Baby Positions In The Womb And What Each Of Them Mean
This is called vertex presentation and applies to approximately 96 percent of full-term pregnancies. Learn more about the breech definition, causes, and how to deliver a breech baby. What is a Breech Baby? During your pregnancy, your baby constantly moves around the uterus. Indeed, most babies do somersaults up until the 36th week of pregnanc y , when they pick their final position in the womb, says Laura Riley, M.
Your midwife or doctor can feel the position of your baby's head through your abdominal wall—or they can conduct a vaginal exam if your cervix is open. Types of Breech Presentation There are three types of breech babies: frank, footling, and complete. Learn about the differences here. This is the most common type of breech presentation.
His legs are bent at the knees, and his feet are near his bottom. The least common type of breech presentation. Breech Baby Causes The baby and the shape of your uterus determine presentation. It's both difficult and risky to deliver a breech baby vaginally. Also, in rare occasions, the smaller parts legs, body, arms may slide out before the cervix is fully dilated, but the larger head may get stuck.
During a difficult, stressful delivery, your baby could be damaged or even die. A baby can be breech off and on throughout pregnancy without causing concern. But around 36 or 37 weeks , your doctor may recommend a version also called an external cephalic version , which is the manual turning of the baby into the head-down position, says Dr. Using ultrasound , your doctor will place her hands on your abdomen and apply pressure, pushing the baby's bottom up and guiding the head to encourage a somersault.
Risks of a version include premature rupture of the membranes , placental abruption, tangling of the cord, or starting labor. The procedure works about half the time; the success rate is higher if a woman has had a baby before. The majority of breech babies are born through C-section. These are usually scheduled between 38 and 39 weeks, before labor can begin naturally. Laura Riley, and Nicole Harris.
A baby starts moving around in the belly at around 14 weeks. But it is only when you have reached your third and final trimester that the position of your baby in your womb will matter the most. The position that your baby takes at the end of the gestation period will most likely be how your baby will make its appearance into the world.
Out of all the different positions that your baby can settle into, the cephalic position at 36 weeks is considered the best position. Read on to know more about it. What is Cephalic Position? A baby is in the cephalic position when he is in a head-down position. This is the best position for them to come out in. This is the best position for your baby to be in for safe and healthy delivery.
Your doctor will begin to keep an eye on the position of your baby at around 34 weeks to 36 weeks. The closer you get to your due date, the more important it is that your baby takes the cephalic position. If your baby is not in this position, your doctor will try gentle nudges to get your baby in the right position. Types of Cephalic Position Though it is pretty straightforward, the cephalic position actually has two types, which are explained below: 1.
Cephalic Occiput Anterior Most babies settle in this position. This is the preferred position as the baby is able to slide out more easily than in any other position. The baby stars getting into this position in the third trimester, between the 32nd and the 36th weeks, to be precise. When the head engagement begins, the foetus starts moving down into the pelvic canal. At this stage, very little of the baby is felt in the abdomen, but more is felt moving downward into the pelvic canal in preparation for birth.
You may think that in order to find out if your baby has a cephalic presentation, an ultrasound is your only option. This is not always the case. You can actually find out the position of your baby just by touching and feeling their movements. By rubbing your hand on your belly, you might be able to feel their position. If your baby is in the cephalic position, you might feel their kicks in the upper stomach.
Whereas, if the baby is in the breech position, you might feel their kicks in the lower stomach. Even in the cephalic position, it may be possible to tell if your baby is in the anterior position or in the posterior position. When your baby is in the anterior position, they may be facing your back.
You may be able to feel your baby move underneath your ribs. It is likely that your belly button will also pop out. When your baby is in the posterior position, you will usually feel your baby start to kick you in your stomach.
When your baby has its back pressed up against your back, your stomach may not look rounded out, but flat instead. Mothers whose placentas have attached in the front, something known as anterior placenta , you may not be able to feel the movements of your baby as well as you might like to.
