My feed
Premium

Please
or
to access all these features

Get updates on how your baby develops, your body changes, and what you can expect during each week of your pregnancy by signing up to the Mumsnet Pregnancy Newsletters.

Pregnancy

Breech baby at 32 weeks - Will it turn??

15 replies

SAEJ · 13/05/2008 17:17

Hi,
Looking for some advice from anyone who has had a breech baby? This is my first baby and when I went to the midwife today she told me the baby was breech and that if it does not turn in the next two weeks then I will have to go to a consultant to be considered for a c-section!! I really don't want a c section if I can avoid it, does anyone know if the baby is likely to turn or if there is anything I can do to encourage it to turn?

Sarah

OP posts:
Report
Takenoprisoners · 13/05/2008 17:33

Hi SAEJ - I'm 32 weeks too with my 2nd pregnancy. My midwife has told me the same thing with both of these pregnancies: and that is, that they don't start 'worrying' about position of the baby until 37 weeks. Between now and 37 weeks, is very likely that your baby will move around lots. I know most birthing & obstetric units will want you to have a CS if baby is breech, as you do need specialised midwife training for a vaginal breech delivery, but I wouldn't worry about it at this stage . In the meantime, you could try spending some time each day on your knees, bent forward and resting on your elbows - it's supposed to help, and try not to lounge backwards but sit forwards too (birth balls can help here). HTH, good luck!

Report
mollymawk · 13/05/2008 17:39

I had the same at 32 weeks and the MW said she was relaxed at that point and would only think about making appointments to decide what to do about a breech baby if it was still that way at about 35 weeks I think. Mine turned over though (don't know when!). Still not born though - due yesterday...

I think about 16% are still breech at 32 wks but only about 4% by term (I did lots of panicky internet research about it, can't you tell?).

And there is lots of stuff on here about breech births if you should need it.

Report
SAEJ · 13/05/2008 17:49

Thank you both - reassuring and informative! I hoping that I am worrying for nothing. I am a bit of a gym junkie and my midwife has said that if my stomach muscles are very strong then the baby is far less likely to turn.

Will definately try sitting/kneeling down to see if that helps too.

Molly - hope your LO arrives soon!

Sarah

OP posts:
Report
Lizzer · 13/05/2008 17:55

I tried accupuncture and homeopathy, something worked cos ds turned at 38w. Good luck

Report
asur · 13/05/2008 20:10

according to NICE guidelines, fetal position shouldn't be palpated till 36wks to avoid unnecessary worrying of mother... Based on that, I would say, don't worry - plenty time.

Report
SAEJ · 13/05/2008 21:46

More positive news - feeling much better!!

OP posts:
Report
Tangle · 13/05/2008 22:08

DD was breech at about 28 weeks, and stayed that way. She was unusual in that she decided not to turn, and was born as a breech baby at home with IMs.

Most babies that are breech at 32 weeks will turn by themselves. That said, the longer you leave it to give a little gentle persuasion the less chance there is of it working... I signed up with the IMs at about 36 weeks, partly because DD was still breech - from my perspective, I really wish my CMW had been more concerned at 32 weeks as then I might have been able to do something about it...

Definitely look for a skilled accupuncturist, and ask about moxibustion. You could also look for a chiro/physio/osteo and ask about the Webster technique (if there is asymetry in the mother's spine/pelvis it can cause torsion in the uterus making it hard for baby to turn - if you can remove the asymetry you should release the torsion). There's also an assortment of optimal foetal positioning stuff you can try (have a look at www.spinningbabies.com)

If you want to do some background reading, track down a copy of "Breech Birth" by Benna Waites and/or "Breech Birth: What are my options" by Jane Evans and google Mary Cronk. The former includes a chapter on complementary methods.

Try not to stress, but do start to think. And if you feel strongly about not having a CS then start doing your homework now - as if you have a meeting with a consultant to "discuss" options you'll almost certainly be told that those options are either a succesful ECV or a CS, and that's just not true.

Report
justjules · 13/05/2008 22:10

This reply has been deleted

Message withdrawn at poster's request.

middymee · 14/05/2008 00:16

Around 30% of babies are breech at around 28wks and drops until 37wks when 3-4% remain breech. The reason they don't turn breech babies before 37 weeks is its less likely to stay head down the earlier you are.
Don't panic, your midwife shouldn't even be palpating for position at this stage, only measuring fundal height.

Report
Hersetta · 14/05/2008 10:28

Mine turned at 39 weeks - the day before my ELCS - didn't find out that she had turned until I was on the operating table though. They then sent me home!!

Plenty of time yet for your Lo to do a 180.

Report
Tangle · 14/05/2008 21:23

The other reason they don't usually do an ECV before 37 weeks is because, infrequently, the procedure can cause distress to the baby such that it needs to be delivered by CS - and they want to avoid doing that to a pre-term baby. It is RARE for this to happen, but it can happen.

Having been in the 3-4% of women who's babies remain breech, I personally don't think its good advice not to discuss this till 37 weeks. I can see that if you're in the majority where the baby turns then you've been saved unnecessary worry. But if you're in the minority, stubornly breech group then it can all come out of nowhere.

