Doctor insights on:
Breech Birth Delivery
How common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more
No, it should not: You should ask the anesthetist or obstetrician any questions you have about the procedure; but the reason it is used so frequently instead of other drugs is that it is so safe. Good luck! ...Read more
What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?
About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read moreSee 1 more doctor answer
Moxibustion: I wanted to add a traditional chinese medicine option to the excellent ideas provided by dr. Collins & dr. Livingston. Moxibustion (heated mugworth)is applied to major acupuncture points to assist the baby in moving from a breech position to a head down position. This site explains: http://www.Pregnancy.Com.Au/birth-choices/breech-birth/moxibustion-for-breech-presentation.Shtml. ...Read moreSee 2 more doctor answers
Rarely: Rarely does this happen where babies have congenital defects that are severe enough that they either neurological impair the baby and prevent movement or simply get in the way of a baby being able to flip on its own. This is a rare cause of breech though. ...Read moreSee 1 more doctor answer
It can: Placenta previa means that the placenta is blocking to cervix, which is the opening from the uterus to the vagina. If the cervix starts to open, heavy bleeding can occur, making it necessary to deliver early to protect mom's health. To reduce the risk of life-threatening bleeding, doctors may deliver early. ...Read moreSee 1 more doctor answer
Yes: Babies can be delivered vaginally even over 10 lbs. Some larger babies may cause difficulty with delivery however. Do not rely on the estimated size to determine if the baby can be delivered vaginally as size estimates in the 3rd trimester can be inaccurate. Rely on your obstetrician's experience! ...Read more
Yes, possible!: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer