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Re: 37w2d, baby transverse
From: Melissa (anonymous@obgyn.net)
Fri, 26 Jul 2002 09:45:36 -0500 (CDT)
This is my second child, my first was born 5/18/00 at 38w3d. Normal
vaginal delivery after SROM, baby 8 lbs. This baby is not fully breech,
rather diagonal. I do not think vaginal in this position is possible. I
see my doctor on Monday when I will be 37w5d, will this be too late for
an ECV? Would an ECV be more likely to be sucessful with the diagonal
transverse position than full breech?
Thanks Melissa
At Fri, 26 Jul 2002, Bernard Cristalli MD wrote:
>
>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. 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? 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? 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.
>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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