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The baby is frank breech

Specializes in OB, M/S, HH, Medical Imaging RN. Has 33 years experience.

My daughter is 27 weeks pregnant with our first grandchild. The baby was frank breech in the ultrasound done today. What are your thoughts as to whether or not he will still turn vertex? My daughter was frank breech. I know it's not heriditary, just interesting if he stays breech. Thanks!

HeartsOpenWide, RN

Specializes in Ante-Intra-Postpartum, Post Gyne.

She could do pelvic tilts, or an external conversion

Here are some sites

http://www.allaboutmoms.com/breech.htm

http://www.gentlebirth.org/archives/breechcl.html

http://www.wearsthebaby.com/askce/cebreech.html

My daughter is 27 weeks pregnant with our first grandchild. The baby was frank breech in the ultrasound done today. What are your thoughts as to whether or not he will still turn vertex? My daughter was frank breech. I know it's not heriditary, just interesting if he stays breech. Thanks!

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

My daughter is 27 weeks pregnant with our first grandchild. The baby was frank breech in the ultrasound done today. What are your thoughts as to whether or not he will still turn vertex? My daughter was frank breech. I know it's not heriditary, just interesting if he stays breech. Thanks!

There is plenty of time for the baby to turn around. Some do not turn until close to the very end of gestation. Now, that being said, some will turn and then turn BACK to breech.

Good luck with that grandbaby!!!!!!!!!!!

There's plenty of time for the baby to turn. As someone said above, she can do pelvic tilts. Another good exercise to get the baby into an OA position is for the mom to get on all fours for 10 minutes 4x a day. Also, with the aid of a "birth ball" (one of those big therapy balls, 65cm for those under 5'6", 75cm for taller women), have her sit on the birth ball and lean forward, resting her arms on the end of a couch, anyplace steady. This is good because it allows the mom time to relax, and it's a good exercise she can do while watching TV.

Also, she might try to lay on a tilt board, head at the low end, feet on the high end. Just be careful getting up if she has trouble with orthostatic hypotension.

If you need any more help, please feel to PM me. If baby is still breech say at 35-36 wks (depending on practitioner), an external version might be tried. In my time as a doula (8 years), I've seen the above exercises work with turning babies.

I hope this helps, and hopefully baby will behave and get into a head down, OA position.

Katherine

SmilingBluEyes

Has 20 years experience.

also remember, anywhere from 95-98% WILL turn on their own by the time they need to. Try not to worry THIS soon.

VivaLasViejas, ASN, RN

Specializes in LTC, assisted living, med-surg, psych. Has 20 years experience.

Hey, congratulations, grandma-to-be!! I'm a brand-new grandmother myself, and let me tell you, no matter HOW that child comes into the world you will be absolutely thrilled..........there's nothing like it. :p

To answer your question, many babies don't go head down until the last few weeks of pregnancy, so you've got a while to wait and see what happens. My grandson never did turn; he was still transverse at 41 weeks, and stayed that way right up until he was delivered by C-section. I had one like that too; don't know if the tendency runs in families, but I do know there've been a lot of cesarean deliveries in my family (my mother had me that way, my sister had both of her children via "section", and I had three of my five kids surgically).

Don't worry about it, especially not this soon. Before you know it, you'll be holding that precious little life in your own arms regardless of how he or she arrives. Best of luck to you and your daughter.........this is a very special time for your family!

My daughter is 27 weeks pregnant with our first grandchild. The baby was frank breech in the ultrasound done today. What are your thoughts as to whether or not he will still turn vertex? My daughter was frank breech. I know it's not heriditary, just interesting if he stays breech. Thanks!

This child has plenty of time to turn. If he does not, a decision will be made to attempt to turn him or not (at about 36 weeks). Sometimes a baby is in a particular position for a reason. The physician may elect NOT to attempt a version. Sometimes things are better left alone.

DidiRN

Specializes in ICU, step down, dialysis. Has 25 plus years experience.

Not to hijack the thread, but wondered if some OB nurses would mind telling me...I am a twin, born 40 years ago. My brother came out normally, I was delivered breech. Would they allow this kind of birth today? Just curious.

Few doctors will willingly perform breech deliveries anymore. I can understand why.

