How to turn the throne upside down

Although breech position (buttock down) is quite common throughout pregnancy, only about three percent (3%) of fetuses remain in this position at full term. born. Such cases are called ‘reverse fetus’ and the baby is very susceptible to some problems during birth, such as congenital hip dislocation or lack of oxygen to the brain. There are quite a few methods of turning the fetal position to adjust to the natural position of the fetus at birth (called the forward position) from the 30th to the 37th week, such as special exercises, hot and cold compresses and sound therapy. After 37 weeks, you should rely on medical help to turn the pregnancy; However, it is always wise to seek your doctor’s approval during any stage of pregnancy.

Table of Contents

Exercise (weeks 30 to 37)

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Lie on the side. The side position is the most common method to turn the baby upside down, bringing the baby’s chin close to the chest (also known as the crown), which is the first step to turning the baby over.

To do this move, you must raise your hips 22 to 30 cm above your head. You can use many different ways to raise your hips, but the easiest way is to lie on the floor and raise your hips up with a few pillows.
Instead, you can use a wide wooden (or even iron) board and place one end of it on the bed or couch. Lie on the board with your head down (with pillows under your head) and your feet up. ^{[1] X Research Source}
Lie down for 15 minutes each time and lie down three times a day, remember to lie down when hungry or when the baby is active. Try to relax and breathe deeply when performing the exercise, avoiding tension in the abdominal muscles. To increase the effect, you should combine the method of lying on the side with hot or cold compresses, or let your baby listen to music.

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Knee-chest exercise. This exercise uses gravity to stimulate the baby to reverse position into a normal birth position.

Kneel on the floor or bed and rest your forearms on the ground, raise your butt to the sky, and press your chin to your chest. This posture helps to expand the lower part of the uterus and create more space for the baby’s head. ^{[2] X Research Source}
Hold the pose for 5 to 15 minutes, twice a day. Remember to practice on an empty stomach, otherwise, you may feel a little uncomfortable after exercising.
If you know how to feel the position of the fetus, the process of turning the fetal position will be more convenient. While resting your body on one elbow, use your other hand to gently stroke up to the baby’s final position, just above your pubic bone.

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Lean forward exercise. This pose is similar to the knee-chest pose, but requires more effort.

Start in a knee-chest position in bed or on the sofa. Carefully place your palms on the floor. Remember to press your chin to your chest because this move helps to relax the pelvic muscles.
Be careful with your posture because you can slip your hands. An exercise mat or non-slip mat will help. You should ask your husband or someone else to support your shoulder during the exercise.
Hold that position for 30 seconds, and remember to do the exercise regularly (3 to 4 times a day), doing many times with each exercise lasting for a short time is better than doing a few times but trying to hold it for a long time. ^{[1] X Research Source}

Use the t-replacement technique (weeks 30 to 37)

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Use cold or hot packs. Pressing something cold against the top of the uterus and/or another hot object on the end of the uterus, which causes the baby to move away from the cold and move to a warmer place, so that the baby will automatically turn over. in the correct position.

To do this, place a bag of ice or frozen fruit on top of your baby’s belly, near the baby’s head. Hopefully the baby will run away from the cold to find a warmer place.
Applying an ice pack while you are lying in the bath, running hot water up to the bottom half of your belly, is a very effective heat technique because the baby will move towards a warmer spot. Or you can also put a hot water bottle on the lower half of the abdomen.
The hot and cold technique is absolutely safe, so you can do it as often or as often as you like. Many women have used hot and cold packs placed on their abdomen while performing the side position.

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Use sound to stimulate the fetus to rotate. There are a number of different methods of using sound to stimulate the baby towards the sound, so that the fetus moves into the correct position before birth. ^{[3] X Research Sources}

The most common way is to let your baby listen to music by placing headphones on the lower abdomen. You can download music specifically produced for babies and unborn babies, be it soothing classical music or lullabies with your favorite tunes.
Or you can ask your husband to press his mouth to the lower abdomen to talk to the baby, stimulating the baby to move with the sound of his voice, this is a great way for him to bond with the fetus.

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Get help from an experienced chiropractor using the Webster technique. The Webster technique was developed to restore balance and function of the pelvis, and is thought to stimulate the baby to roll into the correct position.

