A breech birth means the baby is born bottom-first or feet-first. It can be a safe option when certain medical conditions are met. The decision is made together with the midwife and doctor, who assess the baby’s position, your pelvic anatomy, and the progress of labour.

Ultrasound is used to confirm the baby’s position. A favourable position for vaginal birth is frank breech, where the bottom comes first and the legs are extended upward. Labour should start naturally and progress well. The baby’s heart rate is monitored closely throughout.

During the birth, the body guides the process. The baby descends through the pelvis while rotating in a coordinated way specific to breech mechanics. The midwife observes closely and intervenes as little as possible, as breech births often progress best when natural movement is supported. After the bottom is born, the body and head follow in a calm and controlled sequence. An obstetrician is present throughout for added safety.

Sometimes a cesarean is recommended — for example, if the baby presents feet-first, labour slows down, or signs of stress appear. The goal is always a safe birth.

With clear communication and an experienced team, a breech birth can be a very empowering experience.

Alma’s tips

• Ask to see the baby’s position on ultrasound — it helps you understand the process.

• Breathe steadily and follow your contractions — your body knows the rhythm.

• Ask questions anytime — clarity builds confidence.

• Tell the team right away if anything feels unclear or concerning.