Exercises for breech presentation of the fetus

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

The position of the child can be found out already at the first ultrasound, but during pregnancy it can change, and more than once. Breech presentation implied the occurrence of complications at the time of childbirth, doctors often resorted to caesarean section. In recent years, more and more attention has been paid to prenatal repositioning of the child. In this case, special therapeutic exercises will come to the rescue. There are many different types and techniques, we will consider the most relevant and effective exercises for breech presentation.

What is a breech presentation?

This is the location of the fetus longitudinally, when the legs or buttocks of the baby are facing the entrance to the small pelvis. In this case, pregnancy is under the special supervision of doctors, because there are threats of preeclampsia, fetal hypoxia,abortion and birth trauma. Diagnosis of this phenomenon is carried out using CTG, echography, external examination of the vagina. This makes it possible to detect presentation even during pregnancy, which means there is still a chance to correct the situation. For this purpose, various exercises are used. With breech presentation, doctors recommend starting from the 29th week of pregnancy to do gymnastics. There are many complexes, each of which we will consider.

Reasons for baby misalignment

Baby's breech presentation is a deviation from the norm and the following reasons contribute to this:

1. Polyhydramnios.
2. Multiple pregnancy.
3. Pathologies in child development.
4. Re-birth.
5. Low or malpositioned placenta.
6. Anomalies in the development of the uterus.

Many experts point out that the baby is in the wrong position because of the baby's vestibular apparatus. Therefore, such a deviation is detected in the early stages of pregnancy and does not change until childbirth.

Possibility of baby flipping during pregnancy

Until about 25-27 weeks, the position of the baby does not really matter, because he will probably roll over. Starting from the 29th week of pregnancy, the child can also change his position, but this is less likely, because he begins to gain weight, movements become more and more constrained, it becomes difficult to roll over. There are several options for the development of events in breech presentation:

1. Some experts prefer to sendwoman for a caesarean section.
2. Others perform the procedure - an external coup, which is painful and risky. In this case, the result is achieved only in 20% of cases.
3. Baby rollover is possible at the moment when mom takes a bath, swims in the pool or in open water.
4. Practice shows that other means also help. For example, you can put a bag of frozen food, ice on your stomach, and the child will turn over to escape the cold. A flashlight works on the same principle, which needs to shine in the lower abdomen or headphones with music, which should be driven in the lower abdomen. These methods have a direct effect on the baby, which makes him change position.

All of the above methods cannot be compared with exercises for breech presentation. Gymnastics, developed by specialists, has shown its effectiveness and benefits not only for the baby, but also for the mother.

Dikan complex I. F

You can start doing such exercises from the breech presentation of the fetus from the 30th week of pregnancy. The bottom line is that the mother lies down on the bed (couch) and begins to turn on one side, then on the other. Lie on each side for about 10 minutes. This procedure is repeated 3-4 times. The complex is carried out daily 3 times a day before meals.

After the correct position of the baby has been achieved, the pregnant woman must wear a bandage. It helps to reduce the size of the uterus in the transverse dimension and increase the length of the longitudinal dimension. This is the prevention of the child's rollback to the previous position. You need to lie and sleep on your side in a position that matches the back of the child.

Efficiency of Dikan's method

Turning a child with Dikan's breech exercises is explained primarily by a mechanical factor. Due to the fact that the mother constantly changes her location, the child begins to move more actively. Fluctuations in the movements of amniotic fluid also increase. In addition to the mechanical factor, a change in the tone of the uterus matters. This is due to the fact that the position of the mother is constantly changing, and this provokes an increased reaction of uterine receptors.

This method is absolutely harmless and is indicated even for those women who have a complicated pregnancy. Ease of movement will not cause the umbilical cord to wrap around the fetus.

Therapeutic gymnastics Fomicheva V. V

No less common, but more difficult are the exercises from the breech presentation of the fetus at the 32nd week of pregnancy, developed by V. V. Fomicheva. At this time, the position of the baby will probably not change. Classes last approximately 20-25 minutes 2 times a day. Best done in the morning and afternoon, but not late in the evening. Each complex should be done approximately 1.5 hours after eating.

The pace should be as slow as possible, with great attention paid to breathing. The complex should start with simple exercises and gradually move on to more complex ones. Pay attention to clothing, it should be as comfortable and light as possible.

For pelvic floor exercisesfetal presentation, you will additionally need a chair with a back and a mat.

Fomicheva's set of exercises

Before moving on to the main part of the gym, you need to warm up for 5 minutes. At this time, it is necessary to walk on the toes, then on the heels, on the outer part of the foot. Finally, take turns lifting your knees to the side of your abdomen. This is where the warm-up ends, let's move on to exercises for flipping the fetus in breech presentation:

