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If the baby is in a heads-down position during the days prior to delivery, he is said to be in a normal birthing position. The baby in a normal delivery marks a grand entry into this world by showing his head first. However, in some cases, the baby might not be in a heads-down position and might be having his buttocks, and feet towards the lowest point in the uterus. This is technically referred to as a breech presentation. Although, a breech baby is not a cause of extreme worry as most breech babies are born healthy, yet special considerations are required to birth a breech baby. In such a case, doctors usually try to bring baby in a heads down position by attempting to change the baby’s position externally. You must have vaguely heard about the inversion technique while giving birth then we is going to give you all the information you need on the process.
There is no specific reason as to why a baby takes the breech position. A number of factors like multiples, an abnormally shaped uterus or the placenta, more or less fluid around the fetus etc. make the baby shift its position. A baby till about 35 weeks changes positions very frequently, and that is what mother’s perceive as fetal movements, but post that, sometimes, the baby is unable to change its position. This could be because of space and size issues, and that is why external efforts are used to change the baby’s position from breech to normal.
Some studies also connect the metabolic function of the mother to the fetal position, which is related to thyroid disorders. A baby may also take a vreech position if the umbilical cord gets wrapped around her, or the placenta is low lying and blocks the room for the baby’s head. Some experts also believe that having too tight or too lose uterine ligaments and muscles (twisted or torqued)may also be the reason a baby assumes a breech position.
A baby’s breech position is not an issue till the 30th week or so, and it is not considered an issue. Till about 32-34 weeks, if there are no physical limitations to the womb, breech is not an issue. However after that, it is suggested to encourage a heads down position to facilitate delivery. The journey of breech babies can be somewhat summed like this:
Though the technique in which your particular case is to be handled can differ, only allow trained people to take you through it. Here’s whom you can trust:
Well, your baby has the full liberty to spin and roam whichever way it wants to while in your tummy. The baby keeps changing its position when you sit, stand or lie down. Yeah, maybe he enjoys all the spinning but when it’s time for delivery if the baby is not in the right position it can be a hindrance to the natural birth process and force you to do for a c-section against your wishes.
ECV or External cephalic version is a technique that, under appropriate medical conditions, and assuming you are fit for it, is used to turn a baby from a breech position to a heads-down position before the process of labor begins,
So, this technique of spinning a baby is all about getting your baby in the right position and ready for birth i.e its head coming out first instead of its buttocks – with help of a little bit of stretching and balance.
First of all, clarify your medical conditions if any with your caregiver. Your doctor will assess your and the baby’s position and decide whether to go for a version or not. If the answer is affirmative, the doctor will administer you a tocolytic medicine like terbutaline and attempt to turn the baby’s position by holding your abdomen and placing one hand on the fetus’s head and the other by the buttock. With this, the doctor will attempt to push and roll the fetus to a head-down position.
You could experience discomfort as the uterine contracts in this procedure. The baby’s heart beat is constantly monitored, and the procedure will be stopped immediately if the heart rate seems to drop.
The caregiver may also try to make the baby’s breech position to change with the below steps:
This is a traditional Chinese medicine wherein a moxa stick is used as an acupuncture. Usually, it is placed between the toes and burned, and ths should encourage your baby to turn position, breech (bottom first) to cephalic (head first). If nothing else, it will certainly make your baby move. Moxibustion is considered safe and does not harm the baby, but you must consult a registered, qualified acupuncturist, before trying it out.
If you are feeling strong kicks near the naval area then you can be sure that the baby has flipped into the right position. Another way of making sure is that you will fell heavier in the pelvis region.
If your doctor says your baby is in the breech position and needs spinning. Don’t be afraid, it is a common condition and can be taken care in the easy above mentioned ways.
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