All About Breech

Medical Problems

Obie Editorial Team

Breech presentation occurs when a baby is positioned to come out feet or buttocks first, contrary to the more common head-first, or vertex, presentation.

It's quite normal to have breech positioning earlier in the pregnancy. Approximately 25% of babies are in a breech position by 28 weeks, but as labor approaches, only about 3-4% remain in this position near the due date. As a mother nearing the end of your pregnancy journey, hearing that your baby is breech might raise concerns about delivery, specifically about the possibility of a Cesarean section (C-section), which is often suggested for safer outcomes in such cases. A prenatal ultrasound will be essential to determine the baby's position, preparing you for the type of birth experience ahead. Let's put some proactive steps in place with important facts about breech births:

  • Breech presentation is seen in only 3-4 births out of every 100, making it a relatively rare event.
  • By the 36th week of pregnancy, most babies naturally rotate to a head-down, or vertex, position as they get ready for birth.
  • An ultrasound is often performed around this time to confirm the baby's position, but experienced doctors can also determine this through physical examination of your abdomen.

Types of Breech Position

  • Frank Breech: In this scenario, the baby presents buttocks-first, legs extended straight towards the head.
  • Complete Breech: Here, the baby is also buttocks down, but with knees bent and feet near the buttocks.
  • Footling Breech: This position indicates that one or both of the baby’s feet are positioned to come out before the buttocks or head.

Exploring Common Causes and Solutions

Breech presentations are more common in premature deliveries and multiple pregnancies. Other factors could include anatomical differences like uterine shape or an unusual placenta position. However, fear not! There are interventions that healthcare professionals may attempt to guide your baby into the head-down position before making any decisions regarding a C-section. It is vital to have a conversation with your doctor about these options, ensuring you weigh the benefits and potential risks together, for the most informed and empowering birth approach.