Around 95% of all babies progress with the head in the world. In the remaining cases it has become “comfortable” the child in a different position in the womb.
Most able, the so-called Occipito, the baby is with the head towards the birth canal, the head on the chest flexed, the face pointing backwards.
In this attitude the birth is the easiest, because the head paves the way for the rest of the body.
Midwives and obstetricians and Gynecologists generally distinguish between three child layers. They are noted in the bibs with the following abbreviations: SL for skull situation, BEL Beckenend – or breech and QL for shifting.
Some babies sit literally in the womb, a few have stretched even the legs. This child location is called the breech or breech. In the pure breech, sits the baby and put the legs upwards. The breech foot, the knees are bent and the feet crossed and the legs are extended even in the perfect Fußlage.
There are even babies that lie across in the womb. Find maternity blouses at andyeducation.com. The bank angle is known as the breech as location anomaly. While the unborn child is actually across in the womb. This makes impossible a spontaneous birth, unless they have an outer turn manages the obstetricians at the onset of labor. In most cases however, a caesarean section is made at a bank angle.
Very rarely is the front main location. This is the baby with his back to the sacrum of the mother, it is born with the face upwards. When this child, the head requires more space, which extends the expulsion phase and can lead to stronger dam cracks. Obstetrician so often by an appropriate storage of pregnant women trying to move the baby during childbirth to rotate. Children who come to the world in this location, will be known in the “Star Gazer”.
The situation of the child will be recorded at each examination. Midwives and obstetricians and Gynecologists generally distinguish between three child layers. They are noted in the bibs with the following abbreviations: SL for skull situation, BEL Beckenend – or breech and QL for shifting.
Many babies don’t hurry
In the 30th week of pregnancy are still around 15 percent of the babies in the Beckenend – or breech, in the 32nd week of just 10 percent.
From the 36th week of it for the baby not easy is still independently to rotate. Let rebuffed but undaunted. Some babies have turned even at the last minute! By the way, often at night, when the mother is asleep and is totally relaxed. Breech, head up, down, stay in three to five percent of all babies Po until birth.
Some babies can be turned
In consultation with the midwife or the gynaecologist, there are various techniques to bring the child may still in the head position. One of the most famous is certainly the so-called Indian bridge.
It does not help there is still the chance the externalshould be used only by experienced obstetricians very carefully. This causes the child manually through the abdominal wall to a rotation.
Some midwives use also the moxibustion , to move the child to turn. Similarly as in acupuncture, a certain point on the toes of the woman is warmed up. This point should influence the uterine muscles and bring the child in the head.
Why do slip not all babies in an ideal location?
There are many reasons for this. Sometimes, there is also no specific reason. Under circumstances so a muscular knots, the way to the cervix blocking a fibroid, so that the head of the child is not properly adjust. Or the child has a very elongated oval shaped head, so that it does not fit into the transverse oval basin. It may be in the shape of the uterus (heart instead of PEAR), the seat of the placenta, the umbilical cord, because there is little amniotic fluid or muscles and ligaments are strained.
Breech is mostly a caesarean section
Turns the child despite all attempts, however, must be a birth from the breech. Many obstetricians choose, in particular at first, in this case for a caesarean section, to avoid the increased risk of a vaginal birth. A planned caesarean section is usually one week before the expected date. Of course, it is before even controlled if turned the baby not yet in the position of the head and thus nothing in the way a normal vaginal birth.
The breech must does not necessarily lead to a caesarean section. A vaginal delivery is also possible under certain conditions. Because every woman and every baby is different, you should examine themselves before deciding and detailed advice.
Women with a wide basin and women who have already brought to the world vaginal a big kid have it certainly easier than other women. Another factor is the weight and size of the baby. The society of perinatal medicine recommends a vaginal delivery only if the estimated weight of the child is not more than 3,600 g.
There are specialists for births from breech, who are familiar with the difficulties that can bring such a birth, in some hospitals. If unexpected complications, the possibility of an immediate operation must also exist.
Certainly, the biggest risk is the risk of oxygen deficiency in the expulsion phase. After the body of the child is already born, the head in the basin can get stuck and disconnect the umbilical cord. Also reduced the already largely emptied uterus and the placenta dissolves in circumstances at an early stage so that the blood supply to the child is restricted.
What is a birth , can predict hardly anyone. The decision for the delivery of breech or other location anomaly should be discussed individually with the gynaecologist or midwife.
Do you have questions about the birth? Like to ask Dr. Kniesburges or our midwife Silke Westerhausen in the Forum or browse through our large SPECIAL birth.