Can a baby in a breech position still be delivered vaginally?

Feb 10, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Fetal malposition refers to a situation where the fetus is not in the normal head-down position within the uterus, but instead is in a breech, transverse, or face presentation. If the fetus remains in a breech, transverse, or face position before labor begins, and cannot be turned to a head-down position by any method, the risk of vaginal delivery increases, including complications such as umbilical cord prolapse and fetal distress. In such cases, vaginal delivery is generally not recommended.

Abnormal fetal position generally does not allow for vaginal delivery and usually requires cesarean section for childbirth. It is recommended to seek timely medical attention and manage under the guidance of a professional doctor.

Abnormal fetal position refers to the fetus being in a position other than the normal head-down position within the uterus, such as breech, transverse, or face presentation. If the fetus remains in a breech, transverse, or face presentation before labor begins, and cannot be turned into a head-down position through any method, the risk of vaginal delivery increases, including complications such as umbilical cord prolapse and fetal distress. In such cases, vaginal delivery is typically not advisable.

Abnormal fetal positioning may cause difficulty delivering the fetal head during childbirth, increasing the risk of fetal hypoxia and asphyxia. It can complicate and prolong the delivery process, increasing the risk of difficult labor. Cesarean section is generally recommended to ensure the safety of both mother and baby.

In daily life, pregnant women are advised to attend regular prenatal checkups throughout pregnancy to detect and address fetal positioning issues promptly, and to take necessary interventions when required.