What happens if your baby is breech?
What does it mean if a baby is breech? A breech position is when baby’s buttocks, feet or both are poised to come out of the vagina first during birth. This is instead of the coveted vertex presentation, which means positioned vertically in utero with her bottom up so she can exit your vagina head first.
Breech is very common in early pregnancy, but by weeks 36-37, most babies will turn themselves into the head-first position as a natural movement. If your baby remains in this breech position, it can mean that your birth may be considered a little more high risk.
Maternal care for breech presentation, not applicable or unspecified. O32. 1XX0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O32.
In a breech presentation, the body comes out first, leaving the baby's head to be delivered last. The baby's body may not stretch the cervix enough to allow room for the baby's head to come out easily. There is a risk that the baby's head or shoulders may become wedged against the bones of the mother's pelvis.
Types of breeches Frank breech (50-70%) - Hips flexed, knees extended (pike position) Complete breech (5-10%) - Hips flexed, knees flexed (cannonball position) Footling or incomplete (10-30%) - One or both hips extended, foot presenting.
A breech presentation occurs when the baby's buttocks or feet or both are in place to come out first during birth. Breech presentation is often determined by fetal ultrasound at the end of pregnancy.
Diagnosis of a breech presentation can be accomplished through abdominal exam using the Leopold maneuvers in combination with the cervical exam. Ultrasound should confirm the diagnosis. On ultrasound, the fetal lie and presenting part should be visualized and documented.
Of these children the vast majority is born in cephalic presentation, which means with the head first. Breech presentation is defined as the presentation in which the fetal head is positioned in the fundus (the upper part of the uterus) and the fetal buttocks are facing toward the maternal cervix.
Overview. There are three types of breech presentation: complete, incomplete, and frank.
Extended or frank breech is also a bottom-first position, but the baby's knees are not bent. Instead, babies in this position will have their legs up and their feet by their ears. Most babies who are breech will be in the extended or frank position.
Features of this skull deformation (dolichocephaly, a prominent occiput with a suboccipital shelf, an elongated face and a parallel-sided head) constitute the 'breech head'. The caliper-determined occipitofrontal/biparietal diameter ratio (OFD/BPD) in these newborn infants was consistently above 1 .
Fetal Positions for Birth. Ideally for labor, the baby is positioned head-down, facing your back, with the chin tucked to its chest and the back of the head ready to enter the pelvis. This is called cephalic presentation. Most babies settle into this position with the 32nd and 36th week of pregnancy.
The legs are straight up in front of the body, with the feet near the head. This is the most common type of breech position. Complete breech. The buttocks are down near the birth canal. The knees are bent, and the feet are near the buttocks.
if the uterus has too much or too little amniotic fluid, meaning the baby has extra room to move around in or not enough fluid to move around in. if the woman has an abnormally shaped uterus or has other complications, such as fibroids in the uterus.
Some of the common reasons include: too much or too little amniotic fluid around the baby. the length of the umbilical cord. multiple pregnancy — for example, often one twin will be in a head-down position and the other in a breech position.
When the breech baby's pelvis or hips deliver first, the woman's pelvis may not be large enough for the head to be delivered also. This can result in a baby getting stuck in the birth canal, which can cause injury or death. The umbilical cord may also be damaged or blocked. This can reduce the baby's oxygen supply.
In general, breech pregnancies aren't dangerous until it's time for the baby to be born. With breech deliveries, there is a higher risk for the baby to get stuck in the birth canal and for the baby's oxygen supply through the umbilical cord to get cut off.
Risk factors for breech presentationLax uterus (usually associated with high maternal parity).Uterine anomalies (eg, bicornuate or septate uterus) or tumour.Placenta praevia.Abnormal pelvic brim.Maternal smoking.Maternal diabetes.Fetal malformation (eg, hydrocephalus).Multiple pregnancy.More items...•