of your appointments in the third trimester. Afterward 37 weeks, a breech baby usually does non turn on their own. Your healthcare provider volition discuss commitment options with y'all.

Management and Treatment

What are the options for treating a breech baby?

If your baby is breech at 37 weeks of pregnancy, your healthcare provider may:

Effort turning your baby in your uterus into the caput-kickoff position.
Plan a C-section birth.
Plan a vaginal breech birth.

What are some complications of having a breech babe?

The complications of having a breech baby usually exercise not occur until it'due south time to deliver. Some breech babies can exist safely delivered through the vagina.

The risks of attempting a vaginal breech birth are:

Injuries to your infant'south legs or arms such as dislocated or cleaved bones.
Umbilical cord issues. The umbilical string can exist flattened or twisted during delivery. This can cause nerve or brain harm due to a lack of oxygen.

Will my doc attempt to flip my infant if information technology's breech?

If your infant is breech, your healthcare provider may consider turning your babe and so that you can take a vaginal delivery. In some cases, trying to plough your baby may not exist safe or the risks outweigh the benefits.

Flipping your babe may not exist safe if y'all have any of the following:

Bleeding from your vagina.
Placenta previa. This is when your placenta covers all or office of your neck.
A nonreactive nonstress test.
An abnormally small infant.
Low level of amniotic fluid.
Depression or high fetal middle charge per unit.
Premature rupture of the membranes.
Twins or multiples.

The most common method used to plough a breech baby is called external cephalic version (ECV). Information technology's performed by your healthcare provider around 37 weeks of pregnancy. This procedure is performed in the hospital just in case an emergency occurs. It involves placing hands on your belly and applying firm pressure level to turn your baby to a caput-down position while your infant is all the same in your uterus. Information technology is most 65% constructive and carries some risks.

What are the risks of turning my breech baby?

The risks of ECV include the post-obit:

Premature labor.
Premature rupture of the amniotic sac.
Blood loss for either you or your baby.
Emergency C-section.
Your babe might plow back to the breech position.

Although the risk of having these complications is minor, some healthcare providers prefer not to try to flip a breech baby.

Will my breech baby flip on their own?

Nearly babies will flip to a head-down position before they reach full term (37 weeks). If your baby is yet in a breech position at this time, your healthcare provider will determine if y'all tin evangelize vaginally or if you will demand a C-department.

How can I flip my baby if it's breech?

Some women will try at-domicile methods to flip their baby to a head-first position. They may help, but there is no scientific evidence that they work.

Bridge position: Lie on the floor with your legs bent and your anxiety apartment on the basis. Raise your hips and pelvis into a bridge position. Hold this position for 10 or 15 minutes several times a 24-hour interval.
Child's pose: Rest in the child's pose for x to xv minutes. It can help relax your pelvic muscles and uterus. Y'all can also 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 bottom of your uterus to encourage your baby to turn.
Temperature: Effort placing something common cold at the height of your breadbasket where your baby'south head is. And then, identify something warm at the bottom of your tummy.

A chiropractic technique, called the Webster technique, can besides help your uterus relax. Some providers even recommend acupuncture. Both of these techniques demand to be washed past a professional that your healthcare provider has recommended.

Prevention

How can I reduce my hazard of having a breech baby?

There is aught you tin do to prevent your baby from being in a breech position. If your baby is in a breech position, it's not because y'all did annihilation wrong.

Outlook / Prognosis

Tin you evangelize vaginally with a baby breech?

It's possible to deliver a breech baby vaginally. It tin be more dangerous for the baby and the adventure of injury is much higher. If the umbilical string is compressed during nascency, the baby could be deprived of oxygen and this could harm their brain and nerves. The cord could also slip around the infant's neck or arms, causing injury. Healthcare providers have various levels of comfort with vaginal deliveries of breech babies. Talk to your provider virtually the risks and benefits of different types of birth for a breech baby.

Living With

When should I see my healthcare provider?

Contact your healthcare provider if you experience any of the following symptoms during pregnancy:

Astringent cramping or contractions.
Vaginal bleeding.

What questions should I inquire my md?

Learning your baby is breech may give you concerns about your delivery. Information technology's completely natural to accept questions. Some questions to ask your medico can include:

How tin can I tell if my infant is breech?
Is my baby OK?
What are the benefits and risks of turning my babe?
What are my options for delivery if my babe remains in the breech position?
What are the health risks to my baby and me if they are born breech?

Frequently Asked Questions

Do birth defects cause breech position?

Birth defects are slightly more mutual in breech babies. It might be the reason that the infant didn't move to the caput-down position. Most babies who are breech at delivery are built-in without any health complications.

Will I need a C-section if my babe is breech?

Most of the time, a C-section is the safest way to deliver a breech baby. Your risks of developing complications are much college if you lot try to deliver a breech infant through the vagina. All the same, some healthcare providers may feel comfortable performing a vaginal breech nascency.

How does labor start if your infant 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 delivery is planned, you lot may not take any labor symptoms.

If yous are in labor and get to the infirmary for delivery, your provider will confirm your babe's position a final time. Your provider could endeavor a vaginal delivery, simply it'south more probable they volition go on with a C-section to be safety.

A note from Cleveland Dispensary

Having a breech baby can be unexpected and change the vision you had for childbirth. Talk to your healthcare provider about what to expect during a breech delivery. They can aid you understand the risks and benefits of a breech nascency so that you and your baby are kept safe.

gillamnink1945.blogspot.com

Source: https://my.clevelandclinic.org/health/diseases/21848-breech-baby