When the position of a baby becomes bottom-down during late pregnancy, specialists call it breech pregnancy. If a breech pregnancy leads to a breech birth, it brings many complications for both the mother and the baby. For this reason, you will need to plan to consult with a midwife or doctor early in your pregnancy. Here are all about the breech pregnancy issues.
Bottom-down Position vs. Head-down Position
Normally, most babies rest in a head-down, comfortable position in the wombs to the last month of pregnancy of their mother. The doctors call in cephalic or vertex position. Before 245 days to 252 days of pregnancy, a baby can be in the breech position. It is quite normal. But, if even after 245 days to 252 days of pregnancy, the baby remains in the breech position, then it is a matter of health concern. By this time, the baby should be back in the head-down position.
Checkups: Palpation and Ultrasound during Different Stages of Gestation
You will have to go to your midwife for checkups during your 1st trimester and 2nd trimesters. She/he will then conduct abdominal palpation by feeling your abdomen. During 245 days to 252 days of your pregnancy, the doctors will finally evaluate you, in the same way, to be sure that your baby is ready to take birth in the head-down position. In case they doubt that your baby might be in the breech position, they will recommend you an ultrasound scan to become sure about the position of the baby. These things also can happen to the mamma surrogate or during surrogate’s pregnancy.
Types of Breech Position
The three main types of breech positions are frank breech, complete or flexed breech, and footing breech. However, in each of the three types, the baby assumes a bottom-down and head-up position. Firstly, in the frank breech position, the hips of the baby flex, and the legs are up close to the head forming a v-shape, and this is the most common type of breech position. Secondly, in the complete breech position or flexed breech position, both the legs of the baby flex at the hips and knees like sitting crossed legs. Thirdly, in the footing breech position, one or both of the feet of the baby position downward, and they deliver first before the rest of the body.
When is Breech Position a Problem for the Baby?
Fortunately, as long as your baby is in your womb, he/she is completely safe and in the comfort zone both in the breech position and in the head-down position alike. Even if your baby remains in the breech position for a long time, there is no problem with it. But, during the labor and the birth process, if the baby is still in the breech position, then it is surely a more problematic and challenging situation.
Causes of Remaining in Breech Position
In most cases, the doctors cannot find out any cause or causes of a baby’s remaining in a breech position even till birth. However, some common reasons may be uterine fibroids, the length of the umbilical cord, irregular size and shape of the uterus of the mother, and too little or excess of amniotic fluid around the baby etcetera. Uterine fibroids are gentle tumors of fibrous and muscular tissues, typically developing in the wall of the uterus. Twins and multiple pregnancies can oftentimes cause breech position during birth. In this case, one of the twins may be in a breech position while the other baby will remain in a head-down position.
Statistics show that every one of eight babies, whose mothers are experiencing pregnancy for the first time, turns from breech to head-down position in the last month of their mother’s pregnancy. If you already have a baby, the ratio of this change is every one of three babies.