Bicornuate Uterus and Breech Questions (UPDATED IN COMMENTS)

GirlOnTheBeach

Hey everyone :-) I'm cross-posting this from the August 2015 board since I figure there may be more ladies here who have experience with this.

I have a pretty severe bicornuate uterus. It looks more like a boomerang or a wide "V" than the typical heart shape and the baby is in the left horn in a breech position.

The baby is measuring at 24 weeks, and I know that it's early to be worrying about the baby being in the head down position at this point in a normal pregnancy but because of the bicornuate uterus, he needs to flip early before he grows much more or he will remain in the breech position and I'll end up having a C-section (according to my mfm team). As it is, they are just trying to make sure I get to 36 weeks because they seem to think the odds are good that he's going to run out of space or my cervix will shorten and I'll end up having him early.

My question is this: Does anyone know anything about spinning babies who are in this situation? I've looked online and have seen many suggestions, but question if it's safe to attempt to spin him. Any experiences or advice?

audrey0678

I'm in almost the same situation. I'm 25 weeks and at my last ultrasound she was still breech. They told me they may try an aversion (manually spinning the baby around) if she didn't turn but they wouldn't do this til further in the pregnancy if she was still breech. Or else they will do c-section. Most drs act like I will end up w a c-section anyway. I was told I
Have a Bicorniate uterus w 2 cervixes although the last specialist I saw who was on hand at my ultrasound told me I have a uterine didelphus. (Sp). My sister who was not high risk and recently had my niece, her drs spun her baby around when they induced labor. She still ended up w a c-section but her baby was fine/ healthy. Just thought I would respond since I'm in similar situation. Prob doesn't help much lol. XoXo.

GirlOnTheBeach

Thanks for the response! I just had another ultrasound today (24w5d). The baby was still breech with his butt right over my cervix :-(

I've decided to start trying the spinning babies positions to see if I can get him to move before my next ultrasound in 2 weeks. My doctors just assume I'll have a c section too and I really don't want one. It looked like he was already pretty crowded in there today though so now I'm worried it's going to be that much tougher to get him to flip.

SparkZuZu

I have a bicornate and my son was transverse from 20 weeks on, no position change. I had a c-section at 35 weeks. For me, preterm labor was my major concern and just knew that a c-section was most likely. Even with the section, there were some issues with my son being stuck. Good luck but know that a c-section is okay...bicornate uteruses are tricky!

GirlOnTheBeach

SparkZuZu said:

I have a bicornate and my son was transverse from 20 weeks on, no position change. I had a c-section at 35 weeks. For me, preterm labor was my major concern and just knew that a c-section was most likely. Even with the section, there were some issues with my son being stuck. Good luck but know that a c-section is okay...bicornate uteruses are tricky!

I have a feeling that I'm going to end up in a similar situation. The doctors say that preterm labor is their concern too and have told me I'll likely end up with a c section. As much as I really don't want a c section, you're right, they are okay and honestly, if that's how to get baby and me through everything safely, I know I'll be fine with it in the end. It's not what I imagined but I have to accept that it will likely go that way.

Katarzyn

Hi ladies -

I hope you don't mind me joining in on your discussion.  I'm 11w3d and was diagnosed with a bicornate uterus 4 years ago and am pregnant with my 1st!  During my 1st visit during this pregnancy with a perinatal specialist at 5w2d, I was told I'm Didelphys.  I went for my 1st OBGYN visit this last Monday at 10w 6d and was so disappointed with the doctor's patient approach.  Rather than dealing with the now - my pregnancy, I felt as if he attacked me as to whether I was told to have reconstructive surgery as I'm going to be preterm; he said this with a un-reassuring face.  The doctor who initially diagnosed me said that if I can't keep my pregnancy to full term than I should consider surgery.  I felt like he is setting my pregnancy for failure.  I was just wondering what reaction your doctor had.  The perinatal specialist was a sweetheart and just told me that I will just need to be monitored more frequently, but unfortunately she does not delivery babies.  I think I will be looking for another OBGYN, but wanted to see if you had a different experience.  Thank you.

HopeIn2013

I have a bicornuate uterus and delivered my son at 39 weeks via scheduled c section. He was breech since 24 weeks. My doctor would not even suggest trying a version to flip him because there was just no room. You can try the things on spinning babies but unfortunately most won't work. The bigger they get, the less room they have to turn. Even less room than someone with a normal uterus. The c section is your safest bet in my opinion. Good luck! I worried about pre term labor every single day of my pregnancy!

GirlOnTheBeach

Thanks so much everyone! I tried the spinning babies techniques but was pretty sure that they weren't going to work. At my ultrasound two weeks ago, he looked pretty crowded in there and I just didn't see how he would manage to flip. The doctor seemed pretty sure that he was going to stay breech too. So I sort of resigned myself that this was just going to likely result in a breech baby and c section situation.

On Saturday, I felt like LO was moving way more than usual. He was moving so much it made me very sore by the end of the day. I decided to try one of the spinning babies positions while he was really moving at one point and felt an instant, very uncomfortable sensation. After that, I felt fine, and noticed his movements seemed to go back to normal.

At my ultrasound yesterday, to the surprise of everyone, they saw that he had actually gotten in to the head down position!! Now we are all just hoping that he stays that way! :-) I don't know if it was the spinning babies techniques or what, but I'm just happy he turned! :-)

mlemper

@Katarzyn . If you have a uterus didelphys you can't have surgery. A bicornuate has a septum but a uterus didelphys has 2 fully formed (half sized). You can't just remove a part ... I Have a uterus didelphys and my daughter was born at 37 weeks with a scheduled c-section. Try to enjoy your pregnancy and don't listen to the bad comments. Just make sure you keep a close eye on your baby.

Katarzyn

mlemper - Thank you for your reassuring comments. I'm happy to say that I'm stressing much less and going with the flow and trying to enjoy myself without overdoing it. 14w4d today!! I have an appointment with the perinatal specialist next week and have already been told I'll have more frequent visits to keep a close eye on my lil baby.

GirlOnTheBeach that is great news!