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Self-help methods
Not all of
these methods are supported by quantifiable data, but there is a
great deal of anecdotal evidence, mainly from midwives, that they can
help to turn a breech. Although these methods are low
risk, pregnant women are advised to discuss any self-help methods
they are considering with a midwife.
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Visualization
Visualize your
baby in the head-down (vertex) position. You could imagine a
helium balloon attached to your baby's foot, or imagine the baby
turning somersaults. |
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Swimming
Swimming may
help to turn a breech baby. This is probably due to a
combination of relaxed abdominal muscles and deep water immersion,
which increases the amniotic fluid, helpful to the baby's
turning. However, there is some evidence that regular aqua
aerobic exercise may actually prevent breech babies from turning. |
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Headstand in
the shallow end of a pool
Get into the
pool and spend at least 15 minutes just paddling around, helping to
relax your abdominal muscles. Then try a couple of headstands,
with a helper to support you. |
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Knee-chest exercise
Get on your
elbows and knees, so your hips are higher than your head, and stay in
this position for 15-20 minutes a couple of times a day. You
can also try crawling around in this position. A study in 1977
by Dr. Juliet DeSa Souza, retired professor of obstetrics and
gynaecology at Grant Medical College, Bombay, found this method
successful for 89% of 744 women studied. |
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Postural
inversion or *breech tilt*
Lie with the
hips propped up 12-18 inches higher than the head, two to three times
per day, for between 10-20 minutes at a time. This helps to
disengage the baby from the pelvis, and when the baby's head comes up
against the inside of the fundus, it is inclined to tuck its head in
and do a somersault into the vertex position. It is sometimes
recommended to try this with an empty stomach. Small studies
have reported success rates of between 89% - 96%. |
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Stimulate your
baby's senses
You can try to
attract your baby to turn using light, sound and cold. Try
shining a torch close to the vagina, so the baby heads towards the
light, or to place a radio or headphones near the pubic bone.
You can also try placing a bag of frozen peas on the back side of the
baby's head, as babies tend to move away from the cold. |
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Ask yourself:
"why your baby is breech"?
Some birth
practitioners believe that a mother who has anxieties about pregnancy
and birth or who is stressed for other reasons (such as working late
in the pregnancy) may be more likely to have a breech baby.
Some suggest that that babies often turn to the breech position in
order to come up to comfort the mother. Try to relax and spend
some time talking to the baby. Explain that you would feel
better if your baby turned, and that you and your baby could enjoy a
more positive birth experience. |
Getting
Specialist Help
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Hypnotherapy
A researcher at
the University of Vermont, Burlington, USA, used hypnosis with one
hundred pregnant women whose babies were in the breech position
between the 37th and 40th week of gestation. The women received
hypnosis with suggestions for general relaxation and release of fear
and anxiety. While under hypnosis, the women were also asked why
their baby was in the breech position. 81% of the babies in the
hypnosis group moved to the vertex position, compared with 48% of the
control group. Hypnosis was most effective for the women
motivated to use the technique. Aside from the visualization
involved, the deep relaxation of hypnosis can help your abdomen to
relax enough to allow the baby to turn if it wants to.
(Lewis E. Mehl,
MD, PhD (1994) Archives of Family Medicine, Vol. 3, Oct. 1994) |
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Acupressure
A professional
acupuncturist or shiatsu therapist will apply pressure
on acupoint BL 67, which is on the outside of the little toe, right
next to the nail. Although you can do this yourself, there is a
small risk that it could bring on labour, and the technique is likely
to be more effective if done by a professional. |
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Moxibustion
Traditional
Chinese medicine uses moxibustion (burning herbs, usually in a cigar
shape) to stimulate acupoint BL 67, to help breech babies turn. Its
effect may be through increasing fetal activity. No randomized
controlled trial has evaluated the efficacy of this therapy, but
studies have reported success rates of between 75% and 80%. It
is possible to buy moxi sticks and try this yourself, but, as with
acupressure, it is recommended to use a professional. |
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Yoga exercises
The classical
yoga shoulder stand posture can help to give the baby room to turn
and stimulation to allow the baby to turn itself. However, it
is an advanced posture, and will need to be done in a modified
position if the woman is not accomplished in the posture already.
To obtain
maximum effectiveness, the posture should be done when the baby is
most active. Other yoga exercises can also help - approach an
experienced yoga practitioner who is experienced in antenatal
exercise for advice and support. |
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The Webster Technique
This must be
carried out by a chiropractor. It is a simple technique, which
involves the chiropractor working gently on the woman*s legs and
vertebra, usually requiring a series of appointments every two or
three days for two weeks. Clinical case studies show a 80-100%
success rate with this technique and a widespread trial is planned. |
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Homeopathy
Homeopathic
Pulsatilla causes the muscle fibers in the uterus to even out and may
help to turn a breech baby. Homeopathic natrum muriaticum can
help reduce swelling (odema) if this is a contributing factor.
Consult an experienced homeopath for advice. |
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External
Cephalic Version (ECV)
ECV involves
the external manipulation of the baby by an obstetrician.
Ultrasound is usually used to find out exactly how the baby is lying
and to locate the placenta and the baby is monitored throughout.
The Royal College of Obstetricians and Gynaecologists recommend that
ECV is offered to all women with an uncomplicated breech pregnancy at
term (37-42 weeks). Performed prior to 37 weeks there is a risk
of preterm labour and many babies will turn on their own around this
time anyway. The biggest risk associated with ECV is separation
of the placenta which rarely occurs, mostly due to the guidance of
the ultrasound. Large scale trials report success rates for ECV
of 46% in the UK, 65% in the US and 80% in Africa. Recent
studies show that epidural anesthesia during ECV may actually
increase its success rate. |
Keeping
the baby in the vertex position
Being aware of
your posture, and sitting upright, cab help to keep your baby in the
vertex position. Upright exercise, such as walking, can also
help. So can simple yoga exercises, such as sitting in the
classic *tailor* position and leaning forward.
After
all that...if your baby is still breech...
If your baby
remains breech, there may be a good reason why. It may be
because of the position of the placenta or a short, knotted or
twisted cord. Breech can also result if a physiological condition is
present in either mother of child. These things are not necessarily anything to
worry about, and breech may simply be the best presentation for your baby.
Consider your options for
birth and discuss these with your midwife or obstetrician.
Back
to Turning
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