Every expectant mum wants to hear that their baby has turned into a head down position as their due date draws closer.
But if your baby hasn’t turned by the 37-week mark and is in a breech position, there are still options to explore before booking a caesarean.
Your obstetrician or midwife may recommend an external cephalic version or an ECV, which is a procedure manually performed by obstetricians to turn your baby.
Before the procedure, your caregiver will use an ultrasound to confirm three things:
1) your baby is well
2) your baby is a good size for the procedure and not too big at 37-weeks
3) you placenta isn’t in the way
Your Obstetrician might use a medication called Terbutaline to help relax the uterine muscles and make it easier to manually turn your baby.
The procedure is done using two hands and using pressure and massage like movements to turn your baby into a head-first position.
Once turned, another ultrasound will be performed to make sure your baby is in the normal head-first position.
Even after a successful ECV, a baby will sometimes turn back to a breech position.
This can happen either immediately or within several days and its usually recommended that you book a caesarean.