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Why are some babies breech?

Lowdon, Gina. AIMS Journal; Buckinghamshire Vol. 10, Iss. 3,  (Oct 31, 1998): 8-9.

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Why are some babies breech?

Sometimes a breech presentation can be explained by the mother's pelvic shape, the position of the placenta or perhaps the position and/or size of a fibroid. Occasionally it may be associated with fetal abnormality. It has been remarked upon that fit, first time mothers with strong stomach muscles may also be predisposed to having breech babies. Most often, however, it is considered to be "simply an error of orientation".(1) Certainly when the subject is reviewed in the medical press the tendency is to look for physiological, biological and neurological reasons for the baby's orientation.(2) Midwife Jean Sutton might put difficult positions down to our modern lifestyle. A baby may get into a breech position early on and because of low slung sobs, bucket seats in cars and lethargic lifestyles and may be unable to find the space to reorient itself in later pregnancy.(3) These may all be relevant but they do not provide a full explanation as to why some banes are breech.

There are also psychological reasons which may account for breech presentation, although they are not widely acknowledged and are considered by many of those who do hear of them to be highly unlikely. This may be because only the mother herself, or perhaps someone very dose to her, will have sufficient depth of understanding of her very individual life situation to be able to relate such general ideas to her personal circumstances.

Lynn Baptisti Richards in her book The VBAC Experience writes the following:

"Whenever a woman has a breech baby we can approach this situation with two different attitudes. We can believe that the breech is a signal that something is wrong that needs to be righted, or that everything is fine and just the way the baby needs to be.