Minnesota Babies

Breech baby....Version or Csection

So I'm 37 weeks going on 38 weeeks. I went in the other night for my weekly check. The Dr did an Ultrasound and found out that baby is breech. My options are to have at 39 weeks a csection. Or they would do a version. From what I was told they would externally manipulate baby into a head down position. This process does have risks. There is the potential to tear placenta, break your water, have issues with a pinched or knotted cord, even having the cord wrap around baby. All those would lead to an emergency csection. There is also the possibility that baby will flip back to breech and i'd have to have a csection anyway. The word stillborn came up with the version as well, but is rare.  

Has anyone had this experience or known someone whos gone through it?  I have to make a decision asap. This mama is kinda freaking out and would like to hear from the other mamas out there.

Re: Breech baby....Version or Csection

  • go to spinningbabies.com there are a lot of things to try and flip your baby without a version. There's also a technique called moxibustion, but I'm not sure how to find an acupuncturist who does. 

     

    I would not do a version, personally, unless the doctor had a very high success rate with them. The OB I plan on seeing next time will deliver breech babies vaginally if they're in right kind of breech position though. 

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  • My co-worker went through the same thing, but she ended up just scheduling the c-section.  She was so stressed out about both decisions (plus she had high blood pressure throughout her pregnancy), but that was the less stressful option for her.  We found out my dd was breech when we went to the hospital after my water broke, so I ended up getting a c-section.  Had I known she was breech beforehand, I probably would have tried to have her turned, but that was before I knew what it was like to have a c-section.  If I were in the same situation now, knowing what a c-section is like, I would just schedule the c-section.  Obviously there are risks with both, but I think there are no guarantees the baby is going to stay head down even if they are able to turn him/her.  I'm not going to lie, it wasn't great having a c-section, but it definitely wasn't that bad.  I didn't have to go through labor at all, and the recovery wasn't that bad!  Good luck with whatever you decide!
  • I had a c-section with a breech baby.  I discussed the options with my doctor and went with what she recommended based on my situation.  Discuss it with your doctor and ask what he/she would do if he/she were in your exact situation.

    I'm glad I did the c-section.  The recovery wasn't bad at all and it was nice to have it scheduled in advance.  I had ultrasounds every week from 32 weeks on for a different medical condition, so we knew the baby was breech for a long time and he never moved.  Since he wasn't flipping back and forth, the dr and I didn't think a version would be successful.  The dr said it was a good thing we hadn't tried the version based on how baby was wedged in there as it would not have worked and she had a hard time getting him out even with a section. 

    When weighing options, ask how hard they try to turn the baby.  I was told that if the baby didn't turn after a few tries, then they wouldn't keep going with the version.  The baby should turn easily (you should not have extreme pain or have bruises from the procedure).

    I hope that helps with your decision. 

  • I haven't been in this situation personally, but a very close friend opted for the version. However, her amniotic fluid was too low to attempt it, so they just did a c-section on the spot.

    My coworker opted for the c-section over the version.

    I've had a c/s before too--no walk in the park but at least you wouldn't have to go through labor first and then a c/s! That's extra heart-breaking. (Was for me, anyway!) 

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  • I agree with going to look at spinningbabies.com.  We have a doula and there are techniques that you can do to try and help the baby naturally. With that being said, I would do what is comfortable for you.  It sounds like a difficult situation to be in and you need to be ok with it.  Good luck!
  • It's a tough decision.  DS was breech since 27 weeks and I scheduled a version twice and ended up canceling it.  I did a lot of research on versions and my OB said that because DS was my second the success of it working was higher.  My OB also had a high success rate with versions.  With all that being said I opted to schedule a c-section.  To me, the risks of the version didn't outweigh the risks of the c-section.  DD was five weeks early and ended up in the NICU and I wanted to avoid that at all costs this time around.  I talked with two people who had versions as well.  One had a success for one, but said it was very painful, and then the baby ended up flipping back.  The other had to stay in the hospital for a day due to baby's heartrate dropping during the version.

    I tried chiropractics instead.  The Webster technique is known to work but in my case it didn't.  I also tried moxibustion but it didn't work either. I really didn't want a c-section because I had such a great vaginal delivery with my first.  But I knew there were no guarantees the second. 

