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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Transverse Lie @ 36 weeks....?

30 replies

Anonnnnnnm · 20/05/2022 19:24

Hi,

Found out our baby is transverse so been pencilled in for C Section.

Does anyone have experience of this? I just wonder why they haven't tried to turn baby etc.?

We were told if Labour starts it's an emergency. I don't understand.... if it's an emergency why risk waiting for him to come naturally at all?

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emmafou1807 · 20/05/2022 19:31

No experience but I assume they will be waiting to see if baby turns in your last four weeks as they are still pretty active. Won't want to do a section now as the longer they are in the better but they'll have scheduled you in for the section so you have a slot ready to go. Can you not ask for them to try turn baby at your next midwife appointment?

BattenburgDonkey · 20/05/2022 19:33

Trying to turn babies is risky anyway so maybe they’ve decided it’s too dangerous or unlikely to be successful. The chances of going into labour at 36 weeks aren’t very high so the risk of delivering the baby prematurely would be greater than letting you stay pregnant right now. Hopefully the baby will turn naturally before you are due. When is the caesarian booked for?

SharpLily · 20/05/2022 19:37

Do you have EDS?

HalloHello · 20/05/2022 19:44

I had a transverse baby at 38 weeks, was admitted to await csection as there is a risk of cord prolapse if your waters break and baby is still transverse.

I was offered ECV induction where you're in theatre, the doctors used manual pressure to turn the baby, a push it head down into the cervix and break your waters to start labour. But the risk, pain and the fact I didn't want an induction for me this wasn't worth it. However I did have to wait until 38+4 in hospital for my csection as they're reluctant to do csection before 38 weeks as the baby is high risk of a breathing difficulty and may have to spend time in NICU.

I lived 2 hours from the hospital though, so might have been a factor to why I was admitted to wait.

Are you going back for scan?

My baby was classed as unstable lie as he was always in a different position, moving constantly. When I had my csection, it was found that I have a massive polyhydraminos which was the main factor as he was just swimming about in there like a little fishy 😃

Anonnnnnnm · 20/05/2022 19:46

SharpLily · 20/05/2022 19:37

Do you have EDS?

What does that mean please?

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Anonnnnnnm · 20/05/2022 19:48

SharpLily · 20/05/2022 19:37

Do you have EDS?

Just googled it, nope

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Anonnnnnnm · 20/05/2022 19:54

@HalloHello thank you for sharing your experience!

No scans booked in now except for on the day of C Section 🤷‍♀️

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Anonnnnnnm · 20/05/2022 19:55

@BattenburgDonkey thank you for replying, yes I guess there is still time for him to turn naturally!

C section is booked for 39 weeks exactly.

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Anonnnnnnm · 20/05/2022 19:56

@emmafou1807 see what she says but consultant didn't mention anything about turning at all. See midwife Monday so maybe she will say more then.

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saliwales2022 · 20/05/2022 19:58

I had a posterior baby and she was turned at 38 weeks. Going down the road after visiting the hospital, I felt her turn back. I had a very long labour, and she was born OK. There was no such thing as C sections when she was born - 1967, although my friend had one, because she was classed as an "older mother".

birdglasspen2 · 20/05/2022 19:59

Before your section they may get someone to do a quick scan and if baby is head down you will still have the option to go naturally. The lady next to me had the option and took a section I didn't as baby was still transverse in an unstable lie. Hope your baby moves to a better position!

HalloHello · 20/05/2022 20:09

I would probably be asking for another scan as it is dangerous to have a transverse or unstable lie after 38 weeks in case of cord prolapse. I was told if my waters broke and the cord prolapsed, you had 15 mins to get baby out before the risk of oxygen deprivation started. It's a real emergency.

If your waters do break, you should get on all fours, bum in the hair, face on the bed/floor and call 999. I was told to do this (except 999) even though I was in hospital, I was on tenderhooks!!!!

HalloHello · 20/05/2022 20:11

Also I did get a scan on the theatre table to check babies position and he was bloody head down! After 10 days in hospital 2 hours away from my family, I was having that csection. It's a good job I did as I had a massive PPH after he was born as my uterus was so stretched from all the extra fluid!!!

bumbledeedum · 20/05/2022 20:20

The guidance is you should be an inpatient from 37 or 38 weeks (sorry I can't remember exactly) if baby is still transverse due to the risk of cord prolapse if your waters go. A transverse baby absolutely cannot be delivered naturally like a cephalic or breech baby so will have to be a section if still transverse. You still have a bit of time but your midwife or hospital should talk you through options and what to do if you suspect you're in labour.

