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Re: 37w2d, baby transverse

From: Bernard Cristalli MD (anonymous@obgyn.net)
Fri, 26 Jul 2002 08:45:42 -0500 (CDT)


At Fri, 26 Jul 2002, Melissa wrote: >
>I am 37w2d and found out yesterday via u/s that my baby has turned into
>a transverse position since my last appointment a week ago (when the dr
>found me 1 cm dilated,no effacement, no station given, but head down
>"and not going anywhere - oops on that one!) Her head is in the upper
>right quad, butt in lower left, feet at birth canal (though since I have
>also felt feet in upper left quad). She is measuring 7 lbs already and
>fluid level is 19.6. I am A1DM with weekly NST that are normal.
>Placenta is in upper left quad at back of uterus. What do you think the
>chances are of her moving back to head down? I read about external
>versions being 50-60% successful for breech but nothing about any
>success with transverse. At what point would a dr attempt external
>version? My doctor is out of town until Monday (when I have an appt) so
>I would be almost 38 weeks before it could be attempted - are my chances
>small? Anything I can do over the weekend to encourage her to turn back
>to head down? When would a c-sect. be performed if necessary? What are
>the risks if I go into labor with baby in this position (uterine
>rupture, death, etc). Any suggestions?
>
>Thanks!

---

Things are not quite the same if it's your first pregnancy or not. If it's the first one a version (spontaneous or external) is unlikely. If it's not your first delivery the baby may turn alone and an external version is possible. Should the baby stay in that position (breech) the way of delivery has to be discussed with your doctor. A c-section may be done as early as 38 weeks (lmp). A vaginal delivery is possible if the baby is really in breech and has to be discussed with your OB. It is totally impossible for a transverse lie where a c-section has to be done.

--
*These comments are for educational purpose only.  They can't replace an examination by your doctor.
* I won't have time to answer personal mails, please post to the forums.

Bernard Cristalli MD AMACOG AIHP - ACCA - Paris France OBGYN.net Editorial Advisor Urogynecology Editorial Advisory Board http://www.obgyn.net/corresp/cristalli.htm




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