She explained that external version is an option, but that they are not as effective with a first pregnancy because the uterus will not be as flexible. Also, if there is a reason that he's not turning (cord or stuck somehow) the additional trauma could be harmful.
I'm doing yoga and I'm going to call an acupuncturist tomorrow. Does anyone have any good ideas for turning the baby?
If the baby does not turn, what options should I be aware of? What should I know about c-sections, especially if I hope to have a VBAC in the future?
Birth Plan for my C-section
•I would like the catheter inserted after spinal is administered
•I would like to have a hand free to touch my child when he/she is born
•I would like the drapery lowered at the moment of birth so I can see my child being born.
•I would like to see the baby immediately after birth if possible.
•If possible, I would like the baby placed on my chest immediately after birth.
•If my husband needs to leave to accompany the baby to the nursery, I would like my step-mom to come and sit with me for the remainder of the surgery and in recovery.
•We do not know the sex of the baby and would like Dad to announce it
•We respectfully decline the following newborn treatments:
oHepatitis B vaccine
oNewborn Eye Ointment
•I do not want the baby bathed. I would like to be the one to give the baby his or her first bath.
•I would like the chance to nurse the baby first if blood sugar is low.
•If possible, I would like the baby to have his or her assessment done in the OR and have him or her come with me to recovery. If not possible, Dad will be with the baby at all times
•I would like the baby brought to me in recovery as soon as possible so we can begin nursing.
•If the baby is a boy, we will not be circumcising
•I respectfully decline the use of all bottles, pacifiers, and other supplements. Nursing is very important to me as a mother and I would like to get the opportunity to set the baby up with the best start.
Second, I would suggest looking for a care provider (midwife, OB...whomever) that is experienced in breech vaginal births. Breech is just a variation of normal. An automatic c/s for breech is an outdated policy that was based on a bad study. I recommend reading up on breech vaginal birth here.
Also check out a Webster trained chiropractor. Spinningbabies.com is great too.
My doc is willing to try a vaginal breech delivery if this babe is frank breech, given that I have a 'well tested pelvis' after already delivering 4 babies.
If I were you, I'd try to find a chiro trained in Webster and some of the positions from the spinning babies website.
Here was my 10 day approach to this:
3 days pulsatilla 200c 3-5 tablets twice a day under tongue.
Every 5 days acupuncture and chiropractor visits...these can be spaced apart. Like one thing every 2-3 days.
Morning-inversion-10-15 minutes Cold pack at baby's head
Evening-inversion 15-20 minutes/Cold pack at baby's head/10-15 minutes of moxabustion(DH would do this as I was inverted).
I would have done one more moxa treatment during the day, but I always forgot. Just 10 minutes or so, with one stick burning on each toe.
Let me tell you something about c-sections, just in case you have one, because this is something I would have liked to have known before I had mine. After the anesthetic when they put me on the table and lay my arms out beside me, my blood pressure took a sudden and steep dive. I felt like I couldn't breathe and for a moment I was in such a panic that I thought I was going to pass out or die. In that brief moment if I had been able to speak I would have told them to put me completely under because I was in such agony. Later they told me that my blood pressure had dropped so they gave me another medication to help that, and they said blood pressure changes can happen a lot with the anesthetic. If I had known that beforehand I feel like I would have been a lot less panicky when I was short of breath. I don't know how common it is, or whether it would happen to you, but if you feel that way just remember it will pass very shortly.
I do agree with your OB that external version can cause unnecessary trauma but I disagree that it is too late for your baby to turn. Be adamant about that baby-turning position and hopefully Baby will turn in time. Good luck
Baby #6: 20****25****30****35**** - EDD December 17, 2010
Moxibustion, unfortunately, is not supported.
Me, DH, DD1 (5/2009) and DD2 (10/2011).
I'm not crunchy. I'm evidence-based.
Vaccines save lives.
DD would become VERY active after moxibustion. "Supported" or not, their is certainly no harm in doing it. Well, maybe an accidental burn to the toe, but that is about it
In the end though, it was the pool that made her flip. I would do handstands in water about neck deep- it is a lot harder to do when pregnant. I did several every other day and then finally, after coming up for air, I felt her flip. Luckily, she stayed that way.
The OBs also told me that my c-section does not mean that a vaginal delivery is out of the picture for me in the future. They do tons of VBACs, so if I get pregnant again, I'll attempt the vaginal delivery if I can!
Good luck, and remember that if you have to have the C-section, it is ok! You can still have a really great birth experience.
I can't remember now if it was here or on the midwifery forum I'm part of, but I know of a baby born breach but with the fetal scalp electrode firmly screwed into his head! So yes, he was head-down, had an internal EFM installed during labor, then flipped with it still on and was born that way. Moral of the story: don't give up on the idea of your baby turning until you are in actual labor - you have LOTS of time for you little one to flip.
A few suggestions are:
1. If there's a doc that does vag. breech deliveries in your area, try to get in to see him/her and talk about risks, benefits, and whether this would be a reasonable option for you. Your local ICAN group almost certainly help you find that person, if he/she exists.