Both the mother and the baby will face some problems. A breech baby is positioned head-up and bottom down. In order to deliver the baby, the birth canal needs to open a lot wider than it has to in the cephalic position. Besides this, your baby can get an arm or leg entangled while coming out. If your baby is in the breech position, there are some things that you can do to encourage the baby to get into the cephalic position. There are a few exercises that could help such as pelvic tilts , swimming , spending a bit of time upside down, and belly dancing are a few ways you can try yourself to get your baby into the head-down position.
Here, your doctor will be hands-on, applying some gentle, but firm pressure to your tummy. When this happens, you will be able to have a normal vaginal delivery.
Though it sounds simple enough to get the fetal presentation into cephalic, there are some risks involved with ECV. Most babies get into the cephalic position on their own. This is the most ideal situation as there will be little to no complications during normal vaginal labour. There are different cephalic positions, but these should not cause a lot of issues. If your baby is in any other position, you may need C-Section. Keep yourself updated on the smallest of progress during your pregnancy so that you are aware of everything that is going on.
Go for regular check-ups as your doctor will be able to help you in case a complication arises. Also Read:.
Breech Babies: What Can I Do if My Baby is Breech?
Take 3 breaths. Belly loose, shoulders strong. Chin tucked and neck long. Come back up on your hands, then lift yourself up to a high kneeling position again see pictureusing a stool, block or help from your helper. Take two breaths here. Then sit on your heels. Swing your feet out from under you together.
Feet together, moving like a mermaid to prevent a pull on your symphysis pubis pubic bone.
What is Breech Presentation?
You will protect your pelvic stability this way. The Webster technique method: This technique is a chiropractic adjustment that reduces stress on your pelvis and relaxes your uterus, which may make it easier for your baby to turn. Some believe that placing headphones on the lower part of your abdomen and playing music can encourage your baby to turn its head toward the sound.
Finally, acupuncture and moxibustion a form of Chinese medicine have had promising results in turning babies. A note on birthing twins The American College of Obstetricians and Gynecologists ACOG now recommends that a vaginal birth be attempted in low-risk twin pregnancies where the first twin is in a head-down position. In cases where the first twin or both twins are breech, most obstetricians will recommend a cesarean for both.
For more information on birthing twins see our article on Can you have a natural birth with twins. For more information, see our Guide to choosing your hospital or birthing center. Interviews, stories, and guides on thetot. Continue exploring Do you prefer to give birth in a hospital, in a birthing center or at home?
Which Way is Up? What Your Baby’s Position Means for Your Delivery
Will your labor pains be more in your pelvis or your back? The answers to these questions depend in large part of the position of your baby in your uterus as you go into labor.
Medical professionals call this position the fetal presentation. Most babies move into the head down position by the third trimester. Cephalic presentation is further broken down by the position of the head; in the vast majority of cephalic deliveries, the crown or top of the head called the vertexenters the birth canal first and is the first part of the baby to be delivered.
This presentation is called occiput anterior, and is considered the best position for a vaginal delivery. This is where the presentation of the fetus changes from day-to-day and can include breech presentation. Unstable lie is more likely if there is known polyhydramnios or the woman is multiparous. It can also reveal any fetal or uterine abnormalities that may predispose to breech presentation. Management At term, the options for management of breech presentation are i external cephalic version; ii Caesarean section; or iii vaginal breech birth.
Fetal Cephalic Presentation During Pregnancy
External Cephalic Version External cephalic version is the manipulation of the fetus to a cephalic presentation through the maternal abdomen. This, if successful, can enable an attempt at vaginal delivery. Complications of ECV include transient fetal heart abnormalities which revert to normaland rarer complications such as more persistent heart rate abnormalities e.
External cephalic version is contraindicated in individuals with a recent antepartum haemorrhage, ruptured membranes, uterine abnormalities, or previous Caesarean section. This is based on evidence that perinatal morbidity and mortality is higher in cases of planned vaginal breech birth compared to Caesarean in term babies.