right occiput transverse

Shoecrazysarah

Hi all!

I recently found out that baby is right occiput transverse.  This was confirmed by u/s last week and then yesterday the doc said he is still in the same position, which I felt pretty sure he hadn't moved.  I am 38 weeks 5 days today.

 The doc said she expects to see me at my next appt in a week as she doesn't feel I will go into labor before then.  A few weeks ago she said she would be surprised if I made it to my due date.  She expressed that labor probably won't start until baby assumes the proper positioning as not enough pressure is being placed on the cervix to help it dilate any further with the babys current position.  I am 3cm, 65% and -2.  I also have an anterior placenta.

 So, I was doing ok until I started up with Dr. google and spinningbabies.com.  While some sites say the baby will prob turn during labor, others say that this presentation often ends in an assisted or c/s birth.  My doc won't let me go past 41 weeks without inducing, which worries me to with the babys position.

 I can't seem to find much info from qualtiy sources on this.  I plan on trying the spinning babies exercises.  Any one have any experience or info on this position?

 TIA! 

jerseygirl81

I have a frank breech baby so have been doing a lot of the same research. My OB does deliver beech babies, but said that if she ends up transverse it will most likely end in a csection because there isn't enough pressure on the cervix and there's nothing to really enter the birth canal. They can turn during labor, but there's no guarantee. I'm having a version done on Thursday to try to flip her. Is that a possible option for you? Other than that, chiropractic work, massage, and the spinning babies inversions were all suggested by my OB.

Shoecrazysarah

jerseygirl81:

I have a frank breech baby so have been doing a lot of the same research. My OB does deliver beech babies, but said that if she ends up transverse it will most likely end in a csection because there isn't enough pressure on the cervix and there's nothing to really enter the birth canal. They can turn during labor, but there's no guarantee. I'm having a version done on Thursday to try to flip her. Is that a possible option for you? Other than that, chiropractic work, massage, and the spinning babies inversions were all suggested by my OB.

 

Thanks for writing!  Actually, a  right occiput transverse (ROT) is not a breach transverse.  It is head down, with the baby facing sideways

surpriseaddition

No advice or experience, but just wanted to wish both of you GL that you're babies assume the head down position soon!

LizzyG11

My best friend's baby was in this position up until 2 days before she went into labor (at 39w5d). She eventually turned and my friend had an uneventful, complication-free delivery. I know this doesn't always happen, but it can so don't give up on the possibility

botanicalbliss

Shoecrazysarah:

jerseygirl81:

I have a frank breech baby so have been doing a lot of the same research. My OB does deliver beech babies, but said that if she ends up transverse it will most likely end in a csection because there isn't enough pressure on the cervix and there's nothing to really enter the birth canal. They can turn during labor, but there's no guarantee. I'm having a version done on Thursday to try to flip her. Is that a possible option for you? Other than that, chiropractic work, massage, and the spinning babies inversions were all suggested by my OB.

 

Thanks for writing!  Actually, a  right occiput transverse (ROT) is not a breach transverse.  It is head down, with the baby facing sideways

Well if that's the case, I wouldn't really worry. Baby will likely rotate during labor. As long as baby is head down, you're good

LN1024

botanicalbliss:

Shoecrazysarah:

jerseygirl81:

I have a frank breech baby so have been doing a lot of the same research. My OB does deliver beech babies, but said that if she ends up transverse it will most likely end in a csection because there isn't enough pressure on the cervix and there's nothing to really enter the birth canal. They can turn during labor, but there's no guarantee. I'm having a version done on Thursday to try to flip her. Is that a possible option for you? Other than that, chiropractic work, massage, and the spinning babies inversions were all suggested by my OB.

 

Thanks for writing!  Actually, a  right occiput transverse (ROT) is not a breach transverse.  It is head down, with the baby facing sideways

Well if that's the case, I wouldn't really worry. Baby will likely rotate during labor. As long as baby is head down, you're good

This. If baby is head down, I wouldn't be concerned.  

jerseygirl81

Sorry, i saw transverse and didn't bother to google the rest!

If that's the case, then I'm sure you'll be fine. There are lots of labor positions that can help turn him into the right position.

