Is breech presentation with hydrocephalus safe at 36 weeks?

Question

Hello doctor,

I had a 36-week ultrasound that showed mild hydrocephalus with breech presentation. No previous reports showed any abnormality. A genetic test done earlier in my second trimester was also normal.

I want to understand the next steps to ensure a healthy and safe outcome for my baby and me.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Your latest ultrasound shows reduced blood flow to the baby, along with hydrocephalus (the buildup of cerebrospinal fluid (CSF) in spaces called ventricles deep within the brain), breech presentation (when a baby's feet or buttocks are positioned to come out of your vagina first), and polyhydramnios (when there is too much amniotic fluid in your uterus during pregnancy).

In such cases, the usual approach is frequent monitoring of the baby with NST (non-stress test) and, if possible, color doppler studies. The baby can be delivered safely after completion of 37 weeks if the condition remains stable. If the baby shows any signs of distress at any time, an emergency delivery may be required.

The mode of delivery in such cases is usually a cesarean delivery because of multiple risk factors.

Regarding hydrocephalus, although intrauterine surgery can theoretically be performed to reduce severity, in practice, it is often better to treat the baby after birth. Treatment is usually surgical, involving placement of a ventriculoperitoneal shunt. A pediatric surgeon (a child specialist) would be best suited to explain the treatment in detail, and you can consult one for further guidance.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.