5 Things You Need to Know about Breech Pregnancy
Windowofworld.com – Breech pregnancy is a condition when the fetal head is in the upper uterus, not in the lower uterus approaching the birth canal. If the position of the fetus is settled until near the time of birth, pregnant women need to consult with a doctor to determine the safe method of delivery.
When the womb is 32-36 weeks old, the fetus is usually in a position ready for birth, namely the head at the bottom of the uterus to the birth canal. However, sometimes the position of the fetal head is still in the uterus even though it is nearing delivery.
Based on the position of the fetus in the womb, breech pregnancy is divided into 3 types, namely:
- Frank breech, which is a sunsang position where the fetal legs are straight up toward the head and the body is folded to resemble the letter V.
- Footling breech, which is a breech position with one leg crossed or near the head, while the other foot downward with knees bent. This leg will come out first if you have a normal delivery.
- Complete breech, which is the fetal knee flexed.
If you experience a breech pregnancy, Bumil may wonder if there is an event to rotate the fetus or should give birth by cesarean section. Come on, see the explanation below.
Everything about Breech Pregnancy
The following are some things you need to know about breech pregnancy:
1. Signs of breech pregnancy that can be felt
Breech pregnancy can be identified through an ultrasound examination or vaginal examination by an obstetrician. However, pregnant women can also feel whether the fetus in the womb is in breech position or not.
If the fetus is in the breech position, pregnant women may feel short of breath. The bottom of the pregnant ribs may feel uncomfortable. This condition occurs because the fetal head presses under the diaphragm.
In addition, pregnant women may also be able to feel a kick in the bladder or lower abdomen.
2. Causes of breech pregnancy
The cause of breech pregnancy is still unknown. However, there are several factors that can increase the risk of a breech pregnancy, namely:
- Twin pregnancy
- History of preterm labor or previous breech pregnancy
- Too much or too little amniotic fluid
- The shape of the uterus is abnormal or there is a benign tumor in the uterus
- Placenta previa
3. Changes in breech fetal position
Breech fetal position occurs a lot when the womb is under 35 weeks and this position can change by itself.
However, after the gestational age reaches 35 weeks, the fetus will get bigger, making it difficult for him to move to a normal position. If the breech position survives until the 37th week of pregnancy, it is likely that the fetal position will remain that way.
If the womb is still 32-36 weeks old, there are various methods that can be done to change the breech fetal position to be normal, namely:
Although natural, this method has not been proven to be scientifically effective to restore breech fetal positions to normal. Some natural methods that can be done are:
- Lift your hips and pelvis in a supine position for 10-20 minutes, 3 times a day
- Listen to music to the fetus
- Give a cold compress on the upper abdomen and warm compresses on the lower abdomen
External cephalic version (ECV) method
EVC should only be undertaken when the fetal position is still breech after 37 weeks of pregnancy. This technique is performed by doctors by moving both hands on pregnant belly to change the position of the fetus.
However, this method is not always effective. Even if successful, the possibility of the fetus’s position to return breech can still occur. In addition, the ECV method can also pose several risks, for example premature rupture of membranes, stimulate labor, and uterine bleeding.
4. Complications of breech pregnancy
In general, breech pregnancy is not a dangerous condition until delivery. If a breech fetus continues to be born normally through the vagina, the fetus will be at risk of having a birth injury.
Normal childbirth to give birth to breech babies can also last longer, so that makes the mother tired. Prolonged labor can also increase the risk of fetal distress.
5. Method of delivery for breech pregnant women
If the position of the fetus can change to its normal position, then vaginal delivery may be possible. Certain breech positions may also be able to be born normally, but most breech fetuses will be born by caesarean delivery.
Cesarean delivery is considered safer than normal delivery because it has a smaller risk of causing complications. Even so, cesarean section is still at risk of causing complications in the form of bleeding and infection, as well as making mothers and babies need to be treated longer at home.
If your pregnant mother has a breech pregnancy, try not to panic and keep going to the doctor regularly. That way, the doctor can monitor the condition of the fetus and plan the most secure delivery method for pregnant women and the fetus.