Pelvic exercises at home can be useful in trying to encourage the baby to flip to a head-down (vertex) position.
Specialized chiropractors certified in the Webster technique
External cephalic version – this is a procedure used to turn a fetus from breech position into a head-down (vertex) position before labor begins. When successful, version makes it possible for a woman to try a vaginal birth instead of having a cesarean section. External cephalic version is typically tried at term, when the fetus is less likely to turn back to breech position. This is done in the hospital where the baby can be closely monitored before, during, and after the procedure. You may require an epidural prior to this procedure. After first using medicine to relax the uterine muscles, your doctor presses on specific areas of your abdomen to turn the fetus. More than half of attempts at version succeed. The risks of external cephalic version are rare but can include rupture of membranes, placental abruption, problems with the baby’s heart rate, and injury to the baby.
Cesarean delivery – for a persistent breech presentation, caesarean delivery is usually performed.
The American College of Obstetricians and Gynecologists Committee on Obstetric Practice recommends use of external cephalic version and planned cesarean delivery for persistent singleton breech presentation at term.¹
¹ ACOG Committee Opinion No. 340. Mode of term singleton breech delivery. ACOG Committee on Obstetric Practice. Obstet Gynecol. 2006;108(1):235