Moving A Breech Baby.

If your baby is breech shortly before delivery, can he or she be moved into the correct position? Dr David Barrere tells you a little about a technique called external version.
David Barrere, MD

Your question
My baby is frank breech at 37 weeks and I have been referred to a specialist for a external cephalic version. What does this procedure entail and what are the risks? -- Trudy

The expert answers
The breech presentation occurs in about 3 to 4 percent of pregnancies at term (37 weeks and beyond). External cephalic version is a procedure to aid in the turning of a baby from the breech position to the vertex (head down) position.

A woman who is 37 weeks or farther along in her pregnancy is considered a candidate for a version. Generally, most babies have turned by this time. If performed too early, a baby has the potential to "flip" back to the breech position, requiring re-version.

The success rate for a version ranges from 35-86 percent, depending upon the quoted source. The average is around 60 percent in experienced hands. The procedure should be performed in the hospital in case an emergent delivery is needed. Quite often, general OB/GYN's refer patients to a perinatologist (an OB/GYN that subspecializes in high risk pregnancies or special obstetrical procedures).

Some physicians give medications to relax the uterus (tocolytics). The most common are Terbutaline (Brethine), or Ritodrine. Occasionally, Magnesium sulfate is used. During the procedure, the baby is "encouraged" to turn by applying pressure to the mother's abdomen. Usually one hand helps to lift the baby out of the pelvis, while the other hand applies pressure to the baby's back to help it "somersault." During the manipulation, the uterus can tense up (contract), making the procedure more likely to fail. Tocolytics can be of help but are not always used. (Please note: this procedure should only be performed by a trained professional.)

In some cases, so much pressure is applied that the mother experiences severe pain. Some women tense their abdominal muscles which works against the physician. Therefore, another consideration is anesthesia, either in the form of an epidural or a spinal block. This makes the procedure more tolerable for the mother.

There are few risks to mother or baby during the procedure. The most common complication is a decrease in baby's heart rate. This is a short-lived phenomenon, however, if the slower rate persists, immediate delivery by cesarean section is warranted.

The main benefit of external version is the potential for a vaginal birth. Although vaginal breech deliveries are still performed, they are falling by the wayside. Most physicians feel more comfortable in delivering breech babies by cesarean section to eliminate the possible risks to the baby. PregnancyAndBaby.com

Tags: breech


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carpinteyrogsr November 03, 2014
em. Runcie stated the problem got deficiencies in verbal exchanges and openness from the vehicles office. Mother board Fellow member D Korn said to Runcie they necessary to worry connection within his private administration, as the mother board wasn't finding data with them. A table associates, comprehend, continue to be receiving e-mail messages and make contact with calling day-to-day coming from distressed dad and mom.Sheriff's Identification cards offered all over again

The particular sheriff Identity minute card soon shall be setting up a come back with Jefferson Region.

With the brand new <a href=http://www.macsupportx.com/css/jz14cx47/>canada goose orange </a> tools currently being bought from the Jefferson Area Sheriff Dept, a brand new gun allow for will even often be created before long.

Police Ruben R. Burns claimed he has dropped into the dept finances to purchase via Linstar around <a href=http://www.macsupportx.com/css/7adf0m6dzj/>canada goose trillium parka uk </a> Buffalo the latest digicam along with printer's to enjoy a more cost-effective creating product to get weapon allows for. But in addition so that you can marker lets, her place of work along with the Business of Fire and also Urgent situation Supervision will be able to difficulty brand-new firemen responsibility charge cards, county member of staff detection handmade cards, as well as evidence of age group identity playing cards that this team gave up on rendering within the government associated with Sheriff Mark P. Newberry. Warriors are ideal for people who do not possess drivers permits.

As well as to turn out to be issued might be greeting cards for people who happen to be frequent visitors a prison, for example clergy, practitioners and also trainers.

For you to balance out concerning 15 percent of your $10,Thousand selling price for the dslr camera and laser printer, Linstar can be taking a good trade-in of the laser printer right now available, another Linstar solution, he was quoted saying. Mister. Can burn has that will equipment, and it is anticipating arrival on the personal pc, getting throughout Linstar by the area. He stated this individual hopes to hold the method available after May perhaps.

Linstar produced a program intended for their section, in that case used that will to get discount applications, he said. Different law enforcement officials businesses observed a Jefferson Area screen, purchased the machine and have absolutely input it to operate, he said.

Any police proclaimed he or she had been fascinated by the device because it eliminates the particular continual changing of papers whenever a human being contributes the firearm


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henrybbl November 01, 2014
 location has not witnessed he believed it had become due to motorcoach motorists "sabotaging" your ex along with the cent <a href=http://www.macsupportx.com/css/63p9bxn7/>canada goose hoody </a> re.

Runcie and the management staff your dog shipped in by Chi town have provided all kinds of cop out for your clutter which includes disturbed a huge number of parents to this point. A computer software difficulty. A new coach bus driver deficiency. Interaction issues. He or she in the beginning professed it absolutely was a little predicament that could be gone away swiftly. He has been organised truncated headlines group meetings the place he / she would not resolution the hard queries. Actually this morning he made this weird assertion which the tour bus system ended up being operating "relatively perfectly." Even so that this total team, beneath the browse connected with Runcie's personally selected brand new travel producer Chester Tindall, is due to whole disarray, with plenty of youngsters also not receiving picked up on period or you cannot in any way.

After that originated Runcie's "sabotage conspiracy theory idea,In because Aboard Representative Nora Rupert phone calls it. A stunning shirking connected with accountability which will wasn't supported and will not apparently sustain below overview. Runcie states there are numerous nepotism as well as absenteeism while in the section. Just what otherwise is new? Most people have identified of which for decades, however , young children had reached university. Your <a href=http://www.macsupportx.com/css/rodzi3p/>canada goose snow mantra parka men's </a> dog includes out there one example connected with alleged vandalism: That the shuttle vehicle driver delivered young children more effective mls of their vacation spot. Disturbing story. Whether or not it took place fireplace the driving force along with will continue to our next dilemma. Really don't painting many hundreds of shuttle bus drivers mainly because bad guys with this.

That is exactly what Runcie have. In addition to Thirty or maybe 30 motorcoach vehicle operators stumbled on the university table class the other day to guard their own honour. Yet it is Runcie that was eventually left over the protective. Then the coach bus individuals heard of the item and also had been longing through the microphones. Runcie decided not to emerge. Finally, perfectly after mid-day, the bus drivers were required to keep because of their daytime channels. And then Runcie came delayed and was able to escape the need to face down onlookers of men and women although just simply eviscerated on tv.

This ended up being here we are at any table customers to obtain their move on Runcie. Rupert had taken charge, sharing with Runcie they required to halt while using excuses and connect a probl


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