The buttocks are down near the birth canal. The knees are bent, and the feet are near the buttocks. Footling breech. One leg or both legs are stretched out below the buttocks. The leg or legs are in place to come out first during delivery. What causes breech position? Most of the time, there is no clear reason why the baby did not turn head-down.
How is a breech position diagnosed? How is breech position treated? How is a breech baby delivered safely? External cephalic version. Obstetrics and Gynecology , 95 2 : 1—7. Cunningham FG, et al. Breech presentation and delivery. In Williams Obstetrics , 23rd ed. New York: McGraw-Hill. American College of Obstetricians and Gynecologists , reaffirmed Mode of term singleton breech delivery.
Obstetrics and Gynecology , — Other Works Consulted Kish K Malpresentation and cord prolapse. In AH DeCherney et al. Breech, other malpresentations, and umbilical cord complications. In RS Gibbs et al. Philadelphia: Lippincott Williams and Wilkins. Credits Current as of: October 8, This works about half the time and if it does then it is possible to have labour and delivery just as if the baby had been head down all along.
To have the greatest chance of success, this maneuver should be attempted between 35 and 36 weeks gestation. In Canada, it has been the norm for most breech babies to be delivered by a Caesarean section. However, today, more women are delivering breech babies vaginally. Vaginal deliveries involve faster recovery and less pain than C-sections and so are preferred when possible because of research demonstrating greater safety for the baby.
There are specific risks for breech babies. Their head,which is the biggest part, comes last and can become trapped. The choice of the right approach to delivery in a breech is one that takes all the risks and benefits in your particular circumstances into account.
In , 32 percent of all births were by cesarean delivery in the United States. In Canada, the rate was 28 percent. In many hospitals, the C-section rate is much higher than the average, and often avoidable. In California, C-section rates for low-risk mothers vary from 12 percent to 70 percent. Daviss is also working to help physicians become comfortable with breech again.
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