    My water broke two days prior to my scheduled c-section.  I started having mild contractions but it was nice to go in and have the baby out in less then two hours.  That part was great.  The recovery was harder then that of vaginal birth for me.  However, I had no pain down there, so to speak.  So both have their pluses and minuses.

    If you do have a c-section I would take all the stool softners they give you and make sure to be taking fiber.  Lets just say I had a horrible recovery for something that could've been easily prevented if I would've know what I know now.

    Good luck!

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    Children Photography Photo Credit: Heather Barta Photography

  • I should also add that some believe babies are in the breech position for a reason.  In my case the cord was partially wrapped around DS' neck.
    imageimage

    Children Photography Photo Credit: Heather Barta Photography

  • #2 was a little acrobat! My doctor could not feel her head down at 37 week appt so we did an ultrasound and found she was frank breech. I went the next day for a version, got all hooked up and when they the ultrasound she was head down. At 38 weeks, again we found her heartbeat up high and scheduled a version for the next day again. He successfully flipped, but unfortunately the next day I could feel her flip back! My doctor gave me the choices again and I chose to try the version again at 39 weeks and then they induced me right away. They were going to induce me at 39 weeks anyway due to complications I had with delivering #1.

    It was scary with all the risks and potential complications, but if it resulted in a c-sect, at least we tried and didn't just jump right to a c-sect without trying. I tried some of the babyspinning stuff but that did not work since she was still moving so feely on her own and we needed her head-down to induce.

    When they did the version at 38w, I had a whole room of spectators. I wish I would have had a mirror because my husband said it was crazy to watch. I was assured multiple times over that even though it seemed like a rarity that the doctor had done many before and that he had a very high rate of success. I was really glad I was able to add to his success rate and have the vaginal birth I wanted.

    imageimage
  • imageMrsGo4Hockeychick:

    go to spinningbabies.com there are a lot of things to try and flip your baby without a version. There's also a technique called moxibustion, but I'm not sure how to find an acupuncturist who does. 

     

    I would not do a version, personally, unless the doctor had a very high success rate with them. The OB I plan on seeing next time will deliver breech babies vaginally if they're in right kind of breech position though. 

    my chiro does moxibustion....but we're in the St. Cloud area

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  • I had a version with my first who was breech. They did it at 36 weeks, as soon as baby is safe enough that it could survive on its own but was still smaller. At 38-39 weeks, baby is a little bigger and even harder to turn. And if its a first time baby, versions are usually not as successful. Mine was not, and I ended up with a c section. It's actually not that bad - you go in on a scheduled date, recovery is a little rough but not too bad. I'm actually writing this from the hospital where I just had my second c section and am doing pretty good!
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  • DD had been head down the whole time, and once I was in labor, dilated to 6cm, water broken, they discovered she was breech.

    I would've opted for an external version. My doctor said we could've done that had my water not broken (sac has to be intact for a version).

    Although my c-section wasn't terrible, I was upset for quite awhile that I couldn't deliver vaginally. DD is my second child, and DS was delivered vaginally and I was so excited about going through that again. It did take me awhile to get over the fact that it was a much different birth experience and not what I wanted/hoped for/expected.

    My friend had a version and everything was fine. She went into labor a couple weeks later and delivered her baby vaginally.

  • I had a non-successful version with my first DS.  I can honestly say the pain of that was worse than the c/s and a vaginal delivery.  In the best of conditions, the success rate is only like 30%.  If I would have know that, I would have never done it. 
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  • It's really up to each person to weigh the pros and cons to decide what is best for them. Spinningbabies and the other non-medical options are great to try.

    My first was breech, never once turned head down. I had a version scheduled, and after doing some actual research and talking to people, it was no question that I would not go through with it. They do it in a hospital, in case you go into labor or baby goes into distress...huge red flag for me. From anybody I know IRL that has done it, I've heard it's extremely painful. It has a VERY low success rate, and of those that are successful, half turn back anyway. Versions can often lead to c/s because a lot of doctors will induce shortly after if the version is successful (and an unsuccessful induction will most often lead to a c/s). And, in the end, I'm convinced breech babies are that way for a reason.

    My c/s was physcially fine. Sure, painful in the beginning. But, I healed perfectly, had no complications and felt better and better everyday. For me, I couldn't take the emotional let down of the c/s (which is why I went VBAC the 2nd time). Either choice is difficult, but even with the let down I felt, I would not do anything different.

    Ashley & Christian
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