What is breech?
What are my options if my baby is breech?
- External cephalic version (ECV). This is a procedure that could be done to manually turn the baby which is in breech position into head first position.
- Caesarean section. A surgical procedure where a cut is made on your abdomen to deliver the baby.
- Vaginal breech delivery. This is where you deliver your baby vaginally but your baby’s bottom will be delivered first before the head
When is vaginal breech delivery not advisable?
- Your baby is in footling breech
- Your baby is large i.e more than 3.5kg for Asians
- You baby is small i.e less than 2kg
- You had a previous caesarean section
- You have a narrow pelvis
- You have other medical condition that complicates your pregnancy e.g diabetes or high blood pressure.
- The baby’s neck is tilted backwards (hyperextended neck)
What could I expect during labour if my baby is breech if I have opted for vaginal breech delivery?
- You could have the same choice of pain relief as other woman in normal labour.
- Your baby’s heart will need to be monitored continuously during labour.
- In some circumstances, you may need an emergency caesarean section.
- Your baby will be delivered by an experienced obstetrician skilled in vaginal breech delivery and the baby’s doctor will standby.
- Forceps may need to be used to assist delivering your baby’s head.
- Cord prolapsed especially in those with footling or complete breech.
- Injury to the baby e.g fracture of the baby’s thigh or upper arm bones and trauma to the nerves at the neck. (brachial plexus)
- Delay in delivery of the baby leading to reduced oxygen to the brain.(asphyxia)
- Rapid compression and decompression of the baby’s head during delivery leading the bleeding inside the head. (intracranial hemorrhage)