If Your Baby Is Head Down at 33 Weeks Can He Turn

Do tin assistance turn a breech babe naturally. (Source: Getty Images)

In the last weeks of pregnancy, the foetus usually is seen to motion in the caput-downwards position, which is called vertex or cephalic presentation, considered the optimal position for vaginal delivery.

In some cases, however, the foetus' buttocks, feet or both come up out outset and this position is called breech presentation, which occurs in three to four per cent of full-term births. Vaginal birth of breech babies has increased risk of complications at birth which is when caesarean section is mostly chosen as the mode of commitment.

The complications in delivery tin be mitigated by turning a breech baby to caput-commencement in late pregnancy. One can increment the chances of it by consulting a physiotherapist and obstetrician for postural exercises and manoeuvres.

Reasons for foetus being in breech presentation

The foetus is ideally expected to turn their head down by 32 weeks of gestation. Prior to term about 25 per cent are in the breech position earlier 28 weeks of pregnancy, just by 32 weeks but seven per cent babies are breech. There is no known cause for breech presentation just there are some factors that might contribute to the same.

i. Multiple pregnancy

ii. More than one fetus in the uterus

3. Abnormal amniotic fluid level

iv. Abnormal uterus shape like bicornuate/ heart shape uterus

5. Uterus with abnormal growths like fibroids

six. Abnormal presentation of placenta similar placenta previa

7. Very occasionally foetuses with certain nascency defects volition not turn into the head-downwards position before birth.

Also Read| What is the all-time sleeping position during pregnancy?

How to assist foetus plow for normal commitment

If a foetus comes out to be breech at 32 weeks, the health care provider or women health physiotherapist tin can advise the employ of a sure exercises and maneuvers that help in turning breech babies. At that place are several ways that might help a foetus plough in the optimal position for normal vaginal delivery.

one. Postural exercises and specific positions

2. External cephalic version

iii. Moxibustion

Postural exercises and positions

There are specific exercises that might help in turning the breech baby if done under advisable guidance later on 32 weeks of gestation. These exercises are collated and crafted under a programme called spinning babies.

A pregnant woman should consult a physiotherapist before doing an practise. (Source: Getty Images)

Spinning babies

This is a programme adult by Gail Tully, a renowned midwife from Minneapolis, Minnesota that might aid in flipping breech infant past ensuring the correct muscular remainder, relaxing involved ligaments, fascia and postural positions. The plan believes that the release of the infant tin can be every bit natural as the release of hormones only required is torso balance which assistance in making room for the baby. Babies then can put themselves into the best position or optimal position for nascence.

Hither are some of the exercises:

one. As advised by renowned physical therapist Penny Simkin posture plays a vital role in the baby's alignment in the uterus. A perfect posture will provide your baby an enough space to turn over. The right style to maintain good posture is to stand straight with your chin perpendicular to the ground; your shoulder relaxed non protruding front or back. Always keep your lower abdomen muscles activated and butts pulled in.

two. Knee to chest position is the near common position for turning breech babies afterwards 32 weeks. In that location are many international studies that accept supported this do as it helps the lower portion of your uterus to expand, thus more space for the baby to plow the right way. But this position is advisable simply after 32 weeks if baby is notwithstanding breech.

three. Cat and camel pose besides known equally hands and knee joint position. This posture will help in increasing the flexibility hence flipping over of the infant can exist accomplished.

four. Frontwards leaning inversion is the almost renowned position of spinning babies' programme that helps in creating room in the lower uterus. Baby will use that space, with the natural pull of gravity, to snuggle into a more ideal position for nascency. The Forward-leaning Inversion technique was discovered past Dr. Carol Phillips a chiropractor. This posture is like open knee chest exercise but requires more endeavor. This position should be done nether supervision along with knee chest position results in better consequence.

5. Breech tilt is withal some other position that requires an assessment and supervision by the physiotherapist. This exercise helps by creating some pressure on baby's caput to tuck his chin, thus increasing the possibility of him flipping over.

External cephalic version (ECV)

This is a manoeuvre adept by a trained healthcare provider to turn the breech baby. In this, the wellness intendance provider will put his easily on the exterior of the mother'due south belly and turns the baby into a head-down position. The process is done nether ultrasound with medication. ECV is recommended only after 36 or 37th week of gestation.

Moxibustion

Moxibustion is a kind of specialised acupuncture in which the therapist uses a tightly rolled stick of mugwort herb, much like a stick of incense. The coal at the end of the moxibustion stick is held over an acupuncture point for heating. Repeating this two to iii times a day has proved to exist helpful to some mothers in flipping breech babies. The highest rates of success came in the 34-35th weeks of pregnancy. This should exist done by a certified acupuncturist who is trained in moxibustion.

Things to remember:

1. It'south mandatory to seek advice from the obstetrician before trying any technique or do as there may be health risks.

2. In case of any discomfort during the exercises, one should inform their health care provider immediately.

iii. It is advisable to take plenty of fluids during the time.

4. Sometimes, all you demand is to await patiently for turning your baby into the head down position naturally. Breech vaginal births are possible but have risks.

(With inputs from Dr Shilpi Srivastava, consultant, lactation counsellor, childbirth educator & physiotherapist, Maternity Hospital, Noida)

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Source: https://indianexpress.com/article/parenting/health-fitness/breech-baby-position-in-womb-exercise-6160013/

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