Originally Posted by JackieM
I'm 32 weeks right now, and from what I understand, transverse can actually be trickier to turn than breech. That's because most transverse babies need to tuck their chin, roll UP to breech, then roll DOWN through another transverse lie and finally to vertex. A baby may be able to simply rotate the 1/4 turn down to vertex if baby is laying with its back toward the sky and its face toward the ground, but that's not usually the case, from what I understand from talking with both my homebirth midwife and my hospital CNMs ... Very few babies will "back flip" to vertex, so it really depends on how the transverse baby is lying. There's not a lot of research that I've been able to find on transverse lie. I know there's no way a trasnverse baby can be born vaginally unless he/she flips to breech or vertex, so that's probably why.
I just can't believe I'm going through this again with baby #2. I've finally come to the conclusion that yes, there may be something with my body that makes me incapable of carrying a term vertex baby, but that does not automatically mean that I can not BIRTH a breech baby. Make sense? So I carry breech; that doesn't mean I can't birth breech. Maybe it's just the way my body needs to do it ...
jackie - having one breech increases your odds of having another (OK, it doesn't really increase your odds, your odds are the same as they always were, it's just that those of us who carry breeches are the ones who tend to carry breeches). It is also thought that breeches run in families, although it may just be that it's the breech-carrying mamas who have occasion to ask their relatives about whether there's a history (breech is so common that most families are likely to have at least one within living memory).
to the OP - I haven't read all the responses yet so forgive me if I'm repeating what somebody else said or if you've updated again - but vbac and breech do not compound risks, they have nothing to do with each other and don't present new risks in combination. This of course has not actually been studied (insert rolling eyes here). Although all else being equal, I personally would be more comfortable birthing a breech in hospital (with a MW or a progressive OB), I would do it at home before consenting to surgery again. I would feel pretty comfortable birthing a breech at home with a MW who would encourage me to be upright. and if I do ever birth again, it will probably be at home regardless of presentation as I tend to have precipitous births.
If you're looking for evidence based info regarding breech please visit my website - it might help you feel more at peace with whatever decision you come to.