“Transverse Lie” is a sideways position. The baby has his head to one of his mother’s sides and his bottom across her abdomen at her other side. This is normal before 26 weeks. By 29-30 weeks we expect babies to be head-down, or to at least be breech. Begin techniques if baby is not head-down by 30-31 weeks. This article outlines easy ways to help a transverse baby move head-down and what to do if self-care isn’t enough.

Spinning Babies® highlights Dr. Carol Phillips, DC’s amazingly successful technique, Forward-leaning Inversion, to help make room in the lower uterus for baby to move head-down. Watch this excerpt from the Spinning Babies® Parent Class where Gail consults with a couple to help them turn their baby head-down using the Forward-leaning Inversion. You can purchase the full video to help prepare for birth.


When Baby Lies Sideways is an ebook for pregnant parents with a transverse or oblique baby developed by Gail Tully, CPM, creator of Spinning Babies®. Gail shares her wisdom in this program, which will teach you how you can help your baby move from sideways or oblique to head down.

Many transverse babies are head down within 48-hours of a day of focused activities. You can purchase the ebook in our shop

Parent Class

Read the 2017 account of a full-term mother turning her transverse baby head-down with Forward-leaning Inversions on the Spinning Babies® Blog.

In this photo, baby is in a Transverse Lie (lying sideways in the womb). The head is on the mother’s left side and the bottom is on the upper-right. Baby’s spine crosses the top and feet dangle toward the cervix. This mother’s placenta was low and taking up space where baby would have put her head had there been room. Another transverse baby may have the head on the right and kick toward the front, etc.

NOTE: This transverse position is different than an occiput transverse (OT). In that position, the head, not the body, is transverse. The head is down, facing the mother’s hip.

Rae Baker, a wonderful doula in Minneapolis, shares her story in this video:

Rae Baker's Story

Techniques to correct a transverse lie

Please check with your primary care provider and/or birth care providers to see if there is any medical reason for you not to be upside down for the inversions (e.g. risk of stroke because your blood pressure is so high, etc.). There are things a healthy woman can do to help a transverse, oblique, or breech baby turn head-down. For a baby changing position frequently (called an unstable lie), these techniques work very well.


“Big Turning Day” baby repositioning routine

  • Use the Forward-leaning Inversion off the couch, as shown in the video, for 30-45 seconds, 7 times in ONE day (not day after day!), about 15 minutes to 2 hours apart. Follow 2-3 of the FLI this day with the Breech Tilt (next).
  • The Breech Tilt for 5-10 minutes, 2-3 times a day (these two inversions accomplish two different things, so doing both may be important. Do them in this order 2-3 times a day until baby is head-down) Do not sleep in bed this way.
  • 2-3 times a day, while baby is breech or transverse (after 32 weeks), do the Side-lying Release


Other potentially helpful things:

  • Stand on your head in a pool of warm water, such as a backyard swimming pool or a therapeutic pool at a hospital or rehabilitation center. Some hotels will let you join a swimmer’s club.
  • Stabilize your pelvis, lengthen your pelvic floor in mid-pregnancy with anterior pelvic tilts and squatting (use a squatty potty for passive squats while toileting).
  • Wear a pregnancy belt AFTER baby is head-down if you suspect your uterine ligaments are too soft. The pregnancy belt gives a slight pressure to support a loose abdomen and also may relax a tight abdomen. Create the missing “slope” of the abdomen with the pregnancy belt to help baby drop head-down into the pelvic brim. Find your type of belt and the right snugness for you.
  • On the 3rd time and after each time you do Breech Tilt, you may place a very cold item, like frozen veggies wrapped in a thin dish towel (don’t freeze your skin!), on your abdomen in the place that is BEHIND and ABOVE the baby’s head. At the same time, place a very warm item, like a toasty rice sock, BELOW and IN FRONT OF baby’s face. We are hoping baby moves toward the warmth, so place the warmth between the baby’s face and the pubic bone. This helpful addition to other techniques is not likely to work just by itself. Inversions are recommended unless your caregiver says specifically that you have medical reasons not to do an inversion.
  • Release your psoas muscles.
  • After baby is head-down, stop inversions for three days and continue walking each of these three days. Resume inversions ONE time a day for 30 seconds, coming back up to kneeling afterward.
  • Constructive Rest Position. Each day, lay on the floor on your back for no more than ten minutes with your ankles resting on a chair. Your knees are bent to a 90-degree angle. Breathe slowly and deeply from your belly. See your belly rise and fall like a sleeping toddler.
  • There are several yoga extensions of the legs that help. They are often called hip openers and use a strap to extend into for counterbalance.
  • A gentle stretch of the psoas can be done with you lying on your bed with your hips on the very edge. Bend one knee and hold that leg up by your abdomen. Let the other leg gently stretch and hang below the edge of the bed. It gently pulls on the muscle going over the front edge of your pelvis on that side, just inside of your hip. 3 minutes on one side, switch sides. 1x a day.
  • Do not allow your psoas to be directly massaged. See


