The position of each baby in the mother’s womb cannot be the same. Indeed, in general, the position of the baby in the womb is the position lying face down with the back on the front or the Left Occipito Anterior (LOA). In addition to this position, it is also normal if the baby is lying with his back facing the left side.
Then, what if the baby’s position is breech?
According to Richard Fischer, MD, of the Department of Obstetrics and Gynecology, Section of Maternal-Fetal Medicine, Cooper Hospital / University Medical Center, there are several positions of breech babies. That position is a butt presentation. That is, in the palpable examination only the baby’s buttocks. The position occurs because the fetus straightens (extends) the two knee joints so that both feet point up and both ends are parallel to the shoulder or head. The next breech position is a palpable buttock presentation with one foot beside it, while the other foot is lifted. The next breech position is the foot presentation. The first palpable examination is one or both feet because the foot position is at the lowest.
Because of breech
You could say the location of the fetus depends on the adaptation process in the womb. No need to rush worry if breech position occurs below 32 weeks of gestation. Because, at this gestational age, the amount of amniotic fluid is relatively more, so the fetus can still move freely. This means that from the breech position can rotate to transverse then rotate again so that the position of the head in the lower part of the uterus. Do not be surprised if the pregnancy is not enough months, the frequency of breech location is higher.
Well, when you enter 37 weeks of gestation and above, the breech position has been difficult to change because the lowest part of the fetus has entered the pelvic gates. However, it should be in the third trimester, the buttocks of the fetus with folded limbs that are larger than the head will occupy a larger space which is in the upper part of the uterus while the head is in a smaller room, in the lower uterine segment. However, the problem arises why is the breech position really, can it still be up to quite a month of pregnancy?
According to Fischer, there are several sebb, which are twins pregnant. That is, the presence of more than one fetus in the womb causes seizure of places. Each fetus tries to find a more comfortable place, so there is a possibility that a more substantial body part (i.e. the fetus’s buttocks) is in the lower part of the uterus. Another reason is multiparity. Namely, the mother has given birth to many children so that her uterus is very elastic and makes the fetus have a great chance to spin until the 37th week onwards.
The cause of breech can also be due to hydramnios, the amount of amniotic fluid that exceeds normal. This situation causes the fetus to move more freely even though it has entered the third trimester. Besides, because the hydrocephalus disorder can also cause breech babies. Hydrocephalus is the size of the head due to excess fluid that makes the fetus look for a more comprehensive place, namely in the upper part of the uterus. Because placenta previa can cause breech babies, placenta previa is the presence of a placenta that covers the birth canal so that it can reduce the area in the uterus. Then the narrow pelvis, the pelvic chamber pushes the fetus to change its position to breech. Congenital abnormalities can also result in breech babies. If the lower part of the uterus is bigger than the top, the fetus tends to change its position to breech.
Overcoming breech babies
If your baby is in a breech position, the doctor may want to arrange it. This is known as the External Cephalic Version (ECV), by placing his hand on the mother’s stomach and slowly trying to rotate the fetus until the head is down, all done with USG. This method is effective in about 70% of cases and avoids an unnecessary cesarean section. After the baby’s position is known with certainty, the doctor will try to improve the location of the baby through your stomach. This takes about half an hour and may feel uncomfortable, even if it doesn’t hurt.
ECV is very dependent on the expertise of the treating doctor. In correcting this position, the baby’s head can be palpated and your uterus relaxed (before you may get a stretch medicine first). If you fail to improve for the first time, your doctor may try again in a few days. Alternatively, suggest being born with more secure surgery.
Here are some tips for using gravity to increase the baby’s position to be anterior, which is the best position for labor. If your baby has the best position, this method will maintain the position of the fetus. These tips are the point of asking you to lean your pelvis when standing, sitting with your knees wide and lower on your pelvis, and lying in a position facing left.
• When sitting, sit on a cushion and rest your pelvis on the table
• Stand often in front of a closet or wall, and lean the front of your chest on a closet or wall
• Sit by facing the back of the sofa or kneel on the floor.
• Put a pillow behind you and lean on it.
• If you are sleeping or lying on a bed or couch, try to tilt to the left.