My experience with the NHS side was that, once I'd been scanned as breech at 36 weeks (I was able to push for an earlier scan as CMW was palpating "early" ) I was booked straight in to see the consultant. At that meeting, I was basically given the choice of a successful ECV or a CS. When I asked outright, they said I would be "allowed" a vaginal breech delivery - which would be obstetrician led, in theatre ("just in case"), in lithotomy, with forceps (and so quite possibly an episiotomy) and with a large supporting cast ("it sounds like a lot of people, but some of them are just there for education because breech births are so rare" - nice to know they were going to ask my consent, then!). Justification for recommending a CS was the Term Breech Trial - "we know its flawed but it's the best we've got." They wanted me to make appointments for the ECV and to see the anaethetist then and there - if I had been 37 weeks+ there would be very little time to go away and think about it as they'd want to schedule the CS for 39 weeks. Plus the fact that the way the Obs presented the information there really wasn't that much to think about - does that version of vaginal birth sound tempting to you?

Fortunately I'd already had a chance to do some digging of my own and talk to experienced midwives. I knew that the Term Breech Trial wasn't worth the paper its printed on, and it has been thoroughly discredited on both sides of the pond. I strongly felt that the information given to me in that meeting was more than a little skewed towards keeping me in their comfort zone.

By finding out early, I was able to take the time to do my own reading and make my own decision. For me, that meant talking to IMs and, very fortunately, finding some that had the capacity to take me on at that late stage. One of the other reasons we went with IMs was that we were disilusioned with our NHS CMW by that stage (ignoring the whole breech issue we wanted a homebirth and she wasn't particularly supportive) - there are still breech midwifery skills within the NHS and a passing comment made by one of the midwives at the hospital did make me think that a hands-off, midwife led breech birth might have been possible with them. If I'd wanted to follow this up I'd have been talking to the Head of Midwifery and doing my best to sideline the consultant. Sadly these skills are reducing within the NHS (as so many babies are born by CS), so that might have turned out to be an impossible dream.

Sorry - this has turned into a complete essay and a bit of a brain dump . I just think that the way the NHS handles breech babies by default isn't necessarily in the best interests of either mothers or babies. I felt very much like I was chucked into what some statistician with poor data had decided was the best course of action, without anyone bothering to find out whether it was appropriate for me (what on earth was I thinking, expecting individualised care ?)

I wish I'd been pushed to be a bit more pro-active when I was palpated as breech at 28 weeks, 32 weeks, etc, as going through the NHS breech route at 37 weeks when there isn't much time left for your baby to turn is far more stressful than if you start early when anything you do is more likely to work. And now I'll shutup. finally. (sorry )

Report
Fleurie76 · 15/05/2008 12:08

Hi SAEJ
I had an ECV two weeks ago to turn my baby at 37 weeks who had been breech for weeks. I too had (note past tense!) reasonably strong abs pre pregnancy but the baby was turned successfully (took around 5 mins) and is now happily head down. The baby's heart rate was raised afterwards but we were kept an eye on and talked through the whole procedure and only discharged when the baby's heart was back to a normal rate.
However as other posters have said, if you want the baby to turn, give some positions a try now but don't worry unduly if you need to have the ECV, it was uncomfortable but not that bad!
Good luck

Report
SpecialOffer · 15/05/2008 12:10

My son turned by himself at 36 weeks - there is still hope your baby will turn naturally!!!

Report
Madamejaffa · 15/05/2008 13:39

I have 3 dc's, all of whom were breech at 32 weeks and all of whom had turned by 36 weeks. Between 32 - 37 weeks there is still a massive chance baby will turn.

On our May 07 ante-natal thread at 32 weeks there were 12 breech babys. Not one needed intervention or was still breech by EDD.
Most of us did however use some of the ideas on the spinning babies website so worth a shot I'd say.

However, if you do need the ECV, my sister had one at 37 weeks for her first, the turn was successful and relitavely pain free and he stayed put for a normal delivery.

Report
Treeny · 15/05/2008 14:34

Do you feel your baby moving much? If so then I guess it's more likely to turn at some point.

My DD2 was breech and was stubbornly not for turning - she was in the same position at 39 weeks that she'd been in at 28 weeks. (We had a lot of scans etc, for various reasons, so I always knew where she was.) I hardly felt her move at all - just enough each day to let me know she was there, but certainly none of the wriggling around that I experienced with DD1.

So I wasn't surprised at all when she remained breech - I made some effort to encourage her to move, getting on my hands and knees etc, but with no result.

The usual thing is for a doctor to try ECV after 37 weeks. That didn't happen in my case, because DD1 was born by emergency c-section, and they won't do ECV on a scar. So at my 36-week check I was booked for an elective section, which I had at 39 weeks - it all went according to plan and was very straightforward.

I can understand not wanting to go the c-section route if it's your first baby - I wouldn't have wanted that either - but if that's what ends up happening it can be OK.

Report
Please create an account

To comment on this thread you need to create a Mumsnet account.