![]() If you were carrying only one baby, a practitioner would probably try an external cephalic version to bring the baby’s head where it needs to be (facing the exit), but that may not be an option in a twin pregnancy when the baby closest to the birth canal is oblique. When Baby A is oblique, it means his head is pointed down, but toward either of your hips, rather than squarely at your cervix. While external cephalic version is commonplace for breech singletons and can work in the vertex/breech multiple pregnancy, it’s often not possible because of the potential risks when the babies are in other positions during labor and delivery. If Baby A is breech or if both your babies are sitting on their tushies, your physician will almost certainly recommend a C-section. (Yes, it sounds crazy and it feels bizarre, but the goal is to get Baby B out in the quickest and safest way possible.) External cephalic version is sometimes deemed too risky to attempt during twin pregnancies, however, so it may not be an option.īreech Position: What It Means if Your Baby Is Breech Breech/vertex or breech/breech position Sometimes, another practitioner will be simultaneously performing external cephalic version (manipulating the baby from the outside) by pushing down on the top of your abdomen. (Don’t worry - it may feel odd, even uncomfortable, but since Baby A essentially warmed up and stretched out the birth canal, the process is over pretty quickly.) This means that if Baby A is head-down and in a good position for delivery, your doctor may be able to manipulate Baby B from the breech position to vertex after Baby A is born.Ĭalled internal version, your physician will reach inside your uterus to move Baby B into a better position for delivery - or, if he's still breech, to pull him right out the door. The second best-case scenario for a vaginal birth is the vertex/breech set-up. But do keep an open mind - even perfectly positioned singletons sometimes need to be delivered by C-section if they show signs of stress during labor or if labor stalls for some reason. Good news! If both babies are head-down (called the vertex position), you’ll likely be able to go into labor naturally and attempt a vaginal birth.
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