Chances of a Second Breech Baby

Cynthia Flynn's picture
Experts: 

QUESTION

Dear Midwife,
My daughter was born at 41 weeks 1 day. She was frank breech and born at home vaginally. She was head down the day before and even at the initial labor checks (just checking from belly no ultrasound).I felt her moving way too much during labor so I and my midwife believe she flipped in labor. The entire pregnancy I measured way ahead for my due date like anywhere between 3-8 weeks ahead. but she was only 7lbs and 21".

Now I am pregnant with my second and I am measuring way ahead again, so I know there is extra amniotic fluid again. I'm 20 weeks and starting to get worried that this one is going to have too much room and will be breech as well.

I know that the chances of having a breech in the first place are pretty low like 3-5% but do your chances of having a breech baby increase with subsequent pregnancies? Have there been any studies to this subject?

ANSWER

The more important question is why you are making extra amniotic fluid. If the baby was healthy, the next most common cause is (gestational) diabetes. If you tested positive for it last time, that would be the root cause of the breech presentation. Even if you tested negative, I would suggest that you go on a strict diabetes diet for this pregnancy (many examples on-line) right away and see if that would help you to produce a normal amount of fluid.

You are correct, excess fluid does increase the risk of malpresentation of all types, including breech.

-- Cynthia, CNM. PhD.