Breech Position: Should You Try Knee-Chest Exercises?

Abnormal fetal position

I am currently 29 weeks pregnant, and the baby is in a breech position with the head not yet down.
Should I start doing the knee-chest position exercises now? Are they effective? Will the baby turn on its own? Thank you.

Mandy, 30~39 year old female. Ask Date: 2014/02/24

Dr. Lin Wenbin reply Obstetrics and Gynecology

You can give it a try, but don't push too hard to avoid causing uterine contractions.
Most likely, the baby will turn head down before 34 weeks.
If not, after 35 weeks, a cesarean section may need to be considered.

Reply Date: 2014/02/24

More Info

Understanding breech position during pregnancy is crucial for both the mother and the baby. At 29 weeks of gestation, it is not uncommon for babies to be in a breech position, where the baby's buttocks or feet are positioned to come out first instead of the head. While many babies will naturally turn to the head-down position as the pregnancy progresses, some may remain in the breech position, which can lead to complications during delivery.

Knee-chest exercises, also known as the knee-chest position, involve the mother kneeling and then leaning forward with her chest on the ground while keeping her hips elevated. This position is thought to create more space in the pelvis and may encourage the baby to turn into a head-down position. Some studies and anecdotal evidence suggest that this exercise can be beneficial, particularly when combined with other techniques, such as pelvic tilts or the use of gravity to encourage the baby to turn.

However, it is essential to approach this exercise with caution. Before starting any new exercise regimen during pregnancy, especially one aimed at changing the position of the baby, it is crucial to consult with your healthcare provider or a qualified obstetrician. They can assess your specific situation, including the baby's position, your overall health, and any potential risks associated with the exercise.

In addition to knee-chest exercises, there are other methods that may help encourage a breech baby to turn. These include:
1. Pelvic Tilts: Similar to knee-chest exercises, pelvic tilts can help create more space in the pelvis and encourage the baby to turn. This can be done by getting on all fours and gently arching and rounding your back.

2. Moxibustion: This traditional Chinese medicine technique involves burning a specific herb near the little toe to stimulate the baby to turn. Some studies have shown it to be effective in encouraging fetal rotation.

3. External Cephalic Version (ECV): This is a procedure performed by a healthcare provider where they manually attempt to turn the baby into the head-down position. This is typically done around 36 weeks of pregnancy.

4. Acupuncture: Some women find acupuncture helpful in turning a breech baby, as it may help relax the mother and create a more favorable environment for the baby to turn.

5. Positioning: Spending time in positions that encourage the baby to turn, such as sitting on a birthing ball, can also be beneficial.

While knee-chest exercises may have some potential benefits, it is essential to remember that not all babies will turn, and some may remain in the breech position until delivery. If the baby does not turn, your healthcare provider will discuss the safest delivery options for you and your baby, which may include a planned cesarean section.

In conclusion, while knee-chest exercises can be a part of your strategy to encourage your baby to turn, it is vital to consult with your healthcare provider before starting any new exercises. They can provide personalized advice based on your health and the baby's position, ensuring the best possible outcome for both you and your baby.

Similar Q&A

Managing Knee Pain: Understanding Valgus Deformity and Cartilage Damage

Hello, doctor. I just turned 18, and I was shocked to find out from my examination that I have genu valgum with associated lateral cartilage softening! This lengthy diagnosis really startled me because I have an upcoming graduation trip, and if I need to be hospitalized for surge...

Dr. Shi Qiming reply Orthopedics
In cases of patellar valgus accompanied by osteomalacia, surgical intervention is generally considered based on the severity of the condition. If the severity does not reach a point where walking is completely impossible, it is advisable to first consider knee brace protection an...

Understanding Patellar Malalignment: Concerns and Management Strategies

Hello, doctor. I was previously diagnosed with patellar malalignment by a rehabilitation physician, who advised me to avoid squatting and kneeling. I used to use squat toilets when going out, but since my knee started to hurt, I can only use sitting toilets now. The action of &qu...

Dr. Wang Zhaomin reply Rehabilitation
1 & 2. Short-term squatting should not cause significant effects, but it is advisable to incorporate thigh strength training and use assistive devices to enhance knee joint stability and alleviate symptoms. 3. Pregnancy may lead to increased joint laxity, resulting in exacerb...

Effective Rehabilitation Strategies for Knee Pain Relief

Hello, Doctor! My knee often hurts, and I can't see my kneecap; it always feels swollen and puffy when I touch it. The orthopedic doctor advised me to walk less or wear a knee brace and to walk on flat surfaces instead of slopes. What is the rehabilitation physician's o...

Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. First, check for conditions such as bursitis, cartilage degeneration, or ligament inflammation. 2. If there is significant swelling, consider applying ice. 3. You may wear a knee brace and strength...

Managing Patellar Malalignment: Exercise Tips for Strengthening

In addition to practicing leg raises on the floor daily for strength training, will using a slide board at the gym worsen the condition? I experience soreness after about half an hour of use. Is it also advisable to use a stationary bike? Will strengthening my muscles improve the...

Dr. Sun Ruisheng reply Orthopedics
Patellar chondromalacia is a condition characterized by the softening of the cartilage on the patella, and activities that increase patellar pressure should be avoided. Exercises such as using a treadmill or stationary bike can increase patellar pressure and should be avoided.