In general, for all positions that are not head down (also persistently posterior babies):

  • 30-34 weeks: Daily and weekly activities and sitting on the front of your sitz bones may help some. Most women need specific balancing exercises to bring a twist out of their lower uterine segment. Body work is recommended if you can get good care where you live.
  • 34-36 weeks: Spend the week working with moxibustion on your little toes and doing the balancing activities. Seek professional soft tissue from a chiropractor, osteopath, therapeutic massage therapist, or craniosacral therapist who may have the training for a style of gentle release. See this experienced person for three visits right in a row. Reschedule remaining visits to weekly, if you like, when baby drops head down, but don’t spread your visits out until you have success.
  • 36 weeks or more: If these things don’t work in three days, please make an appointment with a chiropractor who is specially trained in the Webster Technique and other pregnancy and pelvic issues, AND who is regularly adjusting pregnant women. If the chiropractor’s adjustments don’t work within 2-3 visits (try and get your appointments all within a week or two), then add 2 visits with a myofascial release person who works with pregnant women. Did you take a day to do 7 Forward-leaning Inversions? Keep doing the Inversion and Side-lying Release on your own, unless told not to by your chiropractor (I think it’s worthwhile in general to do both, so see if they have a specific reason not to in your case).
  • 39 weeks: Why have a cesarean now? (Warning, opinion coming…) The reason may be for your surgical team’s convenience. Why should your baby miss a few brain cells for the ease of scheduling? If you are healthy in other ways, give your baby another week or two. There are risks in both choices, so choose carefully. Early surgery has unavoidable side effects that will happen, and waiting has theoretical side effects that may happen. Babies have been known to turn head-down even at 40 weeks with 7 Forward-leaning Inversions.

Techniques can be adapted to the needs of the pregnant person.

Techniques to correct a transverse lie when the belly seems loose

For those who have given birth before — and for a few first-timers — the trouble may not be with tightness, but rather with looseness (though a twist in the cervical ligaments is the usual reason and the usual solution is still Forward-leaning Inversion). The idea is that once the baby is head down, support the abdomen with a pregnancy belt and perhaps a rolled hand towel (Brust pad) so that the baby stays head down and in a vertical lie. A manual version may also be successful in helping baby get head down. When ligaments or abdominal muscles are not time success is more likely. Anterior placenta may be a reason not to do a manual version. Precede your manual version with the “Big Turning Day” routine above. Add a Forward-leaning Inversion in the hour before the procedure. When successful, wait three days, walk a lot during the next three days and don’t go upside down until walking settles baby a bit lower. Then resume one FLI a day, just one. See how you feel about doing one FLI in labor for good measure, if you feel able. I really think it benefits.

Using a pregnancy belt for transverse lie

When the lower abdomen is loose, as with a pendulous uterus, add a pregnancy belt to create an improved slope to the lower uterine segment. A pregnancy belt helps the uterine ligaments hold the uterus upright so the baby can get into an upright position. For the mom with loose ligaments, I would suggest wearing a pregnancy belt in the fifth month through to labor, and for very loose moms with a pendulous womb, then wearing the belt through pushing the baby out is safest. Women with tight ligaments can wear a pregnancy belt too for the support. It is actually quite relaxing.

Professional help for a transverse lie

If the womb seems tight around the baby in pregnancy (chronically, not just during Braxton-Hicks contractions), then professional help is needed. Bodywork can correct the length of the uterine ligaments so that they are all symmetrical. Chiropractic adjustments align the pelvic bones so the joints are symmetrical and this, in turn, helps the uterine ligaments become symmetrical. Doing both the bony adjustments and the soft tissue work is the most time-efficient and successful if the mother’s inversions don’t work in 3-4 days.

