hi there
i did quite a bit of research last year on ECV and i
was under the impression the optimal time to attempt
ECV is actually 37 weeks. at 34 weeks you actually
have a higher inital success rate but also a much
higher rate of reversion so you may end up just having
to do it again. and even though the risks are actually
very low, its best for everyone involved to only do it
once!   also the success rate is better when tocolysis
is used but obviously this introduces other risk
factors so when i weighed up all the evidence i
decided its best to try without any then try with
tocolysis if mum wants to try again (this is all
assuming she doesnt want to just go for a breech
vaginal straight up and that she does want to try
turning bub - personal decision obviously)
love emily



--- Gloria Lemay <[EMAIL PROTECTED]> wrote:

> Hi Yvette,  I hate to see someone worried about
> position  at 34 weeks.  Certainly if the baby is
> clearly a breech presentation in a singleton, 34
> weeks is a good time to get going on encouraging a
> turn around.  The thing that's different with twins
> is that you're not going to do a version for breech
> anyway.  Remember that your lovely uterus is ovoid
> in shape.  As these babies get bigger, the shape of
> the uterus will press them into a longitudinal lie,
> either cephalic or breech but not transverse.  It's
> simply a matter of letting nature take it's course. 
> Be patient, acknowledge yourself for carrying these
> babies past 32 weeks and let them do what they're
> going to do.  It would be extremely unusual if they
> persist in being in odd positions past 36 weeks. 
> Even the tightenings of the birth process will press
> the head or bum towards the bony pelvis.
> I'm excited to hear the news of their arrival.  Best
> regards, Gloria
>   ----- Original Message ----- 
>   From: Lindsay & Yvette 
>   To: [email protected] 
>   Sent: Wednesday, July 27, 2005 3:47 PM
>   Subject: [ozmidwifery] Encouraging twins into a
> good presentation.
> 
> 
>   Hi, I've posted here before about my twins
> pregnancy.  I'm now 34 weeks pregnant, and the
> babies are top to tail transverse, & have been this
> way for about a month now.  I'm starting to get
> worried about their presentation & the hospital has
> booked me in for C-section at 38 weeks in case they
> stay transverse.
> 
>   I'm trying to spend time on hands and knees, and
> sit on a birth ball, and I'm seeing the hospital
> physio about a brace on Monday for SPD, which I've
> read might help (I'm having lots of ligament pain).
> 
>   Any suggestions or comments about encouraging
> twins into a good presentation?  The babies are now
> 2315g & 2972g (5lb 2 & 6lb 9).  The smaller baby was
> always head down at the bottom, but they've switched
> now & the heavier one is lower.
> 
>   Yvette
>   39 yo mother of 3 (all normal births)
>   pg with monochorionic diamniotic twin girls.
>   Melbourne Australia


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