Head Down Transverse Lie?

cntwt2bamom · February 2011

Had an appointment today babies head is engaged and head down... but he is a transverse lie.... Looked this up online and it says that usually babies who are in this position are born via C section? I really dont want a C section.. but If i have no choice I have no choice right? Does anyone know more about this?

Swan21 · February 2011

This doesn't make sense to me. Traverse lie is a horizontal lay across the womb. Not head down. If your LO is in fact Traverse most DRs don't worry until after 36 weeks, and it depends n your practitioner if they will try a version, schedule a c-section, or wait for you to go into labor and see if LO flips then.

cntwt2bamom · February 2011

Thanks

JoyfulW&M · February 2011

they will probably try to get baby to move either soon before you go into labor or during, if the baby doesn't flip then yes you will need a c-section. Ask you doctor about how and when they usually start trying to get the baby to move into correct position.

DrDPM · February 2011

I'm lurking from PAL, but my little guy was a head-up unstable lay (he flipped from head-down to breech to transverse/head-up every few days - I didn't know this until almost 36 weeks and had weekly u/s after finding out).

So for you, LO is transverse, but their belly is pointed at the floor. For me, he was transverse with his belly pointed at the ceiling. If LO is head down and transverse, a version is more likely to be successful and LO has a better chance of turning on their own. If the dr does a version, you need to deliver soon afterwards - the baby "likes" the transverse position and will try to flip back again.

At 38 weeks my LO transverse, at 38w3d he was breech, at 39w he was transverse again and at 39w2 days when I was sent over to the hospital to have my c-section (due to a poor NST) I requested one last u/s and he was head-down. I had a smooth, easy vaginal delivery with no complications at all.

DrDPM · February 2011

Dup

wendylaine · February 2011

The baby doesn't have to be sideways to be transeverse There is also LOT where baby is head down like your doctor said but not facing forward or toward your spine, he is facing sideways. You should get on spinning babies it is VERY helpful!

iris427 · February 2011

I think you might be confusing occiput transverse position with transverse lie position. Occiput transverse (OT) is when the baby is head down but facing to either your left or right side. Transverse lie is when the baby's entire body is horizontal in the womb. If your baby is head down and engaged in your pelvis, they can't be transverse lie but they can by OT.

Transverse lie babies cannot be born vaginally in that position--they either need to turn on their own, be manually turned or be born by cesarean. OT position is less concerning and OT babies will usually turn to occiput anterior (OA) on their own during labor.

HTH!

chicsub · February 2011

Thanks Iris, I was just going to comment on this. I didn't know about this until I saw my operative report from my c/s and researched it, but it's not uncommon for baby to be in this position in early labor and rotate as things progress.

adm27 · February 2011

My LO was occiput transverse (OT; head down, but facing my left hip) at my 37 week appointment. My midwife told me that I could help LO turn so he/she would be facing my back by frequently going on my hands and knees. Since the baby's heaviest part is their butt/back, allows gravity to help to move your baby into position so they are facing your back and no longer facing your hip. When I went in for my 38 week appointment, my midwife told me that the baby was in perfect position and whatever I did worked great! I hope this helps :-)

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