If your baby is still breech when you see her, they should first offer an ECV at 38 wks (I think) which is a manual attempt to turn the baby from o/s. For a lot of women it works but there is not guarantee that the baby will stay in this position. A friend of mine had it done in April and her baby stayed that way.
You can also ask, because I doubt that they would offer it, acupuncture with the hospital's physiotherapy unit. there is also moxibustion which you will have to seek out a practitioner of if you fancy that idea. I have read that it seems to work on the homebirth yahoo group.
Managed care is about having frequent monitoring to assess the situation at regular intervals. They probably don't like to suggest it because it takes more time and money to do it.
Since a normal pg is anything between 37 and 42 weeks, not 38-40 as most people believe you can buy yourself time to let other methods work before agreeing to a c/s. So as time goes on, you can have say weekly then maybe later on bi-weekly appts to check positioning. YOu could say, for example, external palpations till 40 wks then if no labour, an internal exam to check the state of your cervix. If no sign of softening for example you can say right at 41 wks you may have a c/s if baby has not yet turned / or you can let them know that you would like to try for a breech birth.
Bear in mind that many babies who are breech will also turn during labour itself as long as labour is allowed to progress naturally. Ie, you can to move around as much as you can, hence no strapping you to a fetal monitor which will force you to lie in a bed and no induction of labour.
As long as labour is allowed to take its natural course, the scenario of an 'emergency' section is small. Besides, an 'emergency' section IRL really means that it will still take at least 30 mins to get you into theatre. It in not like the movies.
I out to know. The registrar who delivered dd sent word for a Em C/S due to me starting to fit in labour. (v. badly managed pre eclampsia and care on the antenatal ward), and before I could be taken out the room for the section, my labour moved into the second stage and I pushed her out with the help of a ventouse.
I haven't read this site, but it seems a good place to start to bone up on some knowledge.