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Re: 37w2d, baby transverse
From: Dani-Sue (anonymous@obgyn.net)
Fri, 26 Jul 2002 11:01:23 -0500 (CDT)
At Fri, 26 Jul 2002, Melissa wrote:
>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
>>
--
>Hi Melissa,
Both my babies were transverse and external version was unsuccessful. The
C section was not bad at all. I was a little disappointed with regards to
being denied a natural child birth, but all came out very well and I am grateful
that both my boys were safe, sound and healthy. Good luck and take care. :-)
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