SPECIAL CIRCUMSTANCES 2020-05-18T06:04:57+00:00


Special Circumstances


The majority of births are straightforward deliveries with the baby in a head-down position, with most labours proceeding smoothly and following the sequence of stages. Special cases include:

  • VBAC (vaginal birth after caesarean)
  • Twins
  • Breech births

Special plans will be made ahead of time in these cases, but there are occasions where unplanned action will need to be taken.


There are several reasons why your obstetrician may recommend a caesarean section for your first delivery, either before or during labour.

If there is some concern about your or your baby’s wellbeing you may be advised to have a caesarean section. There is usually time to discuss the risks and benefits on the procedure, as the decision is rarely made urgently. You will need to give consent before the procedure can happen.

In the majority of cases it is possible for you to attempt a vaginal birth following a caesarean the next time you conceive.

During your first consultation your obstetrician will discuss the reasons for your caesarean section and whether a vaginal birth is appropriate for you. There is an element of risk involved with vaginal birth following a caesarean, so it is important to discuss your delivery plans with your doctor, and your progress through labour will be carefully monitored.


The vast majority of women who conceive twins have healthy babies, however, problems can arise during pregnancy.

The most common problem that occurs is having smaller babies than is expected, blood pressure problems during pregnancy, or a premature birth. Because of these possible problems you will need to visit your obstetrician more frequently, have regular ultrasounds, and assessments of your babies using heart rate traces close to your delivery date.

Twins will often have to be born by caesarean section, though it is possible to safely give birth vaginally in certain situations.

Your obstetrician will discuss the best plan for your care during your pregnancy and which birth method is best suited to your situation.


The ideal position for a baby to be in during labour is to be head down and anterior (with their spine facing out). Most babies will turn head-down between the seventh and eighth month.

At the end of pregnancy roughly three percent of babies are in a breech position. It is widely accepted that a caesarean section is the safest way to deliver a breech baby in a woman’s first pregnancy. There are theoretical benefits in giving birth by caesarean section in second and subsequent deliveries, however, a vaginal breech is possible after discussing this option with your obstetrician.

It is possible to turn a breech baby around to a head-first position by performing external cephalic version (ECV). An ECV is normally performed at 36-37 week but may not be suitable or successful for all women. You obstetrician will be able to discuss with you whether this is a safe option for you and your baby.

If you have any further queries, our friendly team at My Obg will be happy to assist you. Call us on (03) 9731 1006 or email us at reception.myobg@gmail.com