breech presentation 27 weeks

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Week 27 Pregnancy: Baby Position & Symptoms

• Katie Griffin
• December 17, 2021

Can you believe that you’re already at week 27 of your pregnancy?! You’ve finally entered the beginning of the third trimester! Let’s discuss your baby’s position, development, and symptoms at week 27 pregnancy — now 25 weeks from conception.

Estimated reading time: 8 minutes

Updated: October 26, 2021

Table of contents

Week 27 pregnancy: how big is your baby, baby’s development, transverse lie, head down or breech, turning baby to a head down position, leave enough time to prepare, try kopa birth’s online childbirth class for free, stomach muscles separating, restless legs syndrome, looking ahead.

At week 27, your baby now weighs a little more than 2 pounds and is a total length of about 14 1/3 inches from head to foot (1).

Your belly bump is also continuing to grow. Your uterus reaches about 2 3/4 inches above your belly button, or 10 1/2 inches from the pubic symphysis or pubic bone.

Baby is growing and developing quickly as you begin the third trimester! One exciting note is that baby’s eyes are now open. Just as puppies are born with their eyelids fused, your baby’s eyelids had been fused shut, but at around this point in pregnancy, they now open and close. Some of the other exciting developmental landmarks at week 27 include:

• Baby can form a smile now, especially during REM sleep
• Little one’s heart rate may decrease at the sound of familiar voices, suggesting that baby is calmed by your voice (2)
• Baby is able to sense bright light (1)
• His or her little hands have a strong grip

Week 27 Pregnancy: Baby’s Position

Your doctor or midwife won’t worry about baby’s position yet. There’s still a lot of time left in your pregnancy, and baby can still move around relatively easily compared to the last weeks when things get too cramped easily make large movements. But in the next few weeks, your baby will likely start to move toward the head-down position in which 97% of babies will be by the end of pregnancy.

Before 26 weeks, it’s normal for baby to be in a sideways position, known as a transverse lie. This is when the baby’s spine lies perpendicular to mom’s spine, with his head at one side of mom’s abdomen and his feet on the other side (5).

The Major Issue at 27 Weeks Pregnant: Baby’s Position

After about week 27 of your pregnancy, the weight of the baby’s head increases and gravity gently starts to move the head downward. By 29-30 weeks, we expect baby’s spinal in either a head down or a breech position (4).

By around 32 weeks, the majority of breech babies will flip into the head down position. In fact, babies are head down in 97% of term births (5). This is good news because the head down position is most likely to result in a safe, uncomplicated vaginal birth.

If at 27 weeks pregnant the baby’s position is not head downward already, it is important to call for medical intervention procedures at the birth. Calling for assistance early if you think the baby may not turn in time will help you make backup plans, have someone available, and be prepared mentally for extra labor proceedings. 

There are a few different types of breech positions, as well as several different possible causes for a breech position situation. It’s not known for sure what causes the breech position, however (6).

Many people opt for a caesarean operation at birth if they are having a breech baby. At 27 weeks, the birthing professionals and parents start to keep an eye on the position of the baby. If the baby doesn’t flip into a regular position by around 36 weeks, the medical professionals often schedule the caesarean surgery. 

However, you can opt for a more natural route. A caesarean surgery may provide a bit more ease for the baby getting out. It is still a surgery during a very stressful time physically. You can get help from a professional trained in birthing breech babies naturally as well. 

There are several types of professionals who can help in this situation. 

In addition, you can call at around 27 weeks for medical help in attempting to turn the baby to the right position in the uterus.

Read More: How to Tell If Baby Is Head Down

If your baby is still transverse or breech after 32-34 weeks, discuss the situation with your doctor or midwife. Consider contacting a prenatal chiropractor skilled in the Webster’s Technique, which helps align your pelvis to aid in baby getting into an optimal position. Ask your provider about the option of an external cephalic version procedure, where the provider attempts to manually turn the baby to a heads-down position. And learn about ways you can encourage baby to move on your own, such as the forward-leaning version or breech tilt.

Week 27 Pregnancy: Find Your Childbirth Class

Week 27 is an ideal time to begin taking your childbirth classes , or to find one if you haven’t already! The goal is to finish your natural childbirth class at least one full month before your due date. Two months before is even better if you’re able to swing it with your schedule.

Most natural childbirth classes will take at least 4 weeks to complete, although this will vary depending on the class or method of instruction. If you start at around 27 or 28 weeks, you’ll finish the class at around 32 weeks. This will leave you 2 months to practice your breathing techniques, relaxation, and other labor coping tools. You’ve also built some wiggle room into your prep time, just in case baby comes early.

Not sure which class to take? Kopa Birth® offers comprehensive online, video-based natural childbirth classes that you can take from the comfort of your own couch! The instructor is a registered nurse and a natural-birthing mom of 7, so you’ll be in good hands! Interested in a little preview? Register to view the first class of the KOPA PREPARED online course series for FREE ! And if you like what you see, consider signing up for the full course to view all 8+ classes (cost ranges from $195 to $245 ).

Week 27 Pregnancy: Symptoms

As baby grows, you might notice that your stomach muscles are being stretched or feel a separation between the right and left abs that run down your stomach. You may even be able to see this separation down your midline when you lie down and lift up your head, as if you’re doing a crunch. This is a result of the rectus abdominal muscles thinning, weakening, and being stretched out.

Diastasis recti is an abdominal separation of 3 or more finger widths. This may heal on its own after pregnancy. If not, there are exercises you can do after baby is born to help mend these muscles back together.