I've had 2 transverse lie babies, first one kept switching head down so was induced and had a controlled rupture of membranes so they could make sure he stayed head down and no cord prolapse and thankfully he then stayed that way. Second one thankfully got himself head down during spontaneous labour hours after my section had been booked as he went transverse over 40 weeks.

BluecheeseandBaskerville · 20/05/2022 20:25

Turning can be risky. I didn’t go for it in the end and turned out baby’s cord was really short so it’s probably just as well I didn’t.

belwiz · 20/05/2022 20:49

I did go for an ECV at 38 weeks with my first DS, but he was breech... I wasn't particularly optimistic but thought I'd give it a go to avoid longer recovery post C section. And actually it worked very well. A quick scan, told to relax and breathe, it took about 30 seconds to carefully turn him and he thankfully stayed that way till 41 weeks. One thing to note- his head wasn't engaged when Labour started and i wondered was this due to the late turning. The labour was very long as baby's position wasn't good for delivery though nobody shared exact details with me. Overall I'm glad I went for ECV but I am aware that it is not considered advisable in all cases. I think I was lucky that the consultant was v skilled and i didn't feel much pain. Ds was nearly 9lb at birth so it's not like there was much room! Best of luck with the birth of your little one. Let us know how you get on

Anonnnnnnm · 21/05/2022 07:09

@bumbledeedum

Thank you for replying. I hadn't heard of being admitted but now you've said it you're right it seems the norm. I wonder why no one has mentioned this at all to us?

Yes we have been told basically any signs of Labour whatsoever straight to hospital immediately as it's an emergency so we are kind of just in limbo now hoping that doesn't happen.

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Anonnnnnnm · 21/05/2022 07:11

@belwiz thanks for replying

I'm glad your ECV worked out for you! I guess it just mustn't be an option for us for whatever reason!

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JenniferBarkley · 21/05/2022 09:23

I wasn't admitted. I didn't realise at the time that it's the norm so I didn't ask why I wasn't, but I imagine it was a combination of factors - baby was back down and very large so I guess cord prolapse risk was lower, I had a failed induction with dd1 and never dilated so the chance of me dilating this time with a head nowhere near my cervix was slim, and covid (just as the first lockdown was starting to ease).

As others have said, it's not possible to birth a transverse baby so section it is.

My baby was very big and back down so they needed to do an extra vertical incision in my uterus to get her out. She needed a little extra help to get going and I lost a fair bit of blood but all was normal once we got out of theatre and my recovery was the same as my previous section.

bumbledeedum · 22/05/2022 21:05

@Anonnnnnnm still unlikely at this stage but just in case - if your waters go while baby is transverse you need to do as PP said and get down on all 4's with your bum in the air and call 999 making sure the operator is aware of the transverse lie and risk of cord prolapse (worth making sure your partner/family knows what to do to). Cord prolapse isn't a given but it's a reasonable risk so you ought to know what to do in worst case scenario.

It's a bit shit your hospital or midwife haven't given you any guidance on this even though you're not completely at term yet.

Hopefully baby has turned or turns soon for you (in my experience it was also a bit more comfortable as well!) xx

DMT1982 · 25/05/2022 13:31

@Anonnnnnnm have you got any updates?

Anonnnnnnm · 25/05/2022 16:40

@DMT1982 midwife said he was 4/5 engaged and head down, sent us to FAU due to increased movement. They then confirmed our suspicions that our midwife is useless, still transverse. Just waiting for the C Section now. Not one health professional has told us what to do if Labour starts, good job we have mumsnet & Google eh?

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DMT1982 · 25/05/2022 17:07

@Anonnnnnnm yeah I agree it’s mad you have to research everything through mumsnet in the absence of any actual medical advice. My friend has been told if she’s still transverse at 37 weeks she’s being admitted until she gives birth but that’s not been mentioned to me however have a scan on Monday when I’ll be 37+3. There must be a high risk of something happening if you go into labour with a transverse baby but not all trusts are following the same guidelines. Hope all works out ok for you x

Anonnnnnnm · 25/05/2022 17:10

@DMT1982 it's daft how everyone gets difference outcomes. If you go into Labour there's risk of basically baby getting starved of oxygen as they will be on their own cord? You'd imagine they'd give proper advice on this basis tbh. We wondered about admission but same as you, no mention. Probably a cost / bed saving exercise.

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Juno231 · 25/05/2022 17:12

@SharpLily out of curiosity, can I ask what impact EDS would have on this?