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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Baby In Breech Position At 32 Weeks Of Pregnancy Normal?

I am 40 years old, weight is 79.5 kg, height is 5.6. I am 32 weeks prgenant an this is my first child. I have undergone all the blood test, sonography test. Everything seems normal but my 3D reports shows a single viable foetus in a brech presentation with foetus spineto the right. The placenta is posterior in position showing grade II maturity. The internal Os is closed cerical length measures 4.0 cm. Amount of liquor is adequate Amniotic fluid index measures 16 cm which is within normal limits. Fetl cardiac activity and movements are present Foetal Heart rate 129 b.p.m. The fetal right kidney shows mild fullness of pelvicalyccal system, the renal measuring 5-6 mm. Left kidney urinary bladder appears normal. There is no eveidence of any other gross fetal anomaly. Ma'm request you to pl let me know if there is any problem with the baby and what are the chances of cesarian. Will the baby have to undergo any kind of surgery. Pl do let me know. Great Thanks. As of now I am on Bonanza and folic acid medication.
Tue, 2 Jun 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question and understand your concerns. The ultrasound report you have mentioned shows fetus in breech presentation with right renal pelvic dilatation. At 32 weeks, the fetus keeps on changing the position, and final presentation is decided only at 35-37 weeks.
Mild pelvic dilatation can be due to anomaly in the urinary tract, due to chromosomal anomalies or can be idiopathic( no cause found).
I would suggest you to consult a fetal medicine specialist so that you can get a detailed anomaly ultrasound done to rule out any congenital anomalies and further management should be done accordingly.
Caesarean section is usually recommended in a breech presentation, if it is there till 37 weeks of pregnancy.
Hope you found the answer helpful.
Wishing you good health.
Dr Deepti Verma
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Is Baby In Breech Position At 32 Weeks Of Pregnancy Normal?

Hi, I have gone through your question and understand your concerns. The ultrasound report you have mentioned shows fetus in breech presentation with right renal pelvic dilatation. At 32 weeks, the fetus keeps on changing the position, and final presentation is decided only at 35-37 weeks. Mild pelvic dilatation can be due to anomaly in the urinary tract, due to chromosomal anomalies or can be idiopathic( no cause found). I would suggest you to consult a fetal medicine specialist so that you can get a detailed anomaly ultrasound done to rule out any congenital anomalies and further management should be done accordingly. Caesarean section is usually recommended in a breech presentation, if it is there till 37 weeks of pregnancy. Hope you found the answer helpful. Wishing you good health. Dr Deepti Verma