Breech Presentation: Your Birthing Options

• Your baby is full-term and frank breech presentation
• A midwife or doctor trained and experienced at breech birth will be present
• Anesthesia is available and cesarean delivery can be performed on short notice
• Nothing to make giving birth vaginally more risky

You'll be advised to have a cesarean if:

• Your baby is premature
• Your baby is footling breech or kneeling
• Your baby weighs more than 8 pounds, 6 ounces or less than 4 pounds, 6 ounces
• An ultrasound shows your baby's neck tilted far back
• You've had a previous cesarean birth
• You have a low-lying placenta

Benefits of a Vaginal Breech Birth

Delivering your breech baby vaginally offers benefits to you and your baby.

Your benefits:
• Less blood loss
• Less risk of infection
• No complications associated with surgery
• A faster, less painful post birth recovery

Baby's benefits:
• Babies born vaginally have less risk of breathing problems
• Passing through the birth canal exposes your baby to healthy bacteria

Risks of a Vaginal Delivery

In a breech birth, the baby's head is the last part to emerge. Sometimes forceps are used to guide the baby's head out.

If your baby's buttocks are not securely engaged, the umbilical cord can get squeezed as the baby moves toward the birth canal, slowing the baby's supply of oxygen and blood.

Because cesareans had been previously recommended for all breech births, health care professionals may not be as familiar with how to perform vaginal breech delivery. You might have difficulty finding an obstetrician who has enough experience to offer breech delivery.

Have you had a breech birthing experience? What's your story?


Medical references:
- Hehir, M. (June 2012) Changes in vaginal breech delivery rates in a single large metropolitan area. American Journal of Obstetrics & Gynecology. Volume 206, Issue 6 , Pages 498.e1-498.e4.
- Glezerman M. (January 2006)
Five years to the term breech trial: the rise and fall of a randomized controlled trial. National Institute of Heath Publication.

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