Home About Us For Expectant Families Blog Directory For Professionals Calendar Continuing Education Contact
SHOPPING LINKS: My Account | View Cart | Checkout   YOUR CART TOTAL: $0.00   Bookmark and Share
Turning a Breech Baby  


In reading many studies and websites devoted to turning breeches, one thing is clear: there is no one way that will definitely contribute to turning a fetus from breech presentation to vertex presentation. Thus, the reason for the myriad of methods.

Some care providers are not comfortable with attempting to turn a baby who is presenting breech and therefore choose to perform a cesarean section. Expectant parents who are interviewing care providers should clarify the care provider's position on this issue. The incidence of breech presentation at term is overall about 3 - 4 % and in those whose birth weight is greater than 2.5kg the incidence is 2.5 - 3 %. The incidence of breech presentation is higher in preterm pregnancy (at 32 weeks the incidence is 14%).

The following are some methods for turning breech babies that have achieved some success. As with all practices during pregnancy, the care provider should be consulted prior to attempting any practice to turn the breech baby.

POSTURAL INVERSION
Postural inversion (lying with the hips propped up 9-12 inches higher than the head, stomach empty, and done three times per day for up to 20 minutes at a time) after the 30th week: approximately 88.7-96% success rate in nearly 1000 patients. This was reported in OB/GYN News Vol.12, No.1.

POSTURAL INVERSION VARIATION: SLANT BOARD
Begin at 32-35 weeks gestation; do three times daily for 10-15 minutes each time, on an empty stomach, and the baby is active. Prop one end of an ironing board securely on a sofa or chair 12 to 18 inches high (or may use slant board). Lie down, bend knees but keep feet flat on board. Relax, breathe deeply, avoiding tension in the body. Gravity drops the baby's head into the fundus, tucks it, and baby can then do a somersault to a vertex position. This has an 87% success rate if done by the 37th week.

MOXIBUSTION
Indirect moxa or acupressure on Bladder 67 (also called Zhiyin, this can also start contractions, so use caution). It is highly recommended that an experienced acupuncturist or shiatsu therapist do this for your client. See "Moxibustion for Correction of Breech Presentation A Randomized Controlled Trial" Francesco Cardini, MD; Huang Weixin, MD JAMA - November 11, 1998. This article concluded that for primigravidas with breech presentation during the 33rd week of gestation, moxibustion for 1 to 2 weeks increased fetal activity during the treatment period, and cephalic presentation after the treatment period and at delivery (75.4%) in the intervention group vs 62.3% in the control group. (To read more about Moxibustion, click here)

EXTERNAL VERSION
By the 36th week, external version can be done by an experienced practitioner. Research evidence in support of the efficiency of external cephalic version at term to reduce the number of breech presentations, as well as the number of CS is most powerful in the published recent literature.

Upon admission for external cephalic version, maternal vital signs, blood work and confirmation of fetal presentation is done by ultrasonic examination. The client has been NPO (or has had nothing to eat or drink for 8 hours) and a non-stress test (NST) is done. To promote relaxation of the uterus and decrease the possibility of uterine spasms, the client is given terbutaline or a continuous infusion of a tocolytic such as ritodrine. Under ultrasound guidance, the fetus is manipulated transabdominally from breech to vertex. After the procedure, another NST is performed, sandbags may be applied for a period of time around the baby to deter return to the breech presentation and the mother may be instructed to count fetal movements to ensure fetal well-being.

This procedure is offered to patients at 37 weeks unless they have some of the following contraindications to the procedure. Contraindications may include the following:

    • Oligohydramnios
    • Antepartum Hemorrhage
    • Ruptured Membranes
    • Multiple Pregnancy
    • Severe fetal abnormality
    • Caesarean Section necessary for other indications
    • Previous Caesarean Section
    • Poor fetal growth
    • Hypertension
    • Rhesus Isoimmunization (Anti-D globulin is given to Rh negative mothers before attempting external version due to possibility of fetal-maternal hemorrhage).

WATER THERAPY
Swimming in a warm pool can help the baby turn because of the almost effortless stretching and crouching involved. Perhaps doing some bobbing (crouching on bottom of pool in deep water and then pushing off and reaching hands up high as the woman breaks through the water) would be a useful exercise. Increasing amniotic fluid by drinking plenty of water seems to help any method of trying to turn a breech baby as it gives the baby more buoyancy to turn Being in deep water may also squeeze the fluids in your tissues into your bloodstream and increase the volume of amniotic fluid.

HEAT/COLD THERAPY
While doing a pelvic rock on all fours, to pull the baby out into the sling that the abdominal muscles make and allowing for more rotation room, apply cold to the back of the baby's head. The cold can be in the form of a cold pack or even a bag of frozen peas or corn!

MUSIC THERAPY
Mothers have attempted to turn a breech by placing headphones on the abdomen in the fundal area and playing hard rock or "head banger" music. The baby went vertex very soon after! Presumably the baby didn't appreciate the music and turned to get away from it.




6 is the New 4!

View More
6 is the New 4!

The definitions are changing! Let everyone know about it!

Our Price: $$2.00

Item in stock!
Benefits of Water Labor/Water Birth

View More
Benefits of Water Labor/Water Birth

Beautiful photos and references!

Our Price: $$7.95

Item in stock!
Childbirth Education Chart Set

View More
Childbirth Education Chart Set

15 of our best table top charts in one handy binder!



Our Price: $$99.95

Item in stock!
Peanut Ball

View More
Peanut Ball

Also known as the Physio-Ball, this increases stability during labor!

Our Price: $$69.95

Item in stock!
Lamaze Childbirth Education Seminars

View More
Lamaze Childbirth Education Seminars

This Seminar explores adult learning principles, group dynamics and how to teach about normal birth, interventions, cesareans/VBACs, how to use audiovisuals and so much more.

Free shipping for this item!
Item in stock!
Birthing Ball - 65 cm

View More
Birthing Ball - 65 cm

We have the lowest prices on medical-grade physio-therapy birth balls!



List Price: $$32.50
Our Price: $$30.00
You Save: $$2.50 (8%)

Item in stock!
Childbirth Educator Office CD-ROM

View More
Childbirth Educator Office CD-ROM

Essential forms + curriculum for your childbirth education business with over 50 handouts!

Our Price: $$29.95

Item in stock!
  
CIMS

Please feel free to look around, read our disclaimer, and check out the links to other related sites. If you have any questions, send us a message.

We will reply as soon as possible. Funding for this site is provided solely by Perinatal Education Associates, Inc. Perinatal Education Associates, Inc. undertake to honor or exceed the legal requirements of medical/health information privacy that apply in the State and Country where this website is located. All content is written by the owners of the site unless otherwise noted.

Privacy Policy: Perinatal Education Associates, Inc. does not record or maintain any information, confidential or otherwise, in any database. No names, email addresses or other data is retained. This website does not use cookies. The site undertakes to honor or exceed the legal requirements for medical/health information privacy worldwide.

All articles appearing on www.birthsource.com were written by the founder/President of Perinatal Education Associates, Inc unless otherwise noted. The information on www.birthsource.com is copyrighted. Unauthorized use of the exact content will be met with legal action. To obtain permission to use this information, please contact info@birthsource.com.


Birthsource.com...your ONE source for birthing information!

Vote for this site in The Webs Best Natural Birth Sites


Website Last Updated: Saturday, November 22, 2014 | For information about this site or for permission to reprint, contact the Webmaster

Copyright 1999-2014 by Perinatal Education Associates, Inc. | Website Design by WEBSOURCE LLC, Dayton Ohio