delivery methods

Breech Baby Position & Delivery Options

When baby is bottom-down instead of head-down - turning techniques and delivery options.

Overview

Breech position means baby is bottom-down or feet-down instead of head-down. About 3-4% of babies are breech at term. Most are head-down by 36 weeks.

If baby is breech near term, options include external cephalic version (manually turning baby), waiting to see if baby turns, or scheduled C-section. Most providers recommend C-section for breech.

Some techniques may encourage baby to turn: certain positions, chiropractic care, acupuncture. Success varies, but many babies turn on their own by 37 weeks.

💡 Key Points

  • Baby is bottom or feet-first instead of head-down
  • Affects 3-4% of term pregnancies
  • Types: frank (feet by head), complete (crossed legs), footling (feet first)
  • External cephalic version can turn baby (50-70% success)
  • Most breech babies delivered by C-section
  • Some techniques may encourage turning

📖 What to Know

  • Breech discovered at 32-36 week ultrasound
  • Many babies turn on their own by 37 weeks
  • External version attempted at 37 weeks if still breech
  • Version uncomfortable but not usually painful
  • Small risk of emergency C-section during version
  • Few providers perform vaginal breech delivery
  • C-section usually scheduled at 39 weeks

How to Prepare

  • Discuss options if baby breech at 32+ weeks
  • Try positions: bridge, hands-and-knees, inversion
  • Consider chiropractic (Webster technique)
  • Ask about external cephalic version
  • Understand risks and success rate of version
  • Prepare mentally for possible C-section
  • Get second opinion if desired
  • Know that many babies turn last minute