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Breech Pregnancy 

 April 27, 2016

By  Dr. John Vilkelis

Recently I have been having an increase in the number of patients seeking my help with a breech presentation in pregnancy. In nearly all cases, if the breech is not corrected the mother in question will be having a C-section and not a natural delivery. I practice in New York City and there are no midwives or obstetricians performing vaginal, breech deliveries. In fact as far as I know there is no midwife or obstetrician performing vaginal, breech deliveries in the entire New York Metropolitan area.

So if you’re baby is in a breech presentation at 35 weeks and you want to have a natural childbirth and avoid a C-section you must find a way to turn the baby.

The medical procedure called “version” is where the OB and nurse or a second OB will physically try to turn the baby through the abdominal wall. This procedure is typically riskier than most expectant mother’s are told including the risks of the drugs used to relax the uterine wall during the procedure. If you’ve known someone that’s gone through a version you can see that the expectant mother’s abdomen in quite bruised and they will tell you the procedure was quite painful. The risks include Twisting or squeezing of the umbilical cord, reducing blood flow and oxygen to the fetus. The beginning of labor, which can be caused by rupture of the amniotic sac around the fetus (premature rupture of the membranes, or PROM). Placenta abruptio, rupture of the uterus, or damage to the umbilical cord.

The medical version procedure is between 35-60% successful and is not recommended for many high risk pregnancies.

 

Expectant mothers are seeking me out because I am trained in the Webster Technique. The Webster Technique was developed by Dr. Larry Webster. A chiropractor with a very large prenatal and pediatric chiropractic practice. The way the technique works is that it concerns itself with the position of your pelvis and sacrum or a subluxation of the sacrum or pelvis. If they are not in the proper alignment it can cause muscle spasm and other neurological concerns. One of which is intrauterine constraint. Performing the Webster Technique does not in of itself turn the breech presenting fetus but in fact relieves the intrauterine constraint so the baby may turn on their own.

The best time to perform the Webster Technique is between 35 and 37 weeks. I successfully performed the Webster Technique after 37 weeks but the chances of success go down from there mostly because the baby is running out of room to turn.

The overall success rate of the Webster Technique is close to 90%. My personal experience has been close to that. When the Webster Technique has not been successful there has always been some mitigating factor that stopped the baby from turning once the intrauterine constraint is removed. In some cases a short umbilical cord or the cord being wrapped around the baby’s neck was the culprit.

If your baby is in a breech presentation at 35 weeks and you want to have a natural childbirth you may be a candidate for the Webster Technique.

Due to the gentle nature of the Webster technique, it is a safe adjustment throughout pregnancy and safe in most high risk pregnancies as well.

Dr. John Vilkelis


Dr. Vilkelis has been in private practice for over 27 years. He has a reputation for truly caring for his patients and goes the extra mile to make sure people get the help they need. He accepts patients of all ages and is eager to help you get well and stay healthy. Give him a call today at (914) 618-4330.

Dr. John G. Vilkelis

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