The Webster technique consists of two parts – first it helps to keep the sacrum and pelvis in a balanced and aligned position. If these bones don’t fit together, they will prevent the baby from moving into the head-up position.
Second, the Webster technique relieves tension and loosens the round ligaments that support the uterus. When the ligaments are loosened, the baby has more space to move to the proper position before birth.
Remember that the Webster technique is a demanding process, so you should see your chiropractor regularly, at least three times a week during the last weeks of your pregnancy. However, you need to find a qualified chiropractor who has experience in treating breech pregnant women. ^{[4] X Research Sources}

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Refer to wormwood healing therapy. This is a traditional Chinese healing technique by burning herbs to stimulate acupuncture points.

To rotate the fetus, a herb called mugwort is burned next to the BL 67 point, which is located next to the outer corner of the toenail of the little toe.
It is thought that the technique of using wormwood helps to increase the activity of the fetus, thereby stimulating the baby to turn over to the head position. ^{[5] X Research Sources}
This technique is usually performed by an acupuncturist (in addition to traditional acupuncture) or by a practitioner with a degree in traditional Chinese medicine. However, you can buy a steamer to try this method at home.

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Apply hypnotherapy. Some women have successfully turned their baby over with the help of a hypnotherapist.

Hypnotherapy often takes a dual approach to turning the baby. First, they hypnotize the mother into a state of deep relaxation, allowing the pelvic muscles to relax and the lower part of the uterus to expand, allowing the fetus to move.
Also during this hypnosis process, the therapist guides you to visualize the image of the baby turning into the desired position, which is also the image that helps you enter the hypnotic state.
You can ask staff at medical facilities for the name and phone number of a reputable hypnotherapist in your area.

Use of medical intervention (after 37 weeks)

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Apply the ECV trick. Once past 37 weeks of pregnancy, it is difficult for the fetus to rotate into the correct position on its own.

You should therefore schedule an appointment with your doctor to have them assist in turning your baby through an extracorporeal rotation (“ECV”) procedure. This is a non-surgical treatment that is performed by a doctor right at the hospital.
Here’s how: the doctor uses medication to loosen the uterus so that from the outside, they can turn the baby into the correct head position by applying downward thrust into the lower abdomen (which causes some women to women feel very uncomfortable).
During the procedure, the doctor must use ultrasound waves to monitor the position of the fetus and placenta, along with the amount of amniotic fluid. The fetal heart rate is continuously monitored during manipulation. If the heart rate drops too slowly, they may have to use emergency measures to remove the fetus immediately. ^{[3] X Research Sources}
The success rate of the ECV procedure for breech pregnancies is 58%, but it is higher for women with a second pregnancy or more. However, in some cases, an ECV procedure cannot be performed because of complications such as bleeding or a lower-than-normal amount of amniotic fluid, or when the mother is carrying twins. ^{[5] X Research Sources}

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Refer to the possibility of cesarean section. In some cases, you may need a cesarean section whether or not you have a breech pregnancy, like if you have placenta previa, are pregnant with triplets, or have had a previous cesarean section.

However, if the fetus is in the breech position and all other factors are normal, you need to decide between two methods, vaginal birth or cesarean section. Most fetuses in the breech position require cesarean delivery, as doctors consider this option somewhat less risky.
If you choose to have a cesarean section, the cesarean section is usually scheduled before your baby reaches 39 weeks. They’ll do an ultrasound before the surgery to make sure the baby hasn’t changed position since the last ultrasound. .
But if you go into labor before the cesarean section and the process happens too quickly, you are forced to give birth vaginally despite the plan.

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Consider vaginal birth. You should consider a vaginal delivery when you’re pregnant with a breech position because it’s not as dangerous as it used to be.

In fact, in 2006 the American College of Obstetricians and Gynecologists (ACOG) affirmed that vaginal delivery to the fetus in the breech position is safe and there is a basis to assert safety under certain conditions.
For example, a vaginal delivery with a breech position may be the right choice if the mother’s pelvis is wide enough; full-term pregnancy, labor begins and proceeds normally; the ultrasound image shows that the fetus has a healthy mass, with no malformations (other than lying on its back); Midwives have experience with breech cases. ^{[5] X Research Sources}
If you feel you meet the above criteria and would like to have a natural birth instead of a cesarean section, you should talk to your doctor about your options, see if a vaginal delivery is possible. Is it safe for you and your baby?

Warning

Always talk to your doctor or midwife before trying any exercises or methods of fetal rotation. The rotation of the fetus can lead to a very dangerous situation of the umbilical cord wrapped around the neck, or damage the placenta.
According to the International Society of Orthopedics and Pediatrics, more research is needed on the Webster technique of breech rotation, and such studies are currently underway.

Steps

Exercise (weeks 30 to 37)

Use the t-replacement technique (weeks 30 to 37)

Use of medical intervention (after 37 weeks)

Warning

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