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Re: Breech Baby - EXTERNAL VERSION & INDUCTION
From: Claudia Twisdale RN (anonymous@obgyn.net)
Wed, 28 Feb 2001 10:43:06 -0600 (CST)
Many factors at stake here: Is your pelvis average, or small? Also,
induction is not going to be real productive if cervix is not favorable.
Just because baby may get turned to vertex does not immediately mean
cervix is going to be ready. I have seen external versions, some have
worked, but majority did not. Is this baby #1? If not how big were
other baby's? Most of the OB's I know would most likely not do a vaginal
birth on a 1st time mom with a breech baby. Bottom line: what do YOU
want?
At Wed, 28 Feb 2001, Tracy wrote:
>
>Hi!
>
>Just to let you know, I'm in the UK! :)
>
>I am currently 36 weeks and 4 days, and my baby is still breech. It has
>flipped repeatedly and constantly throughout this pregnancy and still
>flops from side to side. My midwife calls the baby 'volatile', whatever
>that may mean. Also, my baby is measuring big (possibly due to being
>breech position), yet they feel it is already near 6.5 lbs.
>
>I am having a scan this Friday (37 weeks) to check the baby's position
>for sure and to see if there are any indications of why the baby might
>be in this position. If the baby is still breech, I will be offered an
>external version (monitored by ultrasound) and failing that, a monitored
>vaginal birth or scheduled c-section between 38 - 39 weeks.
>
>I don't want to risk a vaginal breech birth. I am scared of having an
>external version and then being left to go into labour naturally as the
>baby will more than likely at this stage flip back and I'll end up with
>a emergency c-section anyways.
>
>I was reading here that sometimes an external version at this late of a
>stage should/could be followed by induction in order to ensure that the
>baby is vertex. I would LOVE this alternative to a c-section but feel
>that my doctors here will not agree with this opinion as they have not
>offered it, nor do they really 'agree' with induction except when you
>are already dilation/effacing. What is the difference between a
>scheduled c-section at 38 weeks and an external version and immediate
>induction?
>
>What would be your recommendations? Furthermore, how do you suggest
>approaching this subject with my doctors without sounding like a know it
>all?
>
>Thanks
>
>--
>Tracy
>
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