Unstable lie at 36 weeks: what happens next?

[Diege]

36 plus 4 with 4th baby, and he's been in a variety of positions since 30 weeks - oblique, head down, tranverse, breech. Very active and while head down at mw appointment today, no guarantee he'll stay like that.
Asked mw what the policy was re: labour etc and she seemed unsure. Said something about staying in hospital until head down and then breaking waters, which is not something I want (aiming for active birth and have hired doula). Just wondering what the procedure is in other Trusts for persistent unstable lie, so that I can go armed with knowledge for next week's appointment!

the one i am involved with will either book an elective section with a presentation scan on the morning of the c.section and proceed to inducuction if head down. not sure wrt to keeping you in if you do not wish to book c.s

the problem with unstable lie is that if the waters break and a foot or shoulder is presenting first, there is an increased risk of cord prolapse .,

you can have more frequent scans too.

you can take what the trust advises you , and either go with it, or not . or go for some sort of compromise.

even if you are induced or things don;t go quite to plan, no reason your doula cannot support you

can't belive you are nearly due!

I have just had my son. In the last week of pregnancy he developed an unstable lie. Turning to oblique at 40 weeks.

I was sent for a scan to confirm this. The registrar then tried to book me in for a section the next day (remember I was alread 40 plus 3 weeks). I asked about having the baby turned (an ECV). There was lots of muttering and phone calls. About an hour later I was told this would be possible but only on Friday as only one of the consultants did it!? This was Weds eve.

So on Friday I went off to the hospital. Had pre ECV scan to confirm things only to discover that he had moved into a head first position! Ha! So off to see consultant who said I could either wait for labour to begin and risk him turning again to breech (this would mean a section) or I could be induced. I chose to be induced, as the lesser of two evils. All OK and he arrived the next day

Thanks everyone; really useful info'. I sort of presumed I could just wait until labout commenced and then go with the position he presented himself in (even if that meant section). Have bad memories of having waters broken with dd1, but on the other hand am worried about recovery after cs section with 4 LOs!

Having had my waters broken in the past week, I can honestly say it was fine, uncomfortable but fine.