The Breech Tilt is a widely known inversion technique to help a breech baby flip to a head-down position. 

Use this technique 1-3 times a day if you are told your baby is breech. You can start as early as 30-32 weeks and continue through to the time that you know that your baby is head down. Some doctors suggest starting later because most babies flip on their own. The Breech Tilt is not invasive. Ask your doctor if there is any medical reason not to do a Breech Tilt for your breech baby starting after 30 weeks. Alternatively, the Forward-leaning Inversion is recommended at any weeks gestation for any fetal position.

For more understanding, read the Inversion article in this section and Flip a Breech under Baby Positions.

The Breech Tilt

The Breech Tilt works on two Spinning Babies Principles. 

Principle One of Spinning Babies - Balance. The womb hangs from cervical ligaments stretching the ligaments slightly. When you get up the ligaments relax. With repetitions, this helps the lower uterine segment become more balanced.

Principle Two - Gravity. First gravity moves the baby onto his or her head. The weight of the baby's body now bends the neck to help the chin to tuck on the baby's chest. Tucking the chin helps baby flip, just as it helps a gymnist flip.

After the chin tucks, the baby is ready to move head down. 

 Some people suggest Open-knee Chest position but I don't think it is as effective for breech as the other inversions. The mother's neck is restricted from movement. This technique is better for a posterior or asynclitic baby in labor. For a first time mom I suggest both the Breech tilt and the Forward-leaning Inversion (see picture and find link below).

In the steeper forward-leaning inversion, pictured here, the mother's neck is free to move, helping the fascia over the pelvis be more free to move.

This position is used for 30 seconds for the posterior baby, but can be held longer for flipping a breech, as the mother gains practice. If you think the baby may have flipped head down, but you aren't sure, just hold the forward-leaning inversion position for 30 seconds, or 3 long breaths. (Work up to 30 seconds if its hard.) You will find this position more comfortable with repeated use. See my blog for a video and complete directions.

However the baby flips, on their own, or with the help of an experienced midwife or doctor,  the newly head down baby is often posterior. The Forward-leaning Inversion can continue to help the baby get into an even better position for the start of labor.

These techniques work for most babies. Even for a baby who doesn't flip, these techniques could help a vaginal breech birth go more smoothly. Always use physiologic breech birth practices (Knee-elbow or hands and knees maternal position, hands-off the breech, natural childbirth). Otherwise, a cesarean after labor begins gives the baby a bit of labor hormones to help transition into life outside the womb. Discuss these options with your midwife or doctor. There is currently better data in obstetrics to support physiological breech vaginal birth.

Learn several steps to help a baby flip head down in Flip a Breech, on this website. Read About Breech to see what I think the causes of breech babies are. This may give you some motivation to do these exercises and be better prepared and determined. There is also a time line of when to do what for your breech baby.