If your baby is in a breech position at 36 weeks, you’ll usually be offered an external cephalic version (ECV). This is when a healthcare professional, such as an obstetrician, tries to turn the baby into a head-down position by applying pressure on your abdomen.
Does turning a breech baby hurt?
To turn your baby, your doctor will use firm pressure. Everyone reacts differently, so you might feel discomfort or pain. Many women go through an ECV without any painkillers. But your doctor may give you an epidural or other pain medication or even put you to sleep during the procedure.
How do doctors manually turn a breech baby?
An external cephalic version is a procedure used to help turn a baby in the womb before delivery. During the procedure, your healthcare provider places their hands on the outside of your belly and attempts to manually turn the baby. This procedure may be recommended if your baby is in a breech position.
Is an ECV painful?
To perform an external cephalic version (ECV), the doctor needs to apply firm, steady pressure over the distended belly. Hence, a moderate amount of pain is felt during the procedure, which is tolerated by most women.
How late can breech babies turn?
Most babies that are breech will naturally turn by about 36 to 37 weeks so that their head is facing downwards in preparation for birth, but sometimes this does not happen. Around three to four babies in every 100 remain breech.
Is an ECV worth the risk?
While ECVs are considered a safe option for some, the risks may not outweigh the benefits for others. Most providers will not perform an ECV before full term for a couple reasons. One, it could cause labor to begin or delivery could become necessary. Two, many babies turn on their own before being full-term.
How successful is turning a breech baby?
External cephalic version has an average success rate of 58%. Version is most likely to succeed when: The mother has already had at least one pregnancy and childbirth. The fetus, or a foot or leg, has not dropped down into the pelvis (has not engaged).
Will I be induced after ECV?
Induction of labor after successful ECV is associated with an increased risk for cesarean delivery when compared to spontaneous labor after successful ECV as well as induction of labor in spontaneous cephalic presentation.
When do they Schedule C-section for breech baby?
Scheduling a C-section.
The TBT suggests performing a C-section at 39 weeks if your baby is in the breech position, says Dr. Cahill. (In general, C-sections that are unplanned or performed after you’re already in labor have more risks than scheduled C-sections, she explains.)
How does it feel when a breech baby turns?
You may or may not notice when the baby turns. You might be able to tell if the breech flips by feeling the feet kick where the head had been before. Usually, the strongest kicks are from the legs (not the arms) and will be high in the womb when the head is low.
Do you need epidural for ECV?
Conclusion: The use of epidural anesthesia significantly increases the success rate for ECV for breech presentation.
What happens if you refuse a ECV?
If the baby does not turn or if you decline an ECV you may choose, after discussion with the consultant obstetrician, to: • Have an elective caesarean section. Continue the pregnancy with the baby in the breech position and have a vaginal breech delivery.
How long does an ECV take?
ECV is done in the hospital and staff will let you know when and where it will be done. You need to make an appointment. The ECV only takes a few minutes, but the entire pre- and post-assessment procedure takes about 1-3 hours.
Are breech C sections more difficult?
Cesarean section in breech or transverse presentation involves more complicated procedures than cesarean section in cephalic presentation because the former requires additional manipulations for guiding the presenting part of the fetus, liberation of the arms, and the after-coming head delivery; therefore, those …
Are breech babies more painful to carry?
Giving birth to a breech baby vaginally is not usually any more painful than a head-down position, as you’ll have the same pain relief options available to you, although it does carry a higher risk of perinatal morbidity (2:1000 compared to 1:1000 with a cephalic baby).
Why may a doctor do a planned C-section?
A c-section may be needed to protect the health of your or your baby. In these cases, a c-section may be safer than vaginal birth. Your provider may want to schedule your c-section if there are problems during pregnancy that make vaginal birth risky.