  • Some chiropractors and craniosacral therapists know how to do a myofascial release of the round and broad ligaments. Certainly, a myofascial massage worker can do this.
  • Maya abdominal massage is another excellent choice for symmetry.
  • Acupuncture, effective for fetal positioning, especially when done by an experienced professional.
  • Moxibustion, heating the acupuncture points with a stick of mugwort incense, can be done at home inexpensively. Best results from 20 minutes a day during the 34 and 35th week.
  • Chiropractic adjustments to align the neck and pelvis, including SI joints and Symphysis Pubis; Webster; Logan Basic; and other areas as individually needed.
  • Myofascial, Standing Sacral Release (formerly known as a buckled sacral release) and diaphragmatic release (Abdominal Release)
  • Homeopathy, Pulsatilla, or other remedies can help with malposition. See a professional for the best results.

This work is specifically for your pelvis, neck, and soft tissues (sacral fascia, round and broad ligaments of the uterus, cervical ligaments and sacrotuberous ligament). Remember the time to hire bodywork for transverse babies would be between 32 weeks and birth. The sooner the better! Begin at or after the middle of the seventh month. If you want to try things at home in weeks 32 to 34 that seems reasonable, though if baby is big, and/or mom is tight I would start getting professional help earlier. Starting in mid-pregnancy isn’t too early. Next year at this time, would you like to look back and feel satisfied that you did all that you could do at this time in your life?

What’s the problem with a transverse lie?

The baby who is lying sideways cannot be born vaginally. The baby has to get vertical to fit through the pelvis. A breech or vertex (head down) baby can usually fit. Labor contractions cannot bring this baby through the pelvis. Perhaps the arm or umbilical cord would come through the pelvis, but the shoulder and ribs would stop at the top of the pelvis. Let’s help this baby move to a head-down position so that a cesarean can be avoided.


When is transverse lie a problem?

It is normal for a baby to be transverse in the first and second trimester. We hope that the baby is in a vertical position between 26 and 31 weeks gestation. The breech position is quite normal when found between 26 and 31 weeks gestation. A message from a mother:

I am 26 weeks pregnant with my 3rd child. I has my 1st child via c-section, (normal positioning, distressed baby) and my 2nd via VBAC. I was told yesterday that my baby is currently transverse and I am very concerned that I will not be able to have another VBAC due to this….


Gail’s Reply:

Dear [One], Please know that it is perfectly normal at 26 weeks for your baby to be transverse! Please don’t worry. Your baby is very likely to be head down soon–but you can still Do the Forward-leaning Inversion each day! Most babies are head down by 28-30 weeks gestation while a few babies wait to settle head down until 31-34 weeks. Fewer babies still transverse at 34-36 weeks can get head down on their own. After 30 weeks, it may be good to do daily exercises to help your baby get head down. If you healthy enough to do inversions, please try the 5-7 Forward-leaning Inversions for One day, and do Side-lying Release after the first 2-3 to add maximum room for the next 3-4 to work better. Late in pregnancy it becomes more difficult to help the transverse baby to become head down.

“Why is my baby transverse?”

At Spinning Babies®, the basic idea is that babies get into the best position they can given the space they are in. Sometimes a placenta is below the baby blocking the baby from getting head down at the end of pregnancy. The second twin sometimes waits in a transverse position until after the first twin is born; then the second twin drops into place, head down, and is born soon afterward. But often, there is a simple need for balance, the 1st Principle of Spinning Babies℠.

Not every uterus is lined up vertically, usually because of an accident or even a habit that has tipped or twisted the uterus. This may have happened many years ago. But until a series of exercises or bodywork has “lifted” the uterus back into place, the uterus remains where it “fell.” This might be the reason gravity hasn’t been able to bring the baby head down, either that the lower uterus is tight with a twist or too loose to support the baby vertically.

When the baby has been transverse in the last trimester, it may be because uterine ligaments or pelvic floor muscles have a twist. The womb seems shaped for a transverse baby. The baby will stay transverse when the pelvic inlet (brim) is not symmetrical or the lower uterine segment (the lower part of the womb where the head would normally settle) is not symmetrical. Crossing our legs, holding toddlers on our favorite hip, a fall, etc. can put a twist in the lower uterine segment.

Gravity helps, but there is less room to navigate the womb. First-time mothers and women with tight, sturdy musculature, spasming ligaments or tight fascia can do exercises or have bodywork (or both) to loosen these soft tissues and allow more fetal movement. Women who have birthed before, and who have loose soft tissues (this includes a few first-time mothers, but most experienced mothers), may actually need to prop their wombs and abdomens up to let the baby get head down!

