3rd Trimester

? about baby being transverse

I just got back from my OB appointment and am a bit confused.  LO evidently likes to lie sideways and has been transverse since our 20 wk u/s.  At this appointment, the doc confirmed that is still baby's position and if it didn't turn by my next appointment in 2 weeks (I'll be almost 33 weeks), they would go ahead and schedule a c-section at 38 weeks. 

Does this seem a little early on to make this decision or is this normal?  I thought babies can turn up until delivery.  When I asked, she said when babies are in this position, it leads to a higher incidence of uterine rupture in labor and thus, they would rather take the baby before labor occurs. 

Anyone have any experience with this? 

Thanks!

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Re: ? about baby being transverse

  • Both of my twins had been transverse through my entire pregnancy, until last week (at 35 weeks), when one was suddenly breech and the other vertex. We had scheduled a c-section a few weeks ago, but only because I was so eager to get an "end date" on the calendar, not because my doctor was in any hurry to do it.

    That said, my hospital doesn't let twin pregnancies go past 38 weeks anyway, so I don't know if the transverse positions would have been an issue in terms of wanting to get them out early.

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  • Iam currently in this situation as well. My LO has been transverse since our 20 wk U/S, and the Dr. told me that if he doesn't move by 36 wks, they would schedule a C/S then. She also said that he still has time to move.

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  • My baby was transverse but turned sometime between 32-36 weeks.  At my 32 week appt my doctor said transverse is considered an "unstable lie", which means he was unlikely to stay that way.  The problem is that many transverse babies go breech instead of head down.  Either way, he said he would check at 36 weeks and if his position wasn't clear, we would do an u/s then.  He said at 36 weeks if the wasn't head down, he'd want to schedule a c/s, just to have it on the schedule but was clear that things can change at any point up until delivery.  We never talked about specific timing of when he'd want to do an c/s because he said 32 weeks was way too early to speculate on what *might* happen.

    By 36 weeks, baby was head down, so I didn't have to deal with it any further.  Maybe your doctor just likes to get things on a scehdule in the event of worst case scenario.  I would just keep a dialogue open about what your options are if baby doesn't change position.

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  • That is interesting.  DS was transverse my entire pregnancy.  He didn't shift till my water broke.  I had an appt 12 hours before that happened so I know he was still laying that way.  I did deliver in my 35th week so he still had room to move head down. 
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  • imagenaturegirl417:

     When I asked, she said when babies are in this position, it leads to a higher incidence of uterine rupture in labor and thus, they would rather take the baby before labor occurs. 

    I wanted to specifically add that should your baby stay transverse, you would probably want to schedule a c-section before you went into labor.  My doctor said the same thing - a transverse baby can not be delivered vaginally without very serious complications.  However, he was clear that is highly unlikely baby would actually stay transverse long enough to worry about going into labor in that position.

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  • Thanks, Ladies.  I guess I was just a little panicked to be discussing a c-section so early, but hopefully LO will discover heads down to be more comfortable soon. 
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  • Did you doctor not offer to try and turn baby?  I know some people on my local board had transverse babies that were turned and delivered normally.
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  • My daughter was tranverse-looking up.  Anywho, I had a c/s at 37 weeks for some BP issues as well.  In order to get the baby out safely, they did a low transvese insicion and then had to cut my uterus in a verticle insicion.  This PG I have a c/s already scheduled, they will not let me go over 37 weeks for because the risk of uterine rupture increases greatly with a verticle uterine insicion.  GL!  I personally would NOT suggest trying a version.  As a former L&D nurse, they seem very painful and usually unsuccesful.  GL!! 
  • I'm not a doctor, but that sounds weird to me. My baby was still transverse at my 34 week appointment. My doctor said not to worry and we would wait and see what position she was in by my 36 week appointment. If she was still transverse, we would have first discussed an ECV before making any plans for a c-section. Luckily, by my 36 week appointment she had turned. I feel like 33 weeks might be jumping the gun a bit.

    Also, if you do some googling, there are lots of tips and "tricks" to try and get the baby into the head-down position. I was determined to get LO to flip during that two week period, so I tried just about everything: yoga poses, getting on my hands and knees and rocking, putting a flashlight and headphones down low on my belly, and even going to the pool and doing handstands and somersaults under water. Now it could have been pure coincidence that she ending up flipping, but I like to think some of that had something to do with it lol. Good luck!

  • My little guy was transverse from 20 until the night before my 34 week appointment. So he moved at 34 weeks. You have plenty of time for him to move :)
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