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Schedule an ECV. Talk to your doctor about having a Cesarean section. Consider a vaginal breech birth.
Once you pass the 37 week mark, it is unlikely that your breech baby will change position on its own. Therefore, you should consider scheduling an appointment with your doctor so that he or she may attempt to turn the baby using external cephalic version ("ECV"). This is a non-surgical procedure, used by a doctor, in a hospital. During the procedure, the doctor uses medication to relax the uterus so that he or she can push the baby, externally, into the vertex position. This is done by applying downward pressure to the lower abdomen (which some women find very uncomfortable). Some hospitals may offer hypnotherapy to ease any potential discomfort. Throughout the procedure, the doctor will use an ultrasound to monitor the position of the baby and placenta, along with the amount of amniotic fluid. The baby's heart rate will also be monitored throughout the procedure -- if it drops too low, an immediate emergency delivery may be necessary. The ECV procedure is successful in approximately 58% of breech pregnancies. It has a higher rate of success in subsequent (rather than first-time) pregnancies. However, in some cases, ECV is not possible due to complications -- such as bleeding or lower-than-normal levels of amniotic fluid. It is also impossible to perform when the mother is carrying twins. In some cases, a c-section will be necessary whether your baby is breech or not -- like if you have a placenta previa, are carrying triplets, or have previously had a c-section. However, if your baby is breech but all other factors are normal, you will need to decide if you want to deliver your baby vaginally or undergo a c-section. A large majority of breech babies are delivered by c-section, as it is believed that this option may be somewhat less risky. Planned c-sections are normally scheduled no earlier than the 39th week of pregnancy. An ultrasound will be performed just before the surgery to ensure that the baby hasn't changed position before the last check-up. However, if you go into labor before the scheduled c-section and it progresses too quickly, you may need to deliver the baby vaginally irrespective of your plans. Delivering breech babies through vaginal birth is no longer considered to be as dangerous as it once was. In fact, in 2006 the American College of Obstetricians and Gynecologists (ACOG) stated that delivering breech babies vaginally is safe and reasonable in certain patients under specific conditions. For example, vaginal breech birth may be a valid option if the mother's pelvis is large enough; the baby is carried to full term and the labor starts and progresses normally; ultrasounds of the baby indicate that he or she is a healthy weight with no abnormalities (other than its breech position); the primary caregiver is experienced in the vaginal delivery of breech babies. If you think you may meet these criteria and are interested in having a traditional birth rather than a c-section, speak to your doctor to explore your options and decide whether a vaginal birth is safe for both you and your baby.