By | April 24, 2025

How To Avoid Breech Position In Pregnancy

Avoiding a breech position in pregnancy (where the baby is positioned feet or bottom-down instead of head-down) isn’t always fully controllable, but there are things you can do to encourage an optimal fetal position as your due date approaches—especially during the third trimester.

Here’s a guide to help encourage a head-down (vertex) position naturally:

🤰 How To Avoid Breech Position in Pregnancy

✅ 1. Practice Optimal Fetal Positioning (OFP)

Encourage your baby to settle in a head-down position by improving your posture and pelvic alignment:

  • Sit upright and forward (not slouching back)
    • Use a birthing ball instead of deep couches
    • Lean slightly forward when sitting
  • Avoid reclining or crossing your legs for long periods
  • Kneeling or hands-and-knees positions (like “cat-cow” yoga pose) help open your pelvis and encourage baby to turn

✅ 2. Do Daily Pelvic Tilts

  • Helps shift baby’s position and ease pressure on your back
  • Try “rocking the pelvis” (pelvic tilts) while on your hands and knees or leaning over a birthing ball
  • Start in third trimester (around 28–32 weeks) for best results

✅ 3. Use Gravity: Forward-Leaning Inversion

This helps the baby wiggle out of a breech position by temporarily shifting your uterus.

  • Kneel on a couch or low surface, and lean forward so your elbows touch the floor (butt in the air).
  • Hold for 30 seconds to 1 minute, once or twice a day
  • Do with caution and only if you don’t have balance issues, high blood pressure, or other medical concerns
  • Best done between 30–34 weeks, under midwife/doctor guidance

✅ 4. Gentle Movement & Prenatal Yoga

  • Regular prenatal yoga or walking promotes baby’s engagement in the pelvis
  • Yoga poses like child’s pose, wide-legged squats, or supported bridge can help baby settle into the right position

✅ 5. Stay Active

  • Light daily movement helps the baby naturally shift and settle
  • Walking, swimming, and prenatal stretching are excellent

✅ 6. See a Chiropractor Trained in the Webster Technique

  • This technique helps align the pelvis and release tension in uterine ligaments
  • A well-aligned pelvis makes it easier for baby to turn head-down

✅ 7. Monitor Baby’s Position Regularly

  • Ask your midwife or OB at each appointment from 32 weeks onward how your baby is lying
  • If breech is suspected, you may be offered an ultrasound around 36 weeks

✅ 8. If Needed, Consider External Cephalic Version (ECV)

  • If baby is still breech at 36–37 weeks, an OB may suggest ECV, a procedure that manually turns the baby from the outside
  • It’s safe and often successful, but not always comfortable
  • Done in a hospital, with baby monitored throughout

🚫 Common Risk Factors (Harder to Control)

Some babies stay breech due to:

  • Low amniotic fluid
  • Uterine anomalies or fibroids
  • Multiple pregnancies (twins, etc.)
  • Placenta previa
  • Previous breech delivery
  • Short umbilical cord

In those cases, breech may not be fully avoidable—but early monitoring and interventions can still help.

🧩 Summary Table

✅ DO❌ AVOID
Sit upright, lean forwardSlouching or reclining often
Use a birthing ballSitting cross-legged or with legs up
Practice pelvic tilts & yogaSedentary lifestyle late in pregnancy
Walk or swim dailyIgnoring baby’s position past 32 weeks
Consider Webster Technique chiropractic careWaiting too long to address breech