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Re: breach baby

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 25 Jan 2000 20:55:28 -0600 (CST)


At Tue, 25 Jan 2000, Lisa wrote: >
>I am 41 years old. I am 34.5 weeks into my pregnancy. I found out
>today that my baby is breach. My last baby was born vaginally, but the
>one before that was cesarean, because he was breach and the doctors were
>unable to turn him. I have a fibroid near the cesarean incision. I
>desparately want to deliver this child vaginally. Is it possible to
>turn the baby with the fibroid and incision?

Many physicians consider a previous section a contraindication to external version (turning the breech). Some do not. There is no 100% consensus at this time.

>What percentage of babies
>who turn breach at this stage of pregnancy turn back over on their own?

About 35-50% "flip" according to many articles. By using elbow and knee position (wrtten many times in the archives) as well as Moixbust.. (?sp) a Chinese herb, the "spontaneous" version rate is above 80%.

>If I have to have a cesarean, what are my chances of retaining my uterus
>intact, given the other problems.

Unless I'm not aware of the full magnitude of the fibroid, it isn't usually a problem.

>(I also don't want a hysterectomy!)
> Any help would be greatly appreciated!
>
>--
>Lisa Witham
>email: anonymous@obgyn.net
>

--
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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