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  1. #1
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    Default Incision for a breech baby

    Does it necessarily have to be the classical (vertical) incision?

    My bub turned oblique footling breech sometime after 30 weeks and despite spinning babies, chiro, accupressure, hypnobirthing and an ecv i've been unable to get him back round to head down. Because of the risk of cord prolapse, i think we're going to have to go the c-section route. I've been doing some reading and a lot of the information i've come across seems to indicate that a classical incision is often used for breech.

    Has anyone had a similar malpresentation, or any positioned breech bub, where they've been able to have the transverse (bikini) line cut?

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    It depends entirely on their exact position, gestation, etc... So very unique to each breech baby.

    From the people I know who have had csections for breech babies (myself included) they've all been one cut below the bikini line csections, not classical.

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    champagne  (19-02-2012)

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    Mine was an emerg c sect and bubs was head under my right ribs facing left and legs stretched out along my belly. OB did the bikini line incision.

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    champagne  (19-02-2012)

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    Thanks ladies! i'm glad to hear those two stories.

    If it helps any, bub's head is under my right rib (but not jammed), bum in my left side/hip (he can move) and feet in my pelvis. He's facing down right.

    ETA i'm currently 37 weeks and a decision/date will be made this week when i'm 38 weeks.
    Last edited by champagne; 19-02-2012 at 13:15.

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    With DS2 who was breech with a fundal placenta and short cord around his neck the usual bikini line incision was used.., out he came, bum first

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    champagne  (19-02-2012)

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    yeah I had a c/s for breech, and had a transverse (bikini line) incision.

    they usually try not to do a classicial (vertical) incision unless they have to.

    Best of luck - and check out www.spinningbabies.com for ways to try and get bubs to turn


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    My first baby was breech, head under my right ribs, bum down and legs in pike position (feet up around her ears). I had a very easy c-section with bikini line cut. Second baby was CS (head down( and same incision line was used.

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    champagne  (19-02-2012)

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    same as all the other ladies, I had a bikini line incission, bub was full breech she came out bum first (have the most amazing photo of her delivery!!)

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    champagne  (19-02-2012)

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    Yep bikini line incision for me too. Bub's head was jammed up under my ribs and bum engaged in my pelvis but still managed to do bikini line, jeepers hadn't even thought they may do the other way!

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    champagne  (19-02-2012)

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    Go to the Spinning babies site and encourage bubs to turn.......

    my 4th baby,turned single footling breech at 36 weeks and she wasn't looking like she was going to move! At 40 + 1 ( i think- was past my DD and I had her at 40+5) she flipped around to head down and was born after about 25 minutes of labour so dont give up yet xx
    Last edited by Roopee; 19-02-2012 at 21:38.

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    champagne  (19-02-2012)


 

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