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Re: Dr Marchbein - re: alt ways of turning breech

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 9 Jan 2000 12:03:19 -0600 (CST)


At Fri, 7 Jan 2000, anonymous@obgyn.net wrote: >
>Hi Dr Marchbein
>
>I read with interest your response regarding the knee to chest - butt in
>the air method of turning a breech baby.
>
>My question has always been and no more than after my last baby - can't
>this cause some compression of the cord or enable the cord to become
>entangled.

Doesn't seem to do this.

>Because all of my babies have presented in odd ways due to
>the shape of my pelvis (roominess, some rude people might say!) I have
>been given all these odd exercises to do. For my posterior presenting
>babies I have been told to lie on my left side for 10 minutes then all
>fours for ten minutes, then right side for ten.
>
>It concerns me that three out of my five babies have had the cord around
>their necks and obvious my last little one had the cord very tightly
>around. How about ECV. Can that cause the cord to entangle?

Possible, which is why babies are monitored after ECV (external cephalic version).

>I know that some 40-45% of babies are born with the cord around their
>neck or wherever and are just fine. Could there be something about my
>physical makeup that encourages the cord to cause problems.

Doesn't seem likely. It's the way the baby swims and entangles itsef. Are you a good swimmer? ;-)

>This cord business now really scares the daylights out of me. I am
>currently 10 weeks pregnant and will have an Elective Caesarean in light
>of previous problems.
>
>Many thanks
>Olivia

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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