After 32-34 weeks, I am quite concerned to find a transverse baby – except when the baby was breech recently and is now in the process of flipping to head down. The breech-to-head-down process may take 3 days (but is often 3 minutes!) and a mother or provider may notice the baby in a transverse position in the midst of the change. Usually, the mother knows the baby is “on the move.” (I hope she keeps “balancing” to avoid her muscles reverting to the old muscle shape that put the baby into a transverse position).

Breech lie or transverse lie?

The transverse lie position is sometimes loosely called breech. This seems more common among ultrasound technicians. Midwives and doctors do not use these terms interchangeably. They are not the same. The breech baby lies vertically, the transverse lie baby lies horizontally. The breech baby has an easier time getting head-down than the baby who has been transverse into the third trimester. An interesting point is that a breech baby may move to the transverse lie for a couple of days before finishing the flip to head-down. If your transverse baby was just recently breech wait a couple of days before worrying, and keep up the techniques you are using to help baby into a head-down position.

A head-down variation: One woman may have had weak uterine ligaments in spite of being a strong, athletic woman. Perhaps the jolting stops during soccer affected her uterine ligaments in this way. Her first baby was head-down, but with the little bottom resting on her right hip. The baby was folded at the baby’s waist in this way for the entire third trimester. I wondered how it would affect birth. I suggested a pregnancy belt but the mother wasn’t concerned. Her labor advanced beautifully and the baby came down through the pelvis perfectly. I was happy to see how well birth works in a fetal position variation that I had never noted before in a first-time mother. The baby had seemed somewhat in a transverse lie, but since the head was in the pelvis, wasn’t. The mother used active labor positions and free movement, instinctively moving with her labor and the baby came down well.

A breech variation: Another woman’s second baby was breech with the bottom at the entrance to her pelvis. Her uterus leaned far to the left, visible from behind her. Labor began on its own, and she hoped for vaginal breech birth. However, labor contractions didn’t stay consistent and the uterus continued leaning to the left. The uterus couldn’t aim the baby into the pelvis. The baby never descended and a cesarean was the only safe option when labor wasn’t able to progress. Could exercises and body work have helped her to have a natural birth? Perhaps they could have. These techniques might work in labor, but in this case, may have been needed weeks before. Her baby might have even gotten head-down. Her chiropractor didn’t know the full myofascial/craniosacral release protocol for pregnant women (Learn more at What has worked for others: From a comment on the Forward-leaning Inversion video on Gail’s blog post:

Thank you SO much for posting this! For the past couple I’ve been a lot of pain but I didn’t know that all the pain was coming from my son being transverse. I knew he was lying like that but I never knew it could cause all the pain it was causing. I was even sent to L&D to see if i was in preterm labor. At my follow-up OB appt she told me that if he didn’t move that A.) I’d be in pain until I went into labor and B.) It’d be a mandatory c-section. I’m only 36 weeks along and was missing tons of work along with sleep and just turning into a nasty woman to be around in general. After leaving the OB’s office and learning that this was the reason for all my pain,I texted my doula who told me to look up your website. After learning that our son was in a “transverse lying position” I found the video of the lady doing the [Forward-leaning Inversion] and decided to try it off a bed. I was able to hold the pose for (30) seconds but I didn’t think anything had happened. My hubby checked the baby’s position and sure enough he was in the perfect occipital posterior position! [! ok, one person’s malposition is another person’s perfect position!] It’s been over (4) days now and he hasn’t moved back so I’m praying we are safe. Thank you SO much for saving me all the pain of carrying him sideways and avoiding a c-section!! – The McGuire’s, December 28, 2009 12:45 PM

Inversion is an excellent thing to do, but may not be enough on its own. If using the inversion doesn’t work after 3-4 days, when you are 32 or more weeks pregnant, then I would suggest getting professional body work. See more about this lower down in this article, and see more fun things to help baby flip head down under Breech. Here is my answer to a woman writing who is 34 weeks along with a transverse baby:

