Midwife Cath Curtin is used to seeing women get upset when she tells them their baby is in the breech position – that is, head up instead of head down.
“If they’re 20 weeks or 23 weeks, you wouldn’t say anything,” she tells Mamamia. “But it’s usually around 34, 36 weeks that we’d start to say, ‘Your baby is breech and it’s going to stay there.’”
Curtin says before 34 weeks, babies can turn themselves around. But after that, they normally stay in the position they’re in, especially if it’s what’s called a “frank breech”.
“That means their bottom is really wedged down into the pelvis,” Curtin says. “They don’t move.”
A lot of mums-to-be aren’t happy to get the news.
“These days, most doctors choose to do a caesarean section for a breech presentation. That is what can be upsetting. But once you explain it properly, the women are usually fine about it.
“You explain that it’s okay to have a caesarean section.”
Women often ask if it’s possible for the doctor to turn the baby. Curtin says it depends on the baby’s position.
“If it’s sitting down in that frank breech, it’s very hard to actually turn it. But if it’s sitting like a Buddha, with its legs crossed, it’s easier to do the turning.”
However, she says it’s not that common anymore.
Top Comments
How about it's okay to have a breech birth?
I had vaginal birth with my twins. Twin B was breech. Is there a reason why women have to have a c-section if their baby is in the breech position? I was never advised to have a c-section. The obstetrician helped gently guide my baby out by his foot while I pushed. He had zero issues from the birth.
It is really difficult to get an Obgyn who will deliver a breech baby vaginally - many just won't do it. It's very rare now so I think they have lost the art, but it's great you were able to find one! I think some obgyns are more likely to deliver if it is twins with one head down though, as I've had friends who delivered this way, but for some reason the same doctor would not do a single breech birth - I'm not sure why!
That was what happened with my Twin B - she was footling and had to be hauled out as her head was (painfully) wedged under my ribs. I had roomful of med and midwife students as no one gets to deliver breech anymore.
There was a study a number of years ago that 'proved' that it was safer for breech babies to be born via elective caesareans. This study has now been completely debunked, but not before every doctor and hospital changed all of their policies and procedures around it.
The upshot of this is that breech birth is now terribly rare to see, but still accounts for about 5% of pregnancies. When you get a situation where a woman comes in with a very quick labour, the baby is breech and you have unskilled attendants (because none of them have seen / performed more than a very few breech babies) handling the birth, this can absolutely result in the worst possible outcome.