PREGNANCY-BIRTH Messages for April, 1999: Re: Breech baby

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Re: Breech baby

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Sun, 11 Apr 1999 18:17:26 -0500 (CDT)

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In reply to: anneminke: "Re: Breech baby"

At Sun, 11 Apr 1999, anneminke wrote: >
>Hello Christine,
>
>Seems like all babies that are due April 27th are in breech!
>Mine has been in this position ever since week 28, and when I had my
>check-up last Friday, my ObGyn told me that chances that she will turn
>during those last two weeks are getting very slim.
>
>I have looked up some statistics that say that:
>
>30% of all babies are in breech at 30 weeks. More than half of them
>will turn in the next two weeks;
>
>14% of all babies are still in breech at 32 weeks. There is a 60%
>chance that these babies will turn.
>
>Less than 5% of all babies are still in breech at 37 weeks. About 25%
>will turn before term, allthough chances are smaller when both legs are
>up (complete breech), when there is little room, in a twin pregnancy or
>when the baby is big.
>
>And there are babies that decide to keep everybody guessing until the
>very last moment, and turn the moment delivery starts! (dr. Miriam
>Stoppard: Conception, pregnancy and birth. London, Dorling Kindersley
>Ltd.)
>
>In my hospital they prefer to do a Caesarian when its a first baby in
>breech. And our little girl has one foot up, and one folded uner her, a
>'dangling breech', so we're preparing ourselves for a CS. A great
>disappointment, indeed, but the health of my child is more important
>than the way it was delivered!
>
>Hope your little one will still turn in time!
>Best of luck,
>Anneminke (due April 27th)
>
>At Fri, 9 Apr 1999, Christine wrote:
>>
>>I am due April 27th (37wks) and my OB suspects that the baby is feet
>>first. At 33 wks the baby was breech, 35 wks the baby was head down
>>again. I thought that most baby's by this point were in the position
>>they will be in for birth due to decrease in room (I am 5ft 9inches). I
>>am to go in for a fetal assessment and then discuss my options next
>>week. Just wondering what the chances are that the baby will flip
>>around before 40wks. I was really hoping to have a VBAC this time.
>>
>>--
>>Christine
>>

Christine and Anne I agree with what Anne has said, and probably most ob will suggest C/S with a first baby breech and with a VBAC (this is because of the potential manipulation that may accompany a breech and the risk to the uterine scar). I tell my patients to try pelvic rocks in an attempt to change gravity and to gently "massage the baby". Some docs may suggest an external version, ask yours if he (she) is in favor of this. But of course, remember as Anne has stated, baby health is first and foremost here! Good luck to you both. Dr. von Almen

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

Next message: William F. von Almen, II, MD: "Re: Enlarged uterus?"
Previous message: William F. von Almen, II, MD: "Re: symptoms of pregnancy"
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