Do you know how long your little girl has been lying transverse? You are doing the Forward-leaning Inversions for 30-seconds? You may also do the Breech Tilt Inversion for 5-20 minutes, longer as you get used to them. After about 3-6 times (in 2-3 days), you might start putting a lightly wrapped cold pack on your upper uterus, above the baby’s head (not directly over it, just above it). At the same time, putting a warm pack behind your baby’s head and towards your pubic bone. Close enough for the heat to radiate to the baby’s head. I don’t know which way your little one is facing, but I suppose it doesn’t matter. The idea is that the baby feels that it is warmer towards your pubic bone. Moxibustion is so helpful in weeks 34-35 and beyond, but particularly these two weeks are more successful to get baby head down. Use in addition to other methods of helping baby get head down. Add myofascial release to the chiropractor’s adjustments. Ask the chiropractor to add Webster’s to both sides in one visit, if they would please. Craniosacral work can make chiropractic more effective and visa versa. Head stands in a warm pool of water. Hanging from a yoga sling (1 minute) or an inversion table (1 minute). Learn to release your psoas. Visit with Liz Koch. A tight psoas may hold the baby’s head back above the brim to the side. Talking to your baby, too. Whether out loud or by journaling. See what you can learn about your self this way, too. If your daughter has been transverse all along do everything you can, all of the above you can. If she was breech last week and transverse this week, she is likely to get head down with less to do. But it sounds like she’s been transverse a while. Very often this is from a soft tissue issue in the lower uterine segment which can be caused by torsion in the pelvis and the surrounding soft tissues (ligaments, fascia, muscles etc.) Addressing these issues will likely allow the baby to move into a head down position. Exceptions, if the placenta is below the baby covering the access to the cervical area. An unusual uterine shape, a partial septum or a fibroid blocks the baby’s attempts to get head down. Ultrasound would reveal something as obvious as these. Ultrasound is unlikely to reveal a twist in the lower segment of the uterus which is one of the soft tissue issues I mean. Please let me know if any of these or another suggestion helps you. I will hope for the best and expect the best for you and your baby. – Gail


A-K posted on the website:

I am 40 weeks pregnant with my 2nd child (first one born naturally) and was told today by my OB that baby is now transverse. This was also confirmed by an ultrasound (at my last visit a week ago, baby was in the heads-down position and had been so for several weeks). I have been given three more days to see if the baby will turn before my doctor wants to schedule at C-section (at 40+3). I have already visited a trained acupuncturist and am doing the inversions on your site to try to prevent this. I would just like to know:

  • How common is it for a transverse position to appear so late in the pregnancy, and what are the odds of turning the baby back down?
  • Which of the inversions tend to be the most effective at 40 weeks, given the more limited room for the baby to move? The dr tried to externally manipulate the baby to move down today but failed.

Thanks so much for a lovely website!


Gail writes (this version is edited):

A-K, I hear the surprise you are suddenly faced with. I will try and answer your questions. Why now, in late pregnancy? A baby will move from a good or reasonable position to a posterior, breech, oblique or transverse position in late pregnancy when there is:

  1. An existing reason, usually a twist in the lower uterus or other reason the area of the pelvic inlet is compressed or twisted. Balance the area with body work and Forward-leaning Inversions and baby will return to a head down position.
  2. The baby will pull away from the pelvis (tailbone, sacrum) if something happened such as a fall, twist, impact, or a significant emotional stress about parenting. It can happen to any of us.
  3. Some event may trigger an old injury. A long car ride can be the culprit. If this is the case, addressing the trigger is likely to allow the baby to settle back head down quickly.

How many times do you need to do the inversion? How quick can baby get head down again? You see the range of success in the comments to the Feb. 9th 2007 blog post from one inversion, to three, to several. It doesn’t always work, but it seems to work often. What else could you do? Professional help: Myofascial release, chiropractic, and craniosacral therapy along with your acupuncture may increase chances of success. I can’t promise, of course. But these are efficient ways to address the cause. Self help: Begin with the Rebozo Sifting, go to the Forward-leaning Inversion and follow it with the Breech Tilt using hot and cold pacs. Then I’d add a Side-lying Release. How often does a baby go transverse at the end of pregnancy? It is uncommon. Still you are likely to get the baby head down even in three days with several short, Forward-leaning Inversions and addressing the soft tissue cause, assuming that something was, or became, twisted near your cervix or brim. A twist in the cervical ligaments will twist the lower uterine segment where the baby would like to put his or her head. Depending on the amount of twist the baby may back up and go transverse or breech. This is fixable with the right body work for you. Be kind to yourself as you try to take on this challenge. You are doing the best you can with a suddenly complex situation. Keep breathing and talking to your baby. Together you will find your way to the other side of the transverse lie.