Shoecrazysarah

LizzyG11:

My best friend's baby was in this position up until 2 days before she went into labor at 39w5d. She eventually turned and my friend had an uneventful, complicationfree delivery. I know this doesn't always happen, but it can so don't give up on the possibility :

Thank you for this, it really helps to hear!

My doc didn't seem concerned at all, and she is very transparent when she is concerned so I know I shouldn't be. But, then I got on google and read horror stories and got a bit worked up. I know I shouldn't google.

Thank you everyone for your reassurance.

Schell2013

My baby was frank breech and at my 35 week app she was confirmed head down. I did the spinning babies exercises and they must of worked for me. I can say that it won't hurt to try them.

ErinJ99

I am a lurker and am due in May with my second, but figured I'd reply since my first was an OT (occiput transverse) baby. I was induced at 3cm, 70% effaced on my due date and ended up pushing for 4 hours with an eventual c-section for "failure to descend". The doctor tried to turn her while I was pushing, but it just didn't work out for me. She was 8 lbs, 10 oz and 22.5 inches.

 Hopefully your baby will turn on his/her own assuming you go into labor on your own. I have regrets about my induction because I wonder if that is why she stayed OT. We didn't know about the presentation until I was fully dilated and pushing or I probably would have tried harder to avoid the induction. Good luck to you for a smooth delivery! 

Shoecrazysarah

ErinJ99:

I am a lurker and am due in May with my second, but figured I'd reply since my first was an OT occiput transverse baby. I was induced at 3cm, 70 effaced on my due date and ended up pushing for 4 hours with an eventual csection for "failure to descend". The doctor tried to turn her while I was pushing, but it just didn't work out for me. She was 8 lbs, 10 oz and 22.5 inches.nbsp;Hopefully your baby will turn on his/her own assuming you go into labor on your own. I have regrets about my induction because I wonder if that is why she stayed OT. We didn't know about the presentation until I was fully dilated and pushing or I probably would have tried harder to avoid the induction. Good luck to you for a smooth delivery!nbsp;

Thank you for your story! That helps with my decision to put off induction as long as I can. Do you know what station you were at when induced?

kmcd23

I had no idea this was an issue until this post. My LO has been head down the whole time, facing my left hip until a few weeks ago, and now facing the right. MFM hasn't said anything except for that he's glad he's head down. Though my last OB resident commented on how high he was. I swear his feet are almost in my heart, lol.
I'll be asking about it on my appt on Wednesday now.

Shoecrazysarah

kmcd23:

I had no idea this was an issue until this post. My LO has been head down the whole time, facing my left hip until a few weeks ago, and now facing the right. MFM hasn't said anything except for that he's glad he's head down. Though my last OB resident commented on how high he was. I swear his feet are almost in my heart, lol.
I'll be asking about it on my appt on Wednesday now.

I hope it's not as big of a deal as I am making it out to be. Although, it seems it can be! My doc doesn't seem concerned and I'm 38 weeks. Baby is at minus 2 station and I spoke with hubby's aunt who is a L and D nurse. She said that is still pretty high and they have to be careful inducing when they are that high. She said gravity is my friend and to walk, walk, walk. Hopefully it won't get to induction and baby will get in the right position!

If you think of it, let me know what your doc says. I see my doc on Thursday and will be inquiring more too. I will update if I have more info.

botanicalbliss

kmcd23:

I had no idea this was an issue until this post. My LO has been head down the whole time, facing my left hip until a few weeks ago, and now facing the right. MFM hasn't said anything except for that he's glad he's head down. Though my last OB resident commented on how high he was. I swear his feet are almost in my heart, lol. I'll be asking about it on my appt on Wednesday now.

It's not really a big deal.  As long as baby is head down, you're good.  Labor will likely rotate baby into the correct position.  You may be in for a longer, more challenging labor, though. 

Shoecrazysarah

botanicalbliss:

kmcd23:

I had no idea this was an issue until this post. My LO has been head down the whole time, facing my left hip until a few weeks ago, and now facing the right. MFM hasn't said anything except for that he's glad he's head down. Though my last OB resident commented on how high he was. I swear his feet are almost in my heart, lol.
I'll be asking about it on my appt on Wednesday now.

