Pregnancy / Childbirth

Buttock delivery - natural or caesarean section?

Buttock delivery - natural or caesarean section?



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97% of babies in 37 weeks gestation and later days are placed head down. In this way they are ready to be born. In other cases, the child lays buttocks down and very rarely sideways, when his arm or back is closest to the mouth of the cervix.

How is buttock delivery currently taking place - is there any possibility of natural delivery, or is Caesarean section recommended? What do specialists say? What are the current guidelines?

Gluteal position in the third trimester

Many children lay freely in the womb at the beginning of the third trimester. About a quarter of them are placed in the buttock position, but most within two months separating them for childbirth are arranged correctly so that natural childbirth is possible and proceeded as nature wishes.

How do you know that you are in danger of giving birth to a buttock?

How to know that the child is in the buttock position

If you are afraid that you are in danger of giving birth to a buttock, you may observe the way the baby moves - the pressure of the head high and kicking at the bottom of the abdomen. However, a certain signal is only information from a doctor who will definitely inform you about the child's position, checking it by cervical examination or ultrasound.

What if the baby is still in the buttock position at 37 weeks of pregnancy?

Although there are cases when the baby turns around in the right way just before delivery, the buttock position at 37 weeks of pregnancy and later should be a warning signal.

The doctor may recommend trying to change the position of the child by applying pressure to the abdomen and manually manipulating in such a way as to motivate the baby to market. However, not all women can undergo this procedure - it is inadvisable for pregnant expecting twins, women who have a small amount of amniotic fluid, who have problems with bleeding during pregnancy. In addition, this procedure involves the risk of - separation of the placenta from the uterus wall, as well as a decrease in the pulse of the child and may end in delivery.

Unfortunately, the child does not always want to move, even despite the doctor's efforts. It even happens that after correct rotation it returns to its gluteal position again.

Home ways to change the gluteal position of the child

There are home ways to change the gluteal position of the child. Unfortunately, it is not certain that these methods work. There is no evidence that they are effective. It is worth consulting them, if any, with a doctor.

You can try to help your toddler turn by using gravity. The following methods should be repeated twice a day, starting from 32 weeks of pregnancy.

  • lie flat on your back and place your pelvis so that it is above the floor, you can put pillows under your bottom,
  • make sure you get help from a loved one when needed,
  • stop the task when you feel unwell
  • stay in this position for 15 minutes.

Buttock delivery - what does it look like?

Unfortunately, the gluteal position rarely ends in a natural birth. This can happen when you are expecting twins and the first baby is placed face down or when the delivery is advanced when you reach the hospital.

The American College of Obstetrics and Gynecology (ACOG) in 2006 announced a recommendation that gluteal delivery could take place naturally if the woman was well-built, had a wide pelvis, the child was medium-sized, in good condition and the pregnancy was without complications. Doctor's experience is also required.

Doctors, however, generally recommend caesarean section in the buttock position. It is safer. Buttock delivery by cutting seems the best solution.