By Dr. Ushasi Mukherjee, Gynecologist & Women’s Health Specialist
Breech presentation happen when a baby is positioned in the opposite where the head is facing upward and buttocks or feet facing downward during the later stages of pregnancy. While most of the cases babies naturally turn head-down before delivery, some remain in the breech position close to term. The breech delivery needs careful evaluation, strong and effective decision making with proper care. Dr. Ushashi Mukharjee is very much experienced in handling this type of pregnancies, with a strong focus on maternal safety, fetal wellbeing, and informed choice.
Breech pregnancy cases is one of most critical cases where the baby’s head is positioned upward in the uterus. There are various types of breech positions, such as -
Each of them carries different levels of risk, which is why individual assessment is crucial.
There are many factors may increase the likelihood of a breech position, such as:
In many cases, however, no specific cause is identified.
Breech presentation is usually detected during routine antenatal check-ups in the third trimester. Ultrasound examination confirms the baby’s position, estimates fetal weight, checks placental location, and evaluates amniotic fluid levels. These findings help determine the safest mode of delivery.
Dr. Ushashi Mukharjee believes that every breech pregnancy should be managed individually rather than following a one-size-fits-all approach. Management options include:
In selected cases, an External Cephalic Version (ECV) may be attempted around 36–37 weeks. This is a controlled procedure where gentle pressure is applied externally to help turn the baby into a head-down position. It is performed under close monitoring and only when conditions are suitable.
Vaginal breech delivery may be considered in carefully selected cases, such as:
This option requires an experienced obstetrician, strict monitoring, and immediate surgical backup.
In many cases, a planned C-section is the safest option for breech presentation, especially when risk factors are present. This reduces the chances of birth trauma and complications for the baby. Dr. Mukharjee discusses all options clearly with the patient and family before making a shared decision.
Breech deliveries can carry higher risks compared to head-down deliveries, including:
With proper planning, timely intervention, and expert care, these risks can be significantly minimized.
Managing a breech pregnancy requires advanced obstetric knowledge, calm judgment, and readiness for emergency intervention. Dr. Ushashi Mukharjee’s approach emphasizes continuous monitoring, clear communication, and preparedness to shift to surgical delivery if needed at any point during labor.
Learning that a baby is in breech position can be stressful for expectant parents. Emotional reassurance and clear explanation are just as important as medical care. Patients receive thorough counselling about delivery options, possible outcomes, pain management, post-delivery care for mother and baby
This helps reduce anxiety and builds confidence before delivery.
After a breech delivery—vaginal or cesarean—both mother and baby are closely monitored. Newborn assessment ensures there are no complications related to positioning or delivery. Mothers receive guidance on recovery, breastfeeding, and postpartum health.
Dr. Ushashi Mukharjee follows evidence-based practices while respecting patient preferences and clinical realities. Her priority is always a safe delivery, not a forced method. Each breech pregnancy is treated with individual attention, medical integrity, and compassion.
If your baby is in a breech position or you have concerns about your delivery options, consult Dr. Ushashi Mukharjee for expert evaluation and guidance. With timely planning and experienced care, breech delivery can be managed safely and confidently.
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