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ECV tends to be uncomfortable but not painful, and more than half of all attempts are successful. You’ll be given medication to relax your uterus (don’t worry - it won’t affect your baby). Turning a baby with an external cephalic version involves your practitioner placing his or her hands on your stomach and pushing the baby into the head-down position using firm but gentle pressure. When ECV isn’t successful, you’ll be scheduled to deliver via C-section. If it works, an ECV allows women to try for a vaginal birth. An ECV typically is done in a hospital.ĮCV is usually attempted around the 37-week mark before labor begins, though sometimes a version is tried during labor before your water has broken. This procedure is a literal hands-on manipulation of your belly in order to coax your infant from a breech or side-lying position to one where she’s got her head pointing down toward your cervix. If your doctor decides to try to turn your baby from the outside, he or she will attempt what’s known as an external cephalic version (ECV). If breech position is suspected, an ultrasound can confirm it. If your baby is breech, her firm, round head will be toward the top of your uterus and her softer, less round bottom will be lower. How can you tell if your baby is in a breech position?Īs your due date nears, your doctor or midwife will determine your baby's position by feeling the outside of your abdomen and uterus.
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Data shows that smoking during pregnancy may up the risk of a breech baby. Having an abnormally short umbilical cord may also limit your baby’s movement. Fetal abnormalities. Very rarely, a problem with the baby’s muscular or central nervous system can cause a breech presentation.If so, there’s a higher chance your own baby will be breech, according to some research. The earlier your baby is born, the higher the chance she’ll be breech: About 25 percent of babies are breech at 28 weeks, but only 3 percent or so are breech at term. If you've had a previous breech baby, you run a somewhat higher chance of subsequent babies turning out breech as well. If you’re pregnant with multiples, one or more of the babies may not be able to get in the head-down position since there’s less space to move around. Not enough fluid makes it difficult for your baby to “swim” around, while too much means she has too much space and can flip between breech and a head-down position. Too little or too much amniotic fluid can also cause a breech position. If your placenta is low-lying ( placenta previa), covers the cervix or is located up near the top of your uterine wall but blocking the space near your baby’s head, she may not be able to wiggle her way into a downward position. As a result, your baby may not have enough space to flip and exit head down. You may have an abnormality from birth or develop one later due to scar tissue from surgery (including a C-section), fibroids or a severe uterine infection. Usually the uterus looks like a hollow, upside-down pear - but in some women it’s a different shape, often detected by a pelvic exam or ultrasound before or during pregnancy. Keep in mind, however, that it’s also possible to have a breech baby without having any of these risk factors. Footling breech: Your baby is head-up with one or both feet hanging down (meaning she’d come out feet-first if delivered vaginally).Īlthough doctors sometimes can’t determine why a baby winds up in a breech position, there are some possible conditions that contribute to this outcome.