Episode 23: Breech Birth and the External Cephalic Version (ECV)
If you've been told your baby is breech, you probably have a lot of questions — and maybe a fair amount of worry.
What does breech actually mean? What are your options? And what is this ECV procedure everyone keeps mentioning?
In this episode of Pregnant in the Netherlands, Anna and Julianna break down everything you need to know about breech presentation and the external cephalic version (ECV), so you can go into your conversations with your care team feeling informed and prepared.
What Is a Breech Baby?
A breech baby is one who isn't positioned head-down in the weeks leading up to birth. While most babies naturally turn on their own before 36 weeks, some don't — and that's when your care team will start discussing your options.
There are different types of breech presentation, and your specific situation will shape what happens next.
Types of Breech Presentation
Not all breech positions are the same. In this episode, we cover the main variations:
Frank breech – bottom-down with legs stretched up
Complete breech – bottom-down with legs crossed
Footling breech – one or both feet presenting first
Understanding which type your baby is in matters for how your gynecologist will assess your situation and advise you.
Your Options When Baby Is Breech
Being told your baby is breech doesn't automatically mean a cesarean. Your options may include:
Watchful waiting (if earlier than 36 weeks)
External Cephalic Version (ECV) — an attempt to manually turn the baby
Planned cesarean birth
In some cases, a vaginal breech birth
We talk through what shapes those decisions and what questions you can ask your care team.
What Is an ECV?
An ECV (External Cephalic Version) is a procedure done in a hospital setting, usually around 36–37 weeks, where a gynecologist uses their hands on your abdomen to guide the baby into a head-down position.
In this episode, we cover:
What the procedure actually involves
How to prepare for it
What success rates look like
The risks and considerations to be aware of
What happens after — whether it works or doesn't
Key Takeaways
Breech presentation is more common than you might think — and there are real options
ECV is a safe, evidence-based procedure worth understanding
The right choice depends on your situation, your baby's position, and your preferences
You deserve clear information so you can make an informed decision
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