Approximately 4-5% of cesareans done inbreech delivery. The reason is that other methods do not exist. Recent studies have shown that the breech (buttocks down) the child has a better chance of getting a birth trauma during vaginal delivery than with cesarean section. In 1970, only 12 percent of cases of breech presentation ended by caesarean section. By 2002, this figure had risen to 85. In making a decision about Caesarean fear of responsibility affects mostly. In some areas, all children with breech presentation are born on the surgical table.

If a firmly established opinion in the field,that breech presentation is an implicit reason for cesarean section, the doctor risks to appear before the court, if it attempts to maintain vaginal delivery and will face complications. Although International Federation Obstetrics and Gynecology officially allowed vaginal birth atbreech position, your doctor may be reluctant or afraid to do prenatal turn. Given that doctors practice in medical centers, where all cases of breech presentation ends by Caesarean section, they simply may not have the experience a vaginal birth under such conditions. Moreover, they may not even have seen such delivery.

Решение.

A woman has two choices. If you have just about to give birth, but your baby is in the breech position, you can avoid surgery. Try the following.

Turn for the better

Remember, almost half of the children wholocated in the abdomen buttocks down at the beginning of pregnancy, childbirth themselves before turning upside down (usually when the thirty-second week of pregnancy). However, the 3-4 per cent of children do not change their position.

If the child does not turn himself obstetricianmay try to make an external cephalic. Normally this is not done before the thirty seventh week of pregnancy, since, firstly, some children by this time turning themselves and secondly, such a maneuver is associated with the risk of premature birth. Using ultrasound readings and EMI as well as relax the uterus with the help of medications, the doctor manipulates the mother's belly, trying to expand the child's head down. Experienced doctors are making that 60-70% of children are deployed. Some children may turn again, then cephalic repeated. However, it happens that the fruit of hard returns in the breech position, regardless of how many times he tried to turn.

Pick an obstetrician, who calmly refers to the breech

Find this doctor very difficult. Most obstetricians say that they do not conduct a vaginal delivery of breech presentation. One mother, very surprised by how much her doctor categorically refers to the impossibility of natural birth when breech presentation, told us: »He appointed me the date of caesarean section, as if it did not labor, and a round of golf.» Try to find a doctor with experience in birth breech presentation, among obstetricians older. Gray-haired doctors studied his craft at the time when a vaginal birth when breech delivery were common. In addition, you can try your luck in this hospital who takes a vaginal birth under certain conditions, such as the child's weight less than 4.5 kg in pure or complete breech presentation.

Find a midwife with experience in labor with breech presentation

You can try to find a midwife whoI took a vaginal birth when breech delivery. In some states, midwives are forbidden to accept home birth when breech presentation, so carefully read the laws of your state. Consult with your doctor. If he or she does not want to take your birth, you will be able to give you an opportunity to try to give birth vaginally after a thorough examination. In this case, you can invite an experienced midwife at birth.