It's not really a big deal.  As long as baby is head down, you're good.  Labor will likely rotate baby into the correct position.  You may be in for a longer, more challenging labor, though. 

Thanks for the reassurance! Do you have any sort of knowledge or info on this position that you could refer me to? What I have read is not really reassurring, indicating that a baby in this position can get hung up on the hip and not descend properly...

botanicalbliss

https://spinningbabies.com/baby-positions/all-positions/right-occiput-transverse

EDIT: this is also where having a knowledgeable doula or a care provider who is familiar with these kinds of positions and can help you rotate baby during labor is incredibly beneficial.

Also, I think since your doctor was not concerned, you don't need to be either.  This is a form of a posterior position which is not a complication.  No need to make a mountain out of a molehill.

One more edit - the spinning babies exercises will be more beneficial to do during labor than before for something like this.  When you are in labor, move move move - try hands and knees and leaning over the bed to allow lots of space and gravity to help move baby down.  If you're getting an epi, this might not work for you, though, since you won't be able to move and change positions.

Shoecrazysarah

Thx for that. I hope not to get an epi, so I will keep moving and work on the exercises during labor. Thx again!

EDIT: I read the link, which indicates that a c section may be neccessary with the ROT position. "But during pushing, most women do not have enough room in there mid pelvis or lower pelvic tunnel to allow a transverse baby through the bones. Some do, but most don't and if the baby is facing sideways then, a cesarean may be done, unless something can be done to help dislodge the baby and turn the baby to where it fits the pelvis much better."

I know I shouldn't worry about a c section and just hope for baby and me to be healthy.

ErinJ99

I can't remember what station she was at. I know they said I was very "favorable" for induction and my doctor didn't think there would be a problem getting me into labor. I don't think that the OT presentation always results in a c-section, but if you have other things working against you, it certainly doesn't help. I'd just hold off on the induction as long as you can. Good luck to you! 

Shoecrazysarah

ErinJ99:

I can't remember what station she was at. I know they said I was very "favorable" for induction and my doctor didn't think there would be a problem getting me into labor. I don't think that the OT presentation always results in a csection, but if you have other things working against you, it certainly doesn't help. I'd just hold off on the induction as long as you can. Good luck to you!nbsp;

Thank you!

Shoecrazysarah

ErinJ99:

I can't remember what station she was at. I know they said I was very "favorable" for induction and my doctor didn't think there would be a problem getting me into labor. I don't think that the OT presentation always results in a csection, but if you have other things working against you, it certainly doesn't help. I'd just hold off on the induction as long as you can. Good luck to you!nbsp;

Thank you!

Shoecrazysarah

I always hate when I find posts like this through Google and the OP never updated what actually happened. So, I ended up being induced at 41 weeks. The Pitocin was rough and drugs always hit me hard, after four hours of labor my progress wasn't proceeding super fast so I got the Epi. I'm glad I did because after 12 hours of labor, 3 of which I spent pushing, our LO just wouldn't descend and I ended up in a C Section. Turns out my Sacrum Bone is blocking my pelvic opening. Hence why our LO couldn't turn into the correct position or descend. All the pushing, though, did pull LO down into the pelvis as much as he could and he got pretty stuck. My OB ended up practically on top of my trying to disengage LO. My whole body and OR table was rocking back and forth, pretty scary. We had some breastfeeding issues, which I have heard is common with traumatic births. My milk also came in very late. This lead to LO becoming critically jaundiced due to the lack of nutrition he was receiving. He had to spend 20 hours under the Bili lights. It was pretty hard to watch him be so unhappy and only be able to hold him minimal amounts during that time. All is well now and we are all healthy, happy and recovered.

jedimindtrick

Thanks for the update. I ended in a csection too and I believe my baby was positioned the same way there that last month or so. My guy flipped the wrong way during labor and was sunny side up. He got kind of stuck too and after 30 hrs the pressure caused my cervix to start swelling and I went from 9 cm to 8 cm. So we had a csection. Sorry your birth was so rough, but glad you are both doing well now!

Shoecrazysarah

Sounds like yours was rough too! 30 hours, wow! Hope you all are doing well!