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Forum LockedBreach positions and birth "preferences"

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Two Blondinis View Drop Down
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    Posted: 20 April 2006 at 1:38pm
Hi there ladies
Just a quick question:
(I'll say "preferences" as I know anything and everything can change on the day)
Can you put in your birth preferences that if bubs is presenting in a breach position ohnce labour starts that you want a c-section? I know that in theory we can write down what we like, but realistically it will always be what is best for me and bubs medically - but I'd REALLY rather not have to push out a bum!

Ta very much
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gollymolly View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote gollymolly Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2006 at 2:27pm
Two of my children were both breach presentation but at 35 weeks (for both pregnancies) they were turned. Lucky for me they stayed the right way afterwards but is not successful for all. After the specialists do a turn you will be closly monitored right up to the birth for any complications, but I had none and ended up having a normal birth for both. Have a talk to your midwife, this could be an option for you rather than a c section.   
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jax View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jax Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2006 at 2:35pm
Good question Toni I have had the exact same thoughts but somehow never thought to ask my midwife about that specifically or write it down in my birth "preference" notes. My personal feelings are that I don't want to deliver breech, am simply not comfortable with the risks it might present.

Edited by jax
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Roksana View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Roksana Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2006 at 2:50pm
when the time comes the docs will advice the best option. Zaara was head down and yet looking up so the biggest part of her head was going to come out first (well was not going to come out....) so docs told me that I will need a c section....I didnt want one.....but they explained that she is not going to change position so it is in the best interest for both to go ahead with c section. I said yes!!!

But if you can avoid it...then great!

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Maya View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2006 at 8:07pm
If one or both twins are breech I will definitely have a c-sect. Maya was posterior (head-down, face-up) and I delivered her no worries, but the risks associated with breech vaginal deliveries are IMHO too high.

Still, each to his own - many babies have been successfully delivered breech. I'm just not willing to try.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jack_&_charli Quote  Post ReplyReply Direct Link To This Post Posted: 20 April 2006 at 8:19pm
as jack was still breech at 37wks, the OB lady tried to turn him but was unsuccessful....oh my god was that an experience!! gollymolly, you went through that twice??
she explained to me that the chances of him turning before i went into labour were slim, and if i did go into labour, i'd most likely end up having to have an emergency c-section anyway so i might as well just have an elective one.
most docs/midwifes i think will opt to do a c-section rather than risk the health of you and your baby

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Two Blondinis View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Two Blondinis Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 8:18am
Thanks heaps for the info ladies
Looks like there are options available rather than the "women do this all the time - grin and bear it" attitude. So this "turning the baby" what exactly is involved there?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote aimeejoy Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 9:03am
I am wondering the same thing Toni - doesnt sound pleasant...
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mrs frantic View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mrs frantic Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 2:48pm
hhmm I am curious too, sounds scarey...and painful!!!
I think for me when the time comes I will opt for c-section if the baby is breach rather than trying to deliver naturally under those conditions, I also think it's just too risky personally but I suppose it is different for everyone...
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Maya View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 2:52pm
They sometimes try to perform what is called an External Cephalic Version which is where the doctor tries to manually turn the baby by pushing/prodding/poking your stomach. There are some risks involved (ruptured placenta, compression of umbilical cord etc.) but it is successfully performed on a fairly regular basis. It's also never done before 36 weeks as a) most babies who are breech turn themselves before 36 weeks and b)there is a risk that it will stimulate early labour.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 98765 Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 3:55pm
i think i wud want to try to deliver a breech bubs vaginally but i hav no idea what the risks are or nething. I wud do lots of reading if my bubs was breech and wud find out how big bubs was and what the chance of doing it successfully was

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Post Options Post Options   Thanks (0) Thanks(0)   Quote jack_&_charli Quote  Post ReplyReply Direct Link To This Post Posted: 21 April 2006 at 4:30pm
as emma said, when they try to manually turn a breech baby they do just that. push down on your belly and try to flip bubs. it was the most bizzare thing to stare down at my belly and see jack sticking right out the side!
it was the worst thing i've had to endure (hehe i havn't been thru labour!). with jack it was unsucessful and my OB suggested a c-section as i was likely to end up having an emergency one anyway even if i tried to push him out.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ErinC Quote  Post ReplyReply Direct Link To This Post Posted: 27 April 2006 at 8:34am
I have heard that turning the baby can be quite dangerous so I dont think I want them to try that if my baby is in a breach position, I think I would rather have a c-section.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote gollymolly Quote  Post ReplyReply Direct Link To This Post Posted: 27 April 2006 at 2:30pm
I have had two out of three of my kiddies turned. It was painless both times although it is a bizzare feeling. Both times were done at the hospital by a specialist who has done this many times successfully. (I WOULD NOT let anyone else attempt it on me.)

I was 35 weeks both times because I have a history of giving birth early(all though my last daughter was right on time ). The specialist does a scan first to check how bubs is sitting then he grabs the bum and very softly pushes bubs around. I was to tell my specialist straight away if I felt any pain (which I didnt) and he would stop. After her turned her he did another scan and had to wait at hospital for a 1/2 an hour afterwards to be safe, and then I was monitored every week by having an appointment with specialist and he would rescan me. I had no problems with mine but there is a risk involved. Early labour, baby turning back etc. Hope this helps explain what is involved.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ErinC Quote  Post ReplyReply Direct Link To This Post Posted: 27 April 2006 at 2:53pm
thanks gollymolly - that really does help. I had heard bad stories about the baby getting tangled in the cord etc, but Id be happy to have it done as you have described.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nic01 Quote  Post ReplyReply Direct Link To This Post Posted: 28 April 2006 at 10:56am
I had an ECV at 37 weeks. I had 2 specialists do it. One of them had been doing them for years & was one of the most successful at it in NZ, so I felt happy having it done. They did a scan beforehand to check where my placenta was & the position of the cord to minimise risks. They also did a scan afterwards & then baby was monitored for about 1/2 an hour or so to check he wasn't in any distress. It was one of the most uncomfortable things I've ever done - they used a reasonable amount of pressure to get him to turn because there wasn't a lot of room for him to move in my tummy. It was worth it though as it meant I avoided a c-section.
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