Beware of Complications of Breech Babies During Delivery

Normally, babies are in a position ready to be born from 32-36 weeks of gestation. However, for some conditions, the baby is unable to turn so that the position of the head is at the top of the uterus or opposite the birth canal. This condition is called a breech baby.

The condition of a breech baby often raises its own concerns, because it can cause complications if the handling steps are not taken immediately.

Causes of breech babies and how to handle them

The exact cause of breech babies is not known. However, there are several factors that can increase the risk of this condition, namely:

• History of preterm delivery
• Twin pregnancy or more
• Too little or too much amniotic fluid
• Abnormal uterine shape
• Abnormal tissue growth such as myoma
• Placenta covers part or all of the uterine passage ( placenta previa )

In addition, some babies with congenital abnormalities are also at risk of experiencing a breech position before delivery.

One way to change the position of a breech baby before birth is the external cephalic version (ECV) method. This method is done by applying pressure to the pregnant woman's abdomen to direct the baby's head down.

The ECV method is usually done at 36 weeks of gestation for the first pregnancy, while for the second pregnancy and so on it is usually done at 37 weeks of gestation.

However, women who are carrying twins or have experienced vaginal bleeding during pregnancy are not allowed to undergo this method, so the caesarean section is the only way that can be done.

Complications of breech babies that can occur

If the condition of the breech baby does not change until before delivery, there are several risks of complications that can be experienced by pregnant women and the baby to be born, both in normal delivery and caesarean section. Following are some of the complications:

Complications of the breech baby in normal delivery

Labour normal for breech babies can still be made for several conditions, such as:

• The part of the baby's body closest to the birth canal is the buttocks
• The size of the baby is not too big and the mother's pelvis is not narrow
• The condition of the baby before delivery is monitored to be stable and normal
• The opening process went smoothly

In addition, experts or a team of doctors who are experienced in dealing with breech babies are also needed and the availability of caesarean section facilities at any time is needed.

Although normal delivery can still be done, there are some complications of breech babies that can occur, namely:

• The cervix does not open and stretches maximally so that the baby's shoulders or head will be stuck in the mother's pelvis. This condition will certainly hamper the delivery process.
• The umbilical cord falls into the vagina before the baby is born. This condition can cause the umbilical cord to be compressed or pinched, resulting in decreased blood flow and oxygen intake to the baby.
• Increased risk of the baby having a low Apgar score at birth.
• Injury to the neck and spinal cord in babies at birth. This can happen because the baby's head will bend as it passes through the birth canal.

If the condition of pregnant women and babies does not allow normal delivery, caesarean section is the only way.

Complications of the breech baby in cesarean delivery

• Cesarean section for breech babies is generally performed in the following conditions:
• The Baby's feet are at the bottom of the buttocks
• Twins with one baby in the breech position
• The baby weighs more than 4 kg or less than 2 kg
• History of cesarean delivery with a narrow pelvis
• Placenta position too low
• Mother has a dangerous condition, such as preeclampsia

The caesarean section procedure for a breech baby is actually not much different from a cesarean section in general. It's just that, the doctor will remove the baby's legs or buttocks first before the head.

Although considered safer, giving birth to a breech baby by caesarean section also has various risks of complications, such as infection, bleeding, or injury to internal organs. In addition, disruption of the placenta to the uterine wall or tearing of the uterine wall can also occur during the next pregnancy.

Pregnant women carrying breech babies are also more at risk of premature rupture of membranes. This causes the fetus in the womb to be born prematurely.

For the delivery of a premature breech baby, most doctors recommend a cesarean section because it is safer. However, normal delivery may still be possible if there are no other complications in pregnancy.

The condition of a breech baby before delivery should receive special attention. The choice of delivery method must also be considered properly according to the doctor's advice.

Therefore, you are recommended to check your pregnancy condition regularly to the doctor. Not only the health condition of the baby but also the position of the baby in the womb. Thus, treatment steps can be taken immediately to prevent complications of breech babies or other dangerous signs of pregnancy