Not to hijack the thread, but wondered if some OB nurses would mind telling me...I am a twin, born 40 years ago. My brother came out normally, I was delivered breech. Would they allow this kind of birth today? Just curious.

It really depends on the doctor and the type of facility. A teaching facility would be more likely to do it that a private hospital. And it all depends on the doctor/midwife and the facility, whether the hospital's policy allows for it.

Some will, others would prefer to do a C-section.

mercyteapot, BSN, RN

Specializes in Dev. Disabilities, Health Disparities. Has 20 years experience.

My son was frank breech. I went to see a perinatalogist to discuss an external version, but this guy reminded both me and my husband of a used car salesman. That, taken with my OB's (of whom I thought very highly) feeling that "babies are breech for a reason" led to our decision not to turn our son and to deliver him by planned C. As it turns out, that was the best decision for us. Our son was wedged in there so tight that it took 25 minutes to get him out! It is so funny, he sure exerted his personality early, the OB would keep getting hold of him and he'd keep squirming away, lol. I have always felt that a trip through the vaginal canal would have been really traumatic for him.

No matter how baby comes into this world, as long as he/she is health.

My dad was positioned breech, but family is unsure as to whether he would of turned. Gran was sick, the doctor nearly lost her, so dad was a section.

According to my MIL, my sister in law was a "double ramrod footling breech". :p I have never seen anything mentioned in my OB books about this.....anyone out there ever see it?

moonchild20002000

Specializes in OB/GYN,L&D,FP office,LTC. Has 36 years experience.

The baby has plenty of time to turn.I would not be concerned at this point.

I have seen double footling breeches delivered vaginally.At the time I started OB

most of the breeches were delivered vaginally.

Now I don't think you wiill find many docs delivering vaginally.

Not to hijack the thread, but wondered if some OB nurses would mind telling me...I am a twin, born 40 years ago. My brother came out normally, I was delivered breech. Would they allow this kind of birth today? Just curious.

There is usually plenty of time to turn that second twin from breech to vertex. That's why there are often two docs (or a doc and midwife) at a twin delivery so that they can assist each other and manuever that secopnd baby into an optimal position.

Here's another: www.spinningbabies.com

My DD was transverse until 28 weeks and turned sometime before 32 weeks. So there's hope:)

My daughter is 27 weeks pregnant with our first grandchild. The baby was frank breech in the ultrasound done today. What are your thoughts as to whether or not he will still turn vertex? My daughter was frank breech. I know it's not heriditary, just interesting if he stays breech. Thanks!

We deliver vertex/breech twins (under double set-up). And actually had to precip a doubling footling breech last summer (oh my god)... nothing like looking at two little feet sticking out of the vaginal opening with the doc 20 minutes away!!

I am a twin- my sister was vertex, and then I was delivered breech (this was 31 years ago). I asked my mom about it, and she said all she could remember is after Jennifer was delivered, the MD had the nurse turn the mirror away so Mom couldn't see and then had the anesthesiologist (!) "push on" her belly (!!) for a while until I was delivered.

I keep waiting to work a vaginal twin delivery, but so far all the multiples I've been present for have been sections.

madwife2002, BSN, RN

Specializes in RN, BSN, CHDN. Has 26 years experience.

Overhere you wouldnt get a scan at 27 weeks and it would be difficult to palpate acurately presentation at this stage. As a midwife in the community after about 32 weeks I would put a watch on anyone I felt had a breech presentation, and if I was still concerned I would send for scan at 36 weeks for confirmation. 27 weeks is far too early to be concerned about a breech presentation.

Here in Uk you get ONE scan and that is at either 16 or 20 weeks and unless there is a valid reason for doing one you dont get another. You can pay and go private for a scan.

Remember health care is Free in this country-so in pregnancy a midwife has to rely on skills. I do believe there should be a 36 week scan because we do miss breech's occasionally.

There are still a resonable amount of vaginally born twins though C/S is a mode which is prefered more and more often and the second twin is nearly always breech.

madwife2002, BSN, RN

Specializes in RN, BSN, CHDN. Has 26 years experience.

There is usually plenty of time to turn that second twin from breech to vertex. That's why there are often two docs (or a doc and midwife) at a twin delivery so that they can assist each other and manuever that secopnd baby into an optimal position.

Really, that just wouldnt happen in this country unless anybody knows something different. They would just do a vaginal breech delivery for the second twin.

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