Does a breech baby hurt more?

Answered by Jeremy Urbaniak

Giving birth to a breech baby vaginally does not typically result in more pain compared to a head-down position. The level of pain experienced during childbirth can vary greatly from person to person, and it is influenced by various factors such as individual pain tolerance, labor progress, and medical interventions. However, the pain relief options available for a vaginal breech birth are generally the same as those for a cephalic (head-down) baby.

It’s important to note that while the pain level may not differ significantly, delivering a breech baby vaginally does carry a higher risk of perinatal morbidity compared to a cephalic baby. Perinatal morbidity refers to health issues or complications that can affect the baby during or shortly after birth. The increased risk is estimated to be around 2 per 1000 births for breech babies, compared to 1 per 1000 births for cephalic babies.

When it comes to managing pain during a vaginal breech birth, various pain relief options are available. These can include:

1. Natural methods: Breathing techniques, relaxation exercises, and positioning changes can help cope with the pain of labor. These methods focus on managing pain without the use of medication.

2. Pharmacological interventions: Pain medications, such as epidurals, may be offered to provide relief during labor. An epidural involves the administration of medication into the epidural space around the spinal cord, numbing the lower body and reducing sensation of pain.

3. Local anesthesia: Local anesthesia can be used to numb the vaginal area during the delivery of the breech baby. This can help minimize pain and discomfort during the actual birth.

4. Supportive care: Emotional support from healthcare professionals, partners, or doulas can play a significant role in managing pain during labor. Their presence and encouragement can help create a more comfortable environment.

It’s worth mentioning that the decision of how to deliver a breech baby (vaginally or via cesarean section) is influenced by various factors, including the expertise of the healthcare provider, the specific circumstances of the pregnancy, and the mother’s preferences. In some cases, a cesarean section may be recommended due to potential risks associated with vaginal breech birth. It’s important to discuss the options and risks with your healthcare provider to make an informed decision.

Personal experiences and situations may vary greatly from one individual to another. It is important to consult with your healthcare provider for personalized information and guidance regarding the delivery of a breech baby.