HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is Normal Delivery Possible With The Present Fetal Position?

Hello Doctor, My name is Bharathi from Chennai aged 35 years. I am carrying my second one & this is my 35th week. The scan reports says that the presentation is cephalic with fetal spine pointing to maternal left side. Is it good sign & normal ?? My first one was C-Section & I want to deliver this second naturally after 6 years gap between the first & second. Is it possible at this position above. Please advise. Thanks.
Tue, 27 Oct 2015
Report Abuse
OBGYN 's  Response
Dear Bharati,

The commonest normal position of the baby at 35 weeks pregnancy is head down with back on the left side. Your scan report has mentioned the same. So as far as the foetal position is concerned, you do not have to be worried about. It is absolutely normal position.

The million dollar question is whether you can deliver vaginally or not. Let us consider the different points by their merits. One dictum is certain - Once a caesarean section need not be always a caesarean delivery; however, once a caesarean section has to be always a hospital delivery.

1. You had previous caesarean section. The indication for the caesarean section will play a great role. The indications for caesarean section can be by and large divided in to two groups : a. Repetitive indications like small pelvic cavity, abnormal or irregular pelvis, etc. b. Non-repetitive indications like placenta praevia, high blood pressure, foetal distress, etc. . If the indication was from the first group, you will have to undergo caesarean section, however, if it was performed for the indication from the second group and if that indication is not present in this pregnancy, a vaginal delivery may be tried.

2. Your age is 35 years. Usually at this age the risk factors are more and the pelvic bones and joints have become more rigid. Any risk factor with previous caesarean section is considered an additional probable indication for caesarean section. So the chances of caesarean sections increase considering your age.

3. The integrity and strength of previous caesarean scar plays an important role. If during the pregnancy or delivery, the scar on the uterus shows signs of weakness, no one will take any risk of subjecting you to the vaginal delivery lest the risk of rupture of uterus. Ultrasonography can reflect on the health of the scar during pregnancy while close monitoring is needed during labour. During pregnancy, you also observe for any discomfort or pain the lower abdomen.

I would like to assure you that the aim of any Obstetrician is to deliver a healthy baby to a healthy mother without any complications, no matter by which method.

So Bharati, please have full faith in your Obstetrician and like us, you also aim at delivery of a healthy baby without any risk to the life of either of you.

I hope this convinces you to get rid of the prejudiced opinion about caesarean section.
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Is Normal Delivery Possible With The Present Fetal Position?

Dear Bharati, The commonest normal position of the baby at 35 weeks pregnancy is head down with back on the left side. Your scan report has mentioned the same. So as far as the foetal position is concerned, you do not have to be worried about. It is absolutely normal position. The million dollar question is whether you can deliver vaginally or not. Let us consider the different points by their merits. One dictum is certain - Once a caesarean section need not be always a caesarean delivery; however, once a caesarean section has to be always a hospital delivery. 1. You had previous caesarean section. The indication for the caesarean section will play a great role. The indications for caesarean section can be by and large divided in to two groups : a. Repetitive indications like small pelvic cavity, abnormal or irregular pelvis, etc. b. Non-repetitive indications like placenta praevia, high blood pressure, foetal distress, etc. . If the indication was from the first group, you will have to undergo caesarean section, however, if it was performed for the indication from the second group and if that indication is not present in this pregnancy, a vaginal delivery may be tried. 2. Your age is 35 years. Usually at this age the risk factors are more and the pelvic bones and joints have become more rigid. Any risk factor with previous caesarean section is considered an additional probable indication for caesarean section. So the chances of caesarean sections increase considering your age. 3. The integrity and strength of previous caesarean scar plays an important role. If during the pregnancy or delivery, the scar on the uterus shows signs of weakness, no one will take any risk of subjecting you to the vaginal delivery lest the risk of rupture of uterus. Ultrasonography can reflect on the health of the scar during pregnancy while close monitoring is needed during labour. During pregnancy, you also observe for any discomfort or pain the lower abdomen. I would like to assure you that the aim of any Obstetrician is to deliver a healthy baby to a healthy mother without any complications, no matter by which method. So Bharati, please have full faith in your Obstetrician and like us, you also aim at delivery of a healthy baby without any risk to the life of either of you. I hope this convinces you to get rid of the prejudiced opinion about caesarean section.