1. The starting position is in the stance - feet shoulder-width apart, and hands down at the sides (at the seams). First, make a slow tilt to the right, exhale. Then we return to the starting position while inhaling. Don't forget, breathing is of great importance. Then also repeat to the left. Do 5-6 times on each side.
2. We stand, as in the previous exercise, only the hands are not on the sides, but on the belt. Taking a deep breath, slowly lean back, then lean forward exhaling air. You should feel a deflection in your lower back. The number of repetitions is also 5-6.
3. The initial position is exactly the same as in the previous exercise. We slowly spread our arms to the sides, take a breath, and then, turning the torso to the right, bring our hands together in front of us, exhale the air. Do 3-4 reps on each side.
4. We stand facing the back of the chair, holding on to it with outstretched arms. First, raise the right leg, bent at the hip and knee joints. You need to raise it to the side of the abdomen, while touching the knee of the hand and inhaling. Exhaling lowerleg, arched at the waist. 4-5 reps each leg.
5. We stand with one foot on the floor, and with the other knee we lean on the seat of the chair, while hands are on the waist. We spread our arms in different directions while inhaling, turn the torso and lower ourselves slowly so that the hands are in front of the face. In each direction we bend 2-3 times.
6. Kneeling, support goes to the elbows. In turn, raise the right, and then the left leg back and up. For each leg 4-5 times.
7. Lie on your right side, bend your left leg to the side of your stomach and inhale. On the exhale, return the leg back. We do 4-5 times.
8. Lie on your right side and raise your leg about 40 degrees from the floor. We make circular small movements with the left foot in each direction. Repeat 3-4 times.
9. Get on all fours, then lower your head down, the back is round, take a breath. On the exhale, we return to the normal position, bending the lower back. Repeat 10 times slowly.
10. Starting position, as in the previous exercise. We straighten our legs with support on the front of the foot, and the heels just come off the floor. Raise the pelvis up in this position. Repeat 4-5 times.
11. Lie down on your back, support is placed on the feet and the back of the head. On the inhale we raise as high as possible, and on the exhale we lower. Repeat 3-4 times.

Recall that the effectiveness of exercises for flipping the fetus in breech presentation depends on the execution technique, and not on speed, so you need to do everything slowly.

This completes the main part of the complex. Sit quietly for 5 minutesrestore your breath. It is necessary to take deep breaths and exhale gradually, without sudden movements. Exercises for pregnant women with breech presentation, as a rule, are shown by a specialist trainer who conducts therapeutic exercises for the group. If this is not possible, conduct classes at home in the presence of someone. If discomfort occurs, stop exercising immediately.

Effect of V. V. Fomicheva's complex

Exercises for breech presentation of the fetus, developed by Fomicheva, provoke rhythmic contractions not only of the dorsal muscles, but also of the oblique, transverse abdominal muscles. The fibers of these types of muscles are part of the ligaments of the uterus. That is why exercises bring into shape not only the skeletal muscles, but also the uterus, leading to its increased tone.

Some exercises that include torso bending and bending the legs, knees, reduce the length of the uterus. In addition, they mechanically affect the baby, as a result of which the head begins to shift in the direction that is more optimal for childbirth.

Gymnastics from Bryuhina E. V

If a woman has a breech presentation, at the 32nd week of pregnancy, the exercises developed by Bryukhina will do just fine. The technique is the most optimal starting from 32-34 weeks and ending at 37-38 weeks. As in the previous complex, classes should be carried out daily, 2 times a day, approximately 1.5 hours after meals.

The basis of gymnastics is the gradual relaxation of the abdominal muscles. Starting position - either kneeling and elbows,or on the knees and hands.

Exercises from gymnastics Bryukhina E. V

Before the main complex, you need to warm up, it is exactly the same as in the Fomicheva gymnastics described earlier. Then comes the main part. Here are examples of exercises included in the complex:

1. The woman gets on her knees, rests on her elbows. Takes a smooth breath, as deeply as possible, and then exhales. So you need to repeat about 5-6 times.
2. The starting position is the same as in the previous exercise. We bend the torso down, touch the hands with the chin, gradually exhale and return to the starting position. Repeat 4-5 times.
3. Without changing the starting position, slowly raise the right leg up without bending it. We take the raised leg to the side, touch the floor with the toe and return to the starting position. On both sides we perform 3-4 times. Breathing is free here.
4. Get on all fours, resting on the hands. We lower the head down, the back is round, exhale, then gradually bend the lower back and raise the head while taking a deep breath. So repeat 8-10 times.

Conclusion of the gymnastics complex

The final part of the baby breech exercise consists of strengthening the pelvic floor muscles. The best option is the Kegel exercise. We offer this option: we strain all the muscles of the vagina and anus, pulling them in, count to 10 and slowly relax. Then we repeat, but counting up to 8, then up to 6, 4 and 2.

A set of exercises,above, and the final part lead to positive dynamics of the state of the cervix. This is due to the fact that the blood circulation of the pelvic organs improves.

Which method to choose?

Having discovered a breech presentation during pregnancy, the exercises are not chosen independently. It is necessary to consult a doctor who will note all the features of the woman's body and the appearance, shape of the breech presentation. In order not to harm the expectant mother and baby, the doctor selects the most optimal complex.

An important factor in choosing a technique is the tone of the uterus. In the event that it is elevated, Dikan's gymnastics will help. Normal and reduced tone is an indication for Fomicheva's exercises. If the tone is uneven, then the most suitable option is the Bryukhina method. The gynecologist leading the pregnancy will determine the tone and give advice, choosing an individual complex.

In 76% of cases, breech exercises for turning the baby were effective. The deviation was eliminated and the child returned to normal. Thanks to this, a caesarean section can be avoided, a woman can give birth naturally on her own.

We also suggest watching a video with a small set of exercises not described above, perhaps it will help you change the position of the baby. In any case, consult a doctor and seek the help of specialists during gymnastics, at least in the initial stages.

Are there any contraindications?

There are two cases in whichwhich it is forbidden to use therapeutic exercises:

1. Placenta previa, in which it blocks the exit from the uterus.
2. Threatened miscarriage.

Both circumstances are diagnosed by a doctor, on the basis of which the tactics of childbirth are developed and pre-negotiated, since it is impossible to correct the position of the child during pregnancy.

Some restrictions are imposed on exercises in breech presentation if the pregnancy is complicated by preeclampsia, pathology of the heart, kidneys, liver. In such cases, exercises that involve the knee-elbow position should be avoided.