On January 12 I received this email:

Dear Gail, I found your site very informative. This is my third baby after the first two normal deliveries. I’ve been having check ups for this baby, and since 38 weeks, baby was breech, few days later turned to right transverse lie, then again turned to left transverse lie in my 38weeks 6days scan. I can feel her move up and down the left side of my belly, as the head is prominent. Got a check up scheduled for tomorrow. I want to know what my options are to have a normal delivery at this stage.


Gail writes:

Hi Tijitha, It may be that your belly is loose, Jean Sutton suggests laying on your left side and while lying down, bind your belly tightly, then wear that belt for 24 hours. Let me know if this works, otherwise my article says everything else. Whether your baby would do this spontaneously, I don’t know, but don’t think that it’s as likely as a breech flipping head down.


Tajitha’s reply:

Dear Gail, Thank you for your prompt reply! I will try out the belt. When I tried an inversion today, the baby moved from the transverse lie to a breech. I am feeling her head near my ribcage. Could you comment on this? With best regards, Tijitha


Gail’s reply:

Hi Tijitha, In my opinion, breech is better than transverse and easier for the baby to flip head down from breech than from a long time in the transverse. If the baby moved that much with just one inversion, i think she will flip head down with a few more… unless there is quite a twist somewhere, sacrum or pelvic floor, or something, and more work may be needed. Once baby is head down I suggest a brisk long walk followed by a pregnancy belt worn for a while! Until engagement perhaps. Wear the belt snug but not tight. Enough to give a slope to your abdomen and if you need to put a roll of a face cloth vertically on the right side, tipped a little to fit in the area of the right side, above the hip but also by the crease between the thigh and belly, but on your abdomen to reduce the area on your right and encourage baby to stay head down and move to your left. However, if your pelvis is crooked this won’t work long, you will have to have an adjustment. Doing many inversions (30 seconds) will act a bit like an adjustment and may or may not be enough. See what 6 more do in the next 3 days if you can. But, Tajitha, always do what you think best. You are the mama. -Gail


Just two days later, January 14, I received Tajitha’s happy news:

Amen! Gail, my baby has turned head down! Praise God! I did nothing more than that one inversion than pray with faith! And am scheduled for an induction tomorrow morning. Will update you as soon as I get back to normal affairs after baby is born! God bless you! Have a wonderful day! Love, Tijitha


And later, on Jan. 18:

Dear Gail, I delivered my baby boy on 15.1.2011 through normal delivery. Thank you for all the support! Love, Tijitha



Dear Tajitha, This is such a blessing! And unusual for 38+ weeks. Do you think the inversion may have influenced your baby to flip head down? What was the timing? Was it the morning after an inversion when you woke up? When? May I share your story on my site?? It’s quite wonderful….


Tajitha’s Reply, Feb. 2:

How are you? My baby has been keeping me busy. Oh yes! I would love to encourage other ladies who may be going through a similar situation. On the 13th [in the] morning I had done the inversion and on the 14th morning the baby had turned head down. It was confirmed by a scan. Could you please mention that after I had done the inversion, I prayed earnestly with faith that God can turn the baby, and He did. When we pray with faith, God can work wonders!


Another January exchange:

Hello, I was told yesterday at my 37 week appt that the baby was transverse with his head on my right side and bottom on my left. He seems to be lying with his head slightly lower then the butt. I have been doing inversion a few times since then hopefully it will work. How often does a baby turn without additional help ie. chiropractor or moxibustion? I slipped on some ice and fell on my left side Monday afternoon, could that have actually caused him to move from head down? thanks so much, M


Gail’s Reply:

Dear M, Yes, the fall may have been the cause. Some babies will flip head down, but the studies don’t track whether mothers have had a previous fall, which can distort the lower uterine segment via a twist in the sacrum or spasm in the ligaments. If you do nothing your baby may flip, if you do something your baby may flip and may be more likely to be head down than if you do nothing. A year from now if you have a cesarean for a transverse baby, will you feel the best about the amount of exercises that you chose to do? If you find a practitioner, like a chiropractor, get a recommendation from a birth group, doula, prenatal yoga teacher, midwife, or all of the above. You want someone who sees pregnant women daily. They need to address your sacrum in both vertical and horizontal misalignments, as well as your symphysis. There is a test they can do before they adjust your neck to make sure a neck adjustment is safe for you. Be sure you are doing the Forward-leaning Inversion correctly. You can do the Breech Tilt afterwards for 10 minutes. Ask your provider if there is any medical reason not to do these inversions (rather than an opinion) in your case. Let me know what you decide. Peace is an action, Gail Tully


