When reality star Kim Kardashian West was heavily pregnant, she spoke out about her experience undergoing an ECV (external cephalic version), due to the fact that her baby was breech. Only 3-4 percent of babies remain in the breech position towards the end of pregnancy, which means that having to undergo this procedure is a very rare indeed. In order to shed some light on the situation and help expectant mothers to better understand the issue, we thought we would share some information about breech babies and what this means for the pregnancy. 

In simple terms, breech simply means that your baby is positioned bottom-down as opposed to head downwards, meaning the baby would be born feet- or bottom-first if a vaginal birth were to go ahead. While this is usually a temporary position in the third trimester, in cases like that of Kim Kardashian West, the baby may remain in the position, which means that your doctor or midwife will have to advise you on the best course of action.

If your baby remains in the breech position you will likely be advised to undergo a caesarean in order to deliver the baby, although some measures may help to turn your baby, making natural birth possible if it is successfully positioned. While there are several natural methods it is possible to attempt in order to encourage your baby to turn, or you may also be offered to undergo ECV, at 36 weeks if it is your first pregnancy, or at 37 weeks if like Kim Kardashian West you have had a baby before.  This involves being given medication to relax you uterus, after which a doctor will attempt to manually turn the baby so that is facing the correct way. This is not recommended in some cases, however, particularly if you've experienced complications during your pregnancy such as vaginal bleeding. 

While the baby will either turn naturally or be manually turned with success in the majority of cases, there is no need to be concerned if your baby remains in the breech position. Your doctor will be able to advise you on the best course of action to ensure safety for yourself and your child, which in most cases will mean delivering the baby by caesarian.

 

Expectant parents often ask us how long they should wait before coming in for a 4D ultrasound scan. Obviously, if the scan is carried out too early, the foetus will not have developed far enough to give a satisfactory image, but waiting until the final weeks of your pregnancy isn't a very good idea either.

 

Many people believe that they must wait until at least 30 weeks to book an ultrasound session, but this - if you'll pardon the pun - is a misconception. Here at First Encounters Ultrasound, we offer 4D scans from 24 weeks to 32 weeks; however, we recommend 25-29 weeks as the optimum time for a 4D scan, as this allows us to accommodate babies who are developing at a slower or faster rate than average. It would be a shame if you visited our clinic at the start of your 24th week, only to find that your baby isn't quite ready for the camera yet!

 

So, to answer your question: the best time to have a 4D baby scan is around 27 weeks. However, this does not mean that a satisfactory image cannot be captured later on; every pregnancy is different, of course, but we are almost always able to achieve great results up to 32 weeks. 

 

Upon request, we can also determine the gender of your baby during your 4D scan, making the experience all the more memorable. Add a gender reveal confetti shooter to your scan package for a truly spectacular gender reveal with friends and family!

 

Why can't I have a 4D scan after 32 weeks?

 

As mentioned above, the cut-off point for our 4D scan packages is 32 weeks. You may be wondering why this is the case - surely the image would be even 'better' if we waited until the baby was completely developed?

 

The reason is quite simple: there's only a limited amount of space in your womb, and our sonographers are able to achieve better results when there's still some room left.

 

The main aim of a 4D scan is to capture an image of your baby's face, and we can only do that if he or she is facing the camera (probe) when the scan takes place. If, when you arrive at our clinic, your baby is facing your back, he/she will need room to turn around - otherwise, we're stuck looking at the back of baby's head!

 

As your child grows, they leave less and less room for moving around, which means that the chances of turning become quite slim after the 32-week point. Furthermore, fluid levels reduce as the pregnancy develops, which will further impede the projection of imagery and also your baby's movement within the womb.

 

Is there any way to encourage movement?

Want to keep your baby moving on the day of your scan? Here are a few suggestions:

• Sugar stimulation is a good way to promote movement in utero. Eating a bar of chocolate and/or having a fizzy drink about 20 minutes before your scan will give your baby a burst of hyperactivity!
  
  
• We recommend having a full bladder when you come in for your 4D scan; if your baby's head is pointed downwards, he or she may decide to play hide-and-seek by burying it in your pelvic area. An inflated bladder helps to prevent this from happening, lifting your baby into a better position for the camera.
  
  
• If you come in for your scan and your baby is feeling camera-shy, we will recommend that you take a brief walk to get things moving in there.