2. try everything you can. The ECVs can and do work a good portion of the time. They work better if this is not your first pregnancy. They work better if the baby has been not "stuck" in the same position for a long time. They work best when baby is not too big, but baby has a higher chance of re-flipping to breech if baby is too small. I was told that 37 weeks was roughly optimal for ECV.
3. Hypnobabies has a guided meditation CD for flipping breech babies. It certainly can't hurt, esp. when combined with some other things (like I would probably go in for Webster chiropractic, then go back to your home and burn some moxa by your toes while you relax and listen to the CD.)
There are some pros/cons to schedulign a c/s versus waiting for labor. The pros to waiting for labor are physiologic in nature. The pros to scheduling are all pragmatic in nature (get a good night's sleep, have more energy to devote to recovery, make sure childcare is in place for any older children).
Best of luck! There are many good threads on c-birth plans, and if you get to term and baby is still breech I would talk to whomever will be doing the surgery, if you know who that is, ahead of time. The National Library of Medicine also has a narrated video of a c-section. If you google "NLM, surgery video, cesarean section" you will find it in the first link.
Mom to James ( 5/2006), Claire ( 6/2008), furry kitties Calvin and Bob, and wife to Dennis.
Four days before the scheduled c/s, she flipped, I went into labor, and had a lovely homebirth. She was born at 41 weeks and was at least 10 lbs. (the scale was calibrated incorrectly ... I think she was closer to 11 lbs.). Babies -- even BIG babies! -- can and do turn, up to and during labor.
Sending you and !
+= Peanut (2004), Pumpkin (2007) and Butter Bean!! (2011)
My baby was breech at 33 weeks and I believe that what helped her turn was that I used pulsatilla (a homeopathic recommended by our midwife and doula) and my friends chanted for us:-)
There is a great resource at Susan Weed's (a respected herbalist) website:
As for the chanting, my friends encircled me at my blessingway and danced and sang, "Turn Baby Turn". At our appointment the following week, it was confirmed that she had turned!
I was all pepped up for a natural birth, but I'd say it's important to not get down about that. I was before the c-section, but afterwards I didn't think about it for a second. I realized it was silly.
Also, despite the birth being almost exactly opposite of everything I wanted, it went fine. I didn't feel traumatized or robbed of an experience--I just made the best of it. Have some humor about it.
I hope your baby flips!!
"That rug really tied the room together."
Midwife (CPM, LDM) and homeschooling mama to:
13yo ds 10yo dd 8yo ds and 6yo ds and 1yo ds
Even thought all the natural remedies and techniques did not work for me, I still would recommend you do them all and then go for a ECV. Also I will note, that I did opt for the muscle relaxant for the EVC to increase the chance for a positive outcome. Given how difficult she was to turn WITH the drug, I am glad I did it because I don't think she would have turned without it.
Good luck! I know how frustrating, exhausting, disappointing and overwhelming having a breech babe can be. Hang in there mama and just keep hoping for and doing your best.
After speaking with a bunch of people, we compromised that I would come in for a version (SP?). Them trying to turn the baby from the outside. That night I did a crash course at the spinning babies website. Spent hours that night in the half upside down position.
So I went to the hospital the next day. They were all ready to prepare me for my c-section. I reminded them that no...that wasn't going to happen. Eventually we got it figured out and I was put in a room to prepare for the version. They did an ultrasound to check his position again...and guess what? Baby had turned right back around.
Maybe my uterus is roomy, or maybe the spinning babies stuff worked. All I know is that I'm very small, didn't gain much in pregnancy and at 41.5 weeks my almost nine pound baby boy went from breech to head down all on his own. I had him all natural about a week later. I would have never consented to the c-sec. They could have either figured out how to deliver a breech baby in the hospital or I would have gone UC.
So take all the advice given here and keep thinking positive. You never know what can/will happen.
Melaya (29) - Mom to Z (9) and soon to be I (due Nov 2013)
Birth mom to M (7), O (5), & C (2).
She had been breech the entire pregnancy. I tried EVERY natural way to "get her" to flip. Nothing worked. When I had a meeting with an OB (who agreed to deliver her vaginally at the hospital for me) along with my husband and midwife, we all had a feeling not to try a version. My thinking was that if I tried everything else, there was a reason this baby wasn't turning and to just leave it alone! Thankfully, we all listened to that voice, because she was born with a velamentous placenta and a very, very short cord.
It took a whole lot for me to find peace with our birth plan. Stress, talking with others, reading, watching videos, scouring the internet...blah blah blah. And more stress. Finally, one evening I was praying and I was reminded that no matter what we decided to do, no matter where or how this child came into the world, it was going to be ok! As long as we went into the birth educated, at peace and thoughfully, even if we had her in a hospital via c-section, it may not have been what WE wanted, but what was best for baby and the way that God intended her to come. From that evening on, I was at peace. And for us a homebirth was the way we decided to go. For many reasons-e.g. I have a proven pelvis, I'm healthy and had an easy pregnancy, and my midwife had delivered more than 35 breech babies at home.
I hope that helps in some way. Have peace and God bless you and your wee one!