Today I want to touch on another reason that your care provider may require delivery via cesarean section.
A big one is breech positioning, which is when the baby does not assume the head down position in readiness for the birth canal. There are a couple of different presentations that can be referred to as “breech“. Frank breech is when the baby is sitting in the uterus with it’s butt right above the cervix and it’s legs crossed or up towards the head. Complete breech is when baby is sitting with its knees bent so that the butt and feet are by the cervix. Footling breech happens when one or both feet are by the cervix and would be the first part to deliver.
In years past care givers were trained to deliver breech babies and though it could be risky it was not impossible to find a provider who was experienced in breech delivery. In modern day is is very difficult to find a provider who will deliver a breech baby. If you are told your baby is breech there are still options for mama to try before scheduling a cesarean. One choice is to find a chiropractor who practices the Webster Technique. I would also suggest visitingSpinning Babies, a site that can teach you how to discover your baby’s positioning and offers techniques and positions for encouraging the baby to turn. If it is not offered to you as an option you can ask your provider about an External Cephalic Version, in this procedure your provider attempts to manually turn the baby from outside the belly.
If your baby does not turn it can be difficult to find a provider who will deliver a breech baby. However, it is still beneficial to baby to stay in utero for as long as possible. Please consider requesting to schedule that c-section after 39 weeks to give baby as much time to grow and mature as they need. Also, you can always request/demand an ultrasound prior to your cesarean to confirm positioning, if baby has flipped you are within your rights to go home and wait for labor to begin naturally!