Breech VBAC

Archived User

Breech VBAC

Dear Henci,

A friend of mine had a planned CS for a breech baby which she now regrets. She wants to try for a VBAC with her next one, but she is worried the baby might be breech again. If that would be the case, she would still like to try for a VBAC and has asked me for some statistics. Unfortunately I couldn't find any.

Maybe you could help me out?

Henci Goer

RE: Breech VBAC
(in response to Archived User)

Well, her biggest problem will be finding a care provider willing to do VBAC even if the baby is head down. That being said, I'm not aware of the statistics on how likely it is that her next baby would be breech. If it is, her best bet would be trying to get the baby turned. Here's a general article on strategies. Besides the various home remedies, the Webster technique--here's a video--a chiropractic technique, and moxibustion, a Chinese medicine option--here's a video-- should be harmless because neither involves manipulating the uterus. I also have a tidbit of data on the safety of external cephalic version, an obstetric technique, which does: A review reported on one study of 56 women with a cesarean scar who underwent ECV to turn a breech and none had a problem with the scar. This isn't enough to establish safety, but it suggests risks are probably not unduly high, and, of course, the risks of accumulating cesarean scars should be considered in the calculation.

 Lieberman E. Risk factors for uterine rupture during a trial of labor after cesarean. Clin Obstet Gynecol 2001;44(3):609-21.

~ Henci

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