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Your second hypothetical situation

post #1 of 7
Thread Starter 
Thank you for responding so actively to the first hypothetical situation.

This next situation is not one that occurs during labor or birth but rather during pregnancy. I am particularly interested in this situation because I had this happen to me. (BTW, please feel free to continue to post in the first thread...)

Hypothetical #2: TRANSVERSE BABY AT 36 WEEKS

Gina is 36 weeks pregnant with her first baby. She has been seeing you since week 20 and so far nothing complicated has happened during her pregnancy. She is 18 and unmarried, although she and her partner are engaged and living together. They have opted to have a home birth.

At her 36 week appointment, you discover that Gina’s baby has not turned head down, and is in fact lying transverse. She seems to be carrying ‘big’ and you suspect that there could be enough room for the baby to turn, but you feel that s/he may need some help. What do you do?
post #2 of 7
Chances are, with stronger Braxton-Hicks contractions in this last month, the baby will turn on its own. After all, that's one of the reasons for the stronger BH contx - to "smooth" baby into better positions.

I had a client who had a history of preterm birth with her first, and with her 2nd, the baby was transverse until 38 weeks. I think it was helping to keep her sane - and staying off the cervix. Perhaps there would be some emotional concerns that the mother has that the baby is protecting her from...?

Anyway, positions help - like no bending at the waist, knees lower or at the same level as the hips. Some moxabustion, chiropractic, or even homeopathic Pulsatilla wouldn't hurt anything.

Only if we got to 38 weeks or so with no success in other methods would I look into an external version. A nice full body massage before, then some valerain root to help relax abdominal muscles, then gently nudge baby while an assist listened to heart tones throughout.
post #3 of 7
I would have her do the exercises, and also write a letter to her baby, uterus, or pelvis. If that did not work then the version.

Also, I have a question: I understand the risk of letting a transverse baby lie that way until labor starts is that it can lead to prolapsed cord when the water breaks, since there will be no part (head or butt) lodged in the pelvis. Is that true? Also, couldn't the mom just be allowed to labor anyway (perhaps in hospital) and then only operate if the cord prolapses?
post #4 of 7
the booklet 'optimal foetal positioning'
has some specific ways of binding and positioning, I believe I might suggest, as I am learning here ,I would suggest to mom and midwife,
massage and acupuncture also~
post #5 of 7
Thread Starter 
You know, I wish that I was given some of your guys advice! I had a rather nasty experience! I was first sent for accupuncture which didnt work, then I had to go for an ECV (on my 18th birthday... ) and the doctor was a real !
She didnt even greet me before she started poking and prodding. I had to ask what she was doing and why...

It was at a Government Hospital (which in South Africa are under-equpped, under-staffed and most of all unmotivated... sad but true) and I felt so sorry for the other moms around me...

There were mothers who had just had their babies in the same room as me! I felt so awful for 'intruding' on theire sacred space!

It was a really experience for me... I wish I had known there was some other things I could have tried...

Thanks for the input guys!!!
post #6 of 7
I know it is not advisable to wait for labor but my mom had two experiences that make me think it's never too late. Her first baby was breech before they where doing C-sec for them and turned at almost complete dialation to vertex presentation then they put my mom out for the delivery. And me her 8th baby I was transverse presenting with a shoulder they let her labor for 24 hours after which I turned to vertex. So I wouldn't give up on a lady if nothing worked I would still hope for a trial of labor closely watched of course.
post #7 of 7
I read that it takes an hour to prepare a woman for an emergency c/s. In my case, it takes less than 5 minutes to drive to the hospital. I would feel comfortable staying home and just seeing what happened, then transporting only if a serious emergency happened.
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