Most of the time during pregnancy, nature will take its course and your baby will eventually turn to where he is head down and waiting to drop into the pelvis and make his descent into the world. Occasionally however, a baby will remain in the head up position where his head is near your ribs and his butt is at the top of your pelvis. This is called breech presentation, often referred to simply as your baby being breech.

Several things can lead to your baby being breech. Most of the time it just happens, and there is no medical reason for it. It can happen with twins or other pregnancies with multiples as there isn’t enough room in the uterus all the time for the babies to flip around. It can also happen if there is a smaller than normal amount of amniotic fluid, a short umbilical cord, or other uterine abnormalities. If your baby has a congenital defect he is more likely to be breech as well.

Less than 5% of babies are breech when a full term labor begins. Premature babies are more likely to be breech as they have not had enough time to turn around. At 28 weeks of pregnancy 25% of babies are still in the breech position. It is the weight of the babies head that draws on the gravity to pull your baby to a head down position, and therefore the percentage of breech babies goes down drastically as the baby gets bigger and the end of pregnancy nears.

There are actually four different versions of breech presentation in babies. They include:

• Frank Breech where your baby comes out bottom first and the feet are up by your babies ears
• Complete Breech where your baby is sitting cross-legged and comes out bottom first
• Footling Breech where your baby’s bottom is higher in the uterus, but his feet are at the opening of the pelvic bone, set to come out first
• Kneeling Breech where your baby is in a kneeling position at the top of the pelvic bone

Frank Breech is the most common way a breech baby will be presented. Both the Footling Breech and the Kneeling Breech are very rare positions.

Many couples will prefer the doctor or midwife to try an external method of tuning the baby from the outside prior to labor beginning. This is done in the hospital and generally the baby is monitored on your baby to make sure he does not experience fetal distress.

If the baby cannot be turned, or the couple chooses to not try turning the baby, then a c-section will often be scheduled in order to deliver a breech baby. There are risks to delivering a full term breech baby, Including a prolapsed umbilical cord, oxygen deprivation, the baby’s head getting stuck since the bottom is softer and may not dilate the cervix as much as it should, as well as possible injury to the baby’s brain and skull. Because of these risks, doctors will generally not agree to do vaginal breech births, and will instead insist on delivering the baby by c-section as it is safer for both the mother and the baby.

When you are pregnant, your baby starts moving around as early as six weeks, into the pregnancy, about the time the heart starts beating. As the legs, arms, hands and feet are formed, you can actually see this movement during an ultrasound long before you can feel it in your body.

There is no set rule as to when you will first feel your baby move. The first movements that a woman can feel are generally referred to as fluttering. Some women say it feels like butterflies in their stomach. Others say it feels like gas. In reality it can be hard to tell if this fluttering is in fact your baby moving.

Some women claim that they can feel this fluttering as early as 12 weeks. Other women don’t feel anything until 20 weeks or even later. There are many reasons for this wide timespan.

Women who are very thin, or have had previous pregnancies, often start to feel their baby earlier than women in their first pregnancy. If a woman is overweight, the extra pounds around her belly could shield some of the movements as well.

Another thing to consider is the position of the placenta. If the placenta is positioned in the front of her uterus, it functions as a pad as the baby kicks. It will take longer for the mother to feel her baby kick. The baby will have to get bigger and stronger in order for his movements to penetrate through the placenta.

If you haven’t felt your baby move, do not worry. As long as your doctor says all is fine at your appointments, and you hear the heartbeat, you know all is ok. By the time you get to the third trimester the baby will be moving, kicking, tossing and turning so much that it may sometimes be painful, and you will be asking him to settle down and go to sleep!

It’s helpful for a woman who wants to breast-feed to learn as much about it as possible before delivery, while she is not exhausted from caring for an infant around-the-clock. The following tips can help foster successful nursing:

