|Will my doctor perform a caesarian if my baby is still lying
in the breech position when I reach my due date?
Because the vaginal delivery of a breech baby is considered
more risky than delivery of a baby who is head down, a large
proportion of breech babies are delivered by caesarian section.
This is to protect the head of the baby, since this is the
most difficult part of the baby to deliver and it will travel
down the birth canal last. Situations may arise where the
head is very large, and struggles to fit through the birth
canal, but the body has already been delivered. This can
cause problems for the mother’s body as well as the
risk to the baby. Typically the labour to deliver a breech
baby is long and difficult.
If your due date arrives and your baby is still breech,
there are factors that your doctor will take into consideration
when deciding the best route to deliver your baby. Some
doctors will not deliver a breech baby vaginally if the
mother is over 35. For example, if you have a spacious pelvis,
your baby is not too large and the baby is in the frank
breech position, then your doctor may well consider allowing
you a trial of labour. You will be monitored extremely carefully
because of the risks involved, as well as the chance of
the cord slipping past the baby and down the birth canal.
This can occur because the bottom and feet do not fit snuggly
into the birth canal as the head would, and so there is
space for the cord to slip through.
Delivering a breech baby vaginally is a skilled task, and
requires the presence of a doctor or midwife trained in
these special techniques. As with every labour, you should
be prepared for the possibility that the birth may be carried
out by caesarian, and you should celebrate the fact that
this option is open to you.
Breech baby - Chance of Caesarian
Breech baby - Labour
Breech baby - Turning by doctor or midwife
Breech baby - Turning to head down
Breech baby - Types