From M:

Hi Gail, Thank you for getting back to me. Yes the baby was head down and I noticed that my belly seemed lower the day after the fall. I have an appointment tomorrow with a chiropractor who is trained in the Webster technique, so hopefully that will help. I have been doing inversion with my knees on the couch and resting my forearms on the floor. I will have my husband check to make sure that my bottom is lined up with my knees. So it is okay to do both the inversion and the breech tilt? I thought you were supposed to do one or the other. The doctor did suggest doing a version [external cephalic version], I have an ultrasound scheduled for tomorrow to check fluids. I wanted to try less invasive techniques first and then will do that if need be. Again thanks so much for your reply, M


[From Gail]

I agree with you, [M], Do the body work first, Webster and some sacral release (myofascial, see if your Chiro is trained in it) etc. and that would help the manual cephalic version be more successful if you do decide to have it afterwards. (if the baby doesn’t flip.) If your body work folks can figure out how to put you back to rights your baby should go head down in 48 hrs after the correction, if not sooner. Yes, you can do the Forward-leaning Inversion first for 30 SECONDs and then the Breech Tilt for 10-20 minutes. Can you do a series of 7 Forward-leaning Inversions tomorrow morning?? Peace…


[From M]

I did the 7 inversions and then the breech tilt this morning. I also went to the Chiro, and at the ultrasound, he is head down ? Now just to keep him that way for 3 more weeks. Will an inversion or two daily help keep him down? Thank you so much for all your advice, I’ll keep you updated as I am trying to have another VBAC for this one. M


[From Gail]

Yes, I do suggest one inversion a day, but can you also walk about 3 miles a day for 2-3 days before resuming the inversion? I’m so happy you found these techniques successful! Peace …


One more, July 12, 2011:

Hi Gail, I got your email off of the website, so I hope you don’t mind me emailing you asking advice. This is my 3rd baby, and I’m 35 weeks along. However, this is my first experience with the baby not being head down. He has been contently lying with his head in my right rib, and his feet in my LLQ for quite a long time now. I am terrified he won’t turn for a natural delivery! I heard great things about your website, but the terminology confuses me to no end. I was wondering if you could possibly help me figure out some positions I could try to get him to flip! One I saw is with my legs on the couch and arms on the ground. How long do you stay in that position? I have 2 weeks left till my Dr. will do a [external cephalic] version, and I’m terrified of that. Plus, the success rate isn’t that great. Anyways, sorry for rambling and taking up your time. I hope you can help me! [name withheld]

Later, another email from the same mother:

I had one of my friends show me how the site worked … and between the positions and the acupuncture, he flipped!!! Now hopefully he doesn’t flip back. But thank you for your response! I really appreciate it:) And no, I didn’t do the [external cephalic] version. I opted out of it. I didn’t like the risks. I just decided to try the acupuncture, all-4’s, and the couch thing on your website.:) [Forward-leaning Inversion]


Questions I’d ask a woman who is scheduled for a cesarean for a transverse lie or breech presentation:

Is convenience the most important thing to schedule your baby’s birth around? If not, you might ask for a postponement to 41-42 weeks gestation. You’d be taking additional responsibility for your birth. And giving additional benefits to your baby, if you and your baby are healthy, that is. So this is something to research and then to discuss with your doctor. Waiting for spontaneous labor has benefits as well as risks. You should know about both to make an informed decision.

I do advocate for waiting for spontaneous labor in general. However, you are the Mama, and you get to decide. It’s not wrong to schedule a cesarean for malposition especially after 41 weeks or at any appropriate time (if mom or baby really are sick; or baby had InterUterine Growth Retardation. IUGR is not mental retardation, but small for dates due to poor placental circulation or other serious reason). Some women would face serious hardship or risk waiting for labor. But most women and babies would receive benefits when letting labor begin and then going right in and having the cesarean. There is a risk of prolapsed cord. There is a benefit of improved breathing and brain chemicals for life outside the womb. It’s not an easy decision, so it can’t be made for you.

Whatever you decide is the best decision for the situation at hand.


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