Re: Transverse positioning.

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Because the uterus does not have a normal shape, there is an increased chance of the fetus have an unstable lie. This means that if the membranes ruptured (water broke) there would be a possibility of the cord slipping under the presenting part. This could cause cord occlussion and fetal distress. While there is a possibility of the baby turning, or even your obstetrician turning the baby, the success of this is decreased when the shape of the uterus is abnormal.

>Also, when is the decision made to do a
>c-section? At first sign of labor pains? Or down the road, if the baby
>doesn't turn?

In your wife's case I would consider trying to turn the baby at 37 weeks, if this fails then perform an elective c-section at 38 or 39 weeks (depending on ultrasound findings) or when she develops regular uterine contractions with some cervical change. >
>Thanks for your help
>

Glad to be of help.

--
Richard Chudacoff, MD
Baylor College of Medicine
BaylorMedCare
Houston/Sugar Land, TX

Advisory Board-OBGYN.net
http://www.obgyn.net/board/chudacoff.htm

*Note:  Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.

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