• Get an early start: Nursing should begin within an hour after delivery if possible, when the infant is awake and the sucking instinct is strong. Even though the mother won’t be producing milk yet, her breasts contain colostrum, a thin fluid that contains antibodies to disease.
• Proper positioning: The baby’s mouth should be wide open, with the nipple as far back into his or her mouth as possible. This minimizes soreness for the mother. A nurse, midwife, or other knowledgeable person can help her find a comfortable nursing position.
• Nurse on demand: Newborns need to nurse frequently, about every two hours, and not on any strict schedule. This will stimulate the mother’s breasts to produce plenty of milk. Later, the baby can settle into a more predictable routine. But because breast milk is more easily digested than formula, breast-fed babies often eat more frequently than bottle-fed babies.
• No supplements: Nursing babies don’t need sugar water or formula supplements. These may interfere with their appetite for nursing, and that can lead to a diminished milk supply. The more the baby nurses, the more milk the mother will produce.
• Delay artificial nipples: It’s best to wait a week or two before introducing a pacifier, so that the baby doesn’t get confused. Artificial nipples require a different sucking action than real ones. Sucking at a bottle could also confuse some babies in the early days. They, too, are learning how to breast-feed.
• Air dry: In the early postpartum period or until her nipples toughen, the mother should air dry them after each nursing to prevent them from cracking, which can lead to infection. If her nipples do crack, the mother can coat them with breast milk or other natural moisturizers to help them heal. Vitamin E oil and lanolin are commonly used, although some babies may have allergic reactions to them. Proper positioning at the breast can help prevent sore nipples. If the mother’s very sore, the baby may not have the nipple far enough back in his or her mouth.
• Watch for infection: Symptoms of breast infection include fever and painful lumps and redness in the breast. These require immediate medical attention.
• Expect engorgement: A new mother usually produces lots of milk, making her breasts big, hard and painful for a few days. To relieve this engorgement, she should feed the baby frequently and on demand until her body adjusts and produces only what the baby needs. In the meantime, the mother can take over-the-counter pain relievers, apply warm, wet compresses to her breasts, and take warm baths to relieve the pain.
• Eat right, get rest: To produce plenty of good milk, the nursing mother needs a balanced diet that includes 500 extra calories a day and six to eight glasses of fluid. She should also rest as much as possible to prevent breast infections, which are aggravated by fatigue.

–R.D.W.

About the Article:
Provided by FDA.

By Tony Luck

Sleeping…

A newborn baby spends most of her time on two things: sleeping and feeding – although, as she needs an average of 8 diaper changes a day, maybe that should be three things

Newborn babies sleep for around 17-18 hours a day, but the bad news is she will sleep only for 3 or 4 hours at a time. When she wakes she will probably need feeding and/or a diaper change.

Babies are not born with a conception of day and night, so you have to teach her to take short naps in the day and longer sleeps at night. During the first few weeks you will have to feed on demand and let her decide when she will sleep. Then you should try to encourage her to take the majority of her sleep at night by changing her surroundings: at night she should sleep in a darkened room (either her own bedroom or a corner of yours), in her cot. During the day keep her in bright light (but not direct sunlight, babies get sunburnt very easily), in her buggy.

After about 4 months baby should be sleeping for a total of about 15 hours, but she should now be sleeping for around 8-10 hours at night and without a break. She will benefit from a set routine at bedtime. A bath followed by a feed and a clean diaper, then settle her in her bed while she is still awake and play her some soothing music. Mobiles suspended over the cot work wonders.

Getting baby to establish a routine is a gradual process so don’t worry if it takes a while. There will still be the odd night-time feed required until she reaches about 6 months when she should last all night without refuelling! Aren’t you looking forward to that!

Sleeping Position
To minimise the risk of Sudden Infant Death Syndrome (also known as cot death):

• place baby on her back,
• tuck in the sheet and blanket (don’t use a duvet until she is at least 12 months),
• make sure the room is neither too hot nor too cold – ideal temperature 65?F,

Sleeping Problems
If baby isn’t sleeping well at night, it may be because:

• she is too hot, too cold, hungry, thirsty, or needs changing,
• she is getting too much sleep in the day. A recent study found that keeping baby in bright light during the daytime naps will teach her the difference between a night-time sleep and a daytime nap,
• she isn’t tired enough. Introduce more energetic playtimes, then wind down an hour before bedtime,
• she is over-tired. Introduce a quiet time before bed to calm her down. You might also try baby massage.
• she has colic. That’s a whole different problem and you will find a separate article about colic.

Finally, remember that, like adults, all babies are not the same and some will need less sleep than others.

About the Author:
Tony Luck who runs a site with advice about babies. You will also find the fascinating chinese pregnancy calendar which is supposed to tell you whether the baby you are expecting will be a girl or boy, and a conception chart to tell you when baby is expected.