Vaginal Breach Delivery Specialist

Advanced Women's Center

Okey Okoli, M.D. FACOG

Obstetrics and Gynecology located in San Antonio, TX

An estimated 1 out of every 25 full-term deliveries is a vaginal breech delivery. When your baby is not positioned head-first for delivery, there is an elevated risk of complications for both mother and child. Having a skilled and experienced obstetrician can make a world of difference during a breech delivery. Women from in and around San Antonio, Texas, trust Dr. Okey Okoli to assist them throughout their pregnancy and delivery, including breech births. If you’re looking for a caring and compassionate obstetrician, schedule a consultation with Dr. Okoli today by calling the office or using the online scheduling option.

Vaginal Breach Delivery Q & A

What is a vaginal breech delivery?

During the final weeks of pregnancy, most babies will shift into a head-first delivery position on their own. By this point, there is limited room in the uterus, and a head-down position makes the most of the available space.

However, there are cases in which an infant does not move into the proper birthing position. When an infant is positioned head-up at the time of delivery, the condition is known as a breech birth. Vaginal delivery remains possible, but requires a specialized approach.

There are three types of breech birth presentations:

Complete breech

This occurs when the infant’s buttocks are at the lowest point of the mother’s uterus, with knees bent and feet down.

Frank breech

This position is marked by the infant’s buttocks near the birth canal, with legs straight and positioned in front of the body and feet near the infant’s head.

Footling breech

This occurs when one or both of the infant’s feet are in the lowest portion of the uterus, and are likely to deliver first.

What causes a breech birth?

Researchers are not certain of the exact causes of breech presentation. However, there are certain risk factors that increase a woman’s likelihood of having a vaginal breech birth. These include:

  • History of premature delivery
  • Subsequent pregnancies
  • Uterus with excess or insufficient amniotic fluid
  • An abnormally shaped uterus
  • Presence of uterine fibroids
  • Placenta previa

Babies delivered from a breech position have a slightly higher risk of birth defects. However, researchers believe that some birth defects might play a causal role in the infant’s breech positioning, rather than being a result of a vaginal breech delivery.

What is the process for a vaginal breech delivery?

Childbirth is a dynamic experience where conditions can shift in mere seconds. Because there are so many factors that come into play as you prepare to welcome your baby into the world, there is no one-size-fits-all approach to a vaginal breech delivery.

Dr. Okoli approaches each birth with the understanding that all delivery experiences are unique. If there are signs of fetal distress or a vaginal birth does not appear to be possible, then a cesarean delivery is initiated.

During vaginal delivery with a breech presentation, Dr. Okoli uses a number of different techniques to ease your baby into the world safely. He is highly skilled in vaginal breech deliveries, and has the training and experience needed to make swift adjustments that reduce the risk of complications for both mother and child.

To learn more about Dr. Okoli and his practice in San Antonio, Texas, schedule a consultation today.