BREECH DELIVERY
Breech Delivery , which happens in around 3% of pregnancies at term, refers to a fetus whose presenting
portion is the buttocks and/or feet. Although most breech fetuses are normal, this position is connected
with an increased incidence of congenital abnormalities and moderate deformations, torticollis, and hip
developmental dysplasia. Pregnant women with breech fetuses at or near term are usually offered
external cephalic version (ECV) because a persistent breech presentation is often delivered by planned
cesarean, which is associated with a clinically significant decrease in perinatal/neonatal mortality and
neonatal morbidity compared to vaginal birth.
Based on the Video The infant presents for birth with his or her bottom or feet first, rather than the head.
Preterm birth, small fetal size, congenital anomalies, and perinatal mortality are all associated with
increased morbidity and mortality for the mother in terms of emergency cesarean section and placenta
previa; and for the baby in terms of preterm birth, small fetal size, congenital anomalies, and perinatal
mortality. External cephalic version to enhance the probability of vaginal delivery or a scheduled cesarean
surgery are treatment options, with the ideal gestation being 37 and 39 weeks, respectively. For
newborns with a persistent breech presentation at term, planned cesarean section is considered the
safest method of birth.
A scheduled cesarean birth (C-section) is usually the safest option for the infant. If your fetus is still breech
around your due date, your doctor will most likely arrange a cesarean section. If you have a midwife, she
will refer you to a doctor for a scheduled cesarean. In some cases, a cesarean breech birth is not
recommended or even possible. A vaginal delivery, for example, may be the sole choice if a breech labor
proceeds too rapidly. When the first twin is head-down and the second twin is breech, both infants may
be best delivered vaginally. Every labor and delivery is different, no matter what position a baby is in.
Despite the fact that you and your doctor have discussed it.
For me both breech and cephalic term singleton presentations, a home or birth center environment
results in high percentages of vaginal delivery and favorable mother outcomes. Out-of-hospital vaginal
breech delivery under strict protocol rules and with a qualified practitioner may be a realistic alternative
for women desiring to avoid a cesarean section—especially when a hospital breech birth is not an option.
However, this investigation lacks the power to compute unusual poor neonatal outcomes. For me an
external cephalic version is a technique that allows a doctor to change a newborn from breech to headdown. (If you are using a midwife and the baby is in breech position, your midwife will refer you to a
doctor for this treatment.) If the baby can be shifted head-down before labor begins, you may be able to
have a vaginal delivery. You can also ask your doctor whether you can attempt various postures at home
to assist turn your baby. This is referred to as postural management. There has been no research to verify
that this helps, but it is not hazardous. It could work for you. It's natural to be sad and concerned about a
breech pregnancy, especially if the doctor says so.