Re: Terbutaline and Breech Baby

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>
>I am 28 weeks pregnant with my second child. I was put on bedrest and
>terbutaline at 19 weeks due to preterm labor and dialation. I was wondering
>about the effects of terbutaline and labor. I have heard that since this
>medication stops preterm birth that most women go over their due dates and
>eventually need to be induced, therfore causing a long and hard labor.

Hello Yvette, I congratulate you on the successful continuation of your pregnancy all the way to 28 weeks! I'm sure that these last 10 weeks have been long and ,especially depending on the age of your son, more than a little stressful. However, don't lose sight of your goal, getting to term. I'm sure there are studies available about how many women treated with terbutaline go past their due dates and need induction, perhaps one of the listers will be able to answer that part of your concern. But it is a lot easier to make an induction a managable and positive experience than it is to make a preemie baby grow and breathe on its own!! You are doing a great job, don't get scared, the best predictor for your next labor is the ease with which you birthed your first child. >
>Also, my child is in a breech position at this time...I know that it is still
>early and that it can flip at any time, but I was wondering if there was
>anyway I can turn this child around NOW before it gets to big to turn on its
>own. I had a very easy labor and delivery (vaginally) with my first son and
>I was hoping that this one would be just as easy if not easier.
I understand your thinking, but actually, later is better. The best time to turn a breech baby is as close to full-term as possible, because the method used to turn them (external cephalic version) can sometimes itself induce labor or result in other complications needing delivery. Most MDs will not try a version before 36 to 38 weeks for this reason. Depending on your caregiver's advice, as you get closer to term you could try sleeping with the foot of your bed very elevated, this frequently persuades a baby to turn on its own. But leave it till a little later, otherwise the baby is just as likely to flip itself back into breech and what have you gained? Before 28 weeks about 25% of babies are breech, but by term only 3 to 4% are still breech.

Hang in there. Margaret

--
Margaret Lipton CNM in private practice in rural New York

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