In the third trimester, between 20 and 25% of women experience restless legs syndrome (6). This is a neuro-sensory condition in which a person feels strange sensations in their legs that are only relieved by moving the legs. People describe it differently (or perhaps experience it differently), but some of the words used by people who have experienced it are: restless, twitchy, tingling, itchy, creeping, crawling, pulling, throbbing, electric. What everyone seems to agree on is that they have an irresistible urge to move their legs. Whether their legs feel physically uncomfortable, or they experience it as just a strong mental urge, they can’t feel comfortable unless they’re moving their legs. This urge occurs most often in the evening while relaxing or trying to sleep (7). Sufferers of RLS may toss and turn, jiggle their legs, change positions frequently, or feel the need to get up and walk—motion seems to be the only thing that makes the urge go away.

As frustrating as it may be, the good news is that RLS usually resolves on its own after you deliver your baby. Learn more about what causes restless legs syndrome and some of the things you can do to help: Restless Legs Syndrome in Pregnancy: How to Help

Be sure to drop by next week to learn all about week 28 of your pregnancy ! And if you’re ready to learn all about what to expect this trimester, check out Third Trimester Pregnancy & Symptoms: The Ultimate Guide .

Kopa Birth’s  online birthing classes allow you to prepare for natural childbirth in the comfort of your own home, 24/7. Enroll today in our  free online childbirth class  to learn more about preparing for natural childbirth. 

References:

• Glade, B.C., Schuler, J.  (2011).  Your Pregnancy Week by Week, 7th edition.  First Da Capo Press.
• The American College of Obstetricians and Gynecologists.  (2010).  Your Pregnancy and Childbirth Month to Month, 5th edition.
• Retrieved at http://parentingpatch.com/how-big-is-your-baby-week-week-food-comparisons/
• Retrieved at http://spinningbabies.com/learn-more/baby-positions/other-fetal-positions/sidewaystransverse/
• Ladewig, P., London, M., & Davidson, M.  (2006).  Contemporary Maternal-Newborn Nursing Care, 6th edition.  Pearson Education Inc.  Upper Saddle River, NJ.  p 390.
• Retrieved at https://www.healthline.com/health/pregnancy/breech-baby#diagnosis

Here are some other birth articles and stories we know you’ll love.

• How Often to Feed a Newborn (& How to Know If Baby Is Getting Enough)
• Anatomy of Breastfeeding
• Benefits of Skin to Skin Contact After Birth
• Safe Core Exercises During Pregnancy
• Week 31 Pregnancy: Cramps, Baby Position & Symptoms
• FREE – Class #1 of the KOPA® PREPARED Online Childbirth Course

Meet Katie Griffin

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• When is Breech an Issue?

The later in pregnancy a baby is   breech , the more difficult it is for the baby to flip head down. The baby’s size grows in relation to the uterus and there is a smaller percentage of amniotic fluid for the baby to move freely. The more complicated past births were due to fetal position, the earlier I suggest starting to get your muscles unwound and your pelvis aligned. If a previous baby remained either   breech   or   posterior   until birth, I suggest bodywork throughout the pregnancy.

In time, the breech baby’s head becomes heavy enough (between 5-7 months) for gravity to bring the head down in a symmetrical womb. The baby will move head down if there is room or if there is tone in the support to the uterus to direct the baby head down.

Common issues with breech:

• Health of the baby overall
• Safety of the birth
• Safety for the mother facing surgical birth
• Emotions of the birthing parent(s)
• Belly Mapping® Breech
• Flip a Breech
• When Baby Flips Head Down
• Breech & Bicornuate Uterus
• Breech for Providers
• What if My Breech Baby Doesn't Turn?
• Belly Mapping ®️ Method

After Baby Turns

• Head Down is Not Enough
• Sideways/Transverse
• Asynclitism
• Oblique Lie
• Left Occiput Transverse
• Right Occiput Anterior
• Right Occiput Posterior
• Right Occiput Transverse
• Face Presentation
• Left Occiput Anterior
• OP Truths & Myths
• Anterior Placenta
• Body Balancing

When should I be concerned about a breech position?

During the month before 30 weeks, about 15% of babies are breech. Since breech baby’s spine is vertical, the womb is “stretched” upwards. We expect babies to turn head down by 28-32 weeks.

Breech may not be an issue until 32-34 weeks. If you know your womb has an unusual limitation in shape or size, such as a   bicornate uterus then begin body balancing before pregnancy and once 15 weeks in pregnancy. In this case, the baby needs to be head down much earlier so that the uterus still has the room for baby to turn. Every unique womb is unique so these dates are theoretical, not absolute.

The timeline for breech

This is a timeline of what to do and when to do it in order to help a breech baby move head down:

• Before 24-26 weeks, most babies lie diagonally or sideways in the   Transverse Lie position .
• Between 24-29 weeks, most babies turn vertical and some will be breech.
• By 30-32 weeks, most babies flip head down and bottom-up.
• By 34 weeks pregnant, the provider expects the baby to be head down.
• Between 36-37 weeks, a provider may suggest an   external cephalic version .
• Full term is from 37-42 weeks gestation, and about 3-4% of term babies are breech.

The medical model of care addresses the breech position between 36-37 weeks, when baby’s survival outside the womb won’t include special nursery care to breathe or suck. Physicians Oxorn and Foote, however, recommend helping babies turn head down at 34 weeks. Some home birth midwives suggest interacting with a baby at 30-34 weeks to encourage a head-down position (vertex).

Women who have had difficult previous births due to posterior,   asynclitism , or a labor that didn’t progress, may want to begin bodywork and the   Forward-leaning Inversion as soon as the second trimester of pregnancy (after morning sickness is gone and extra things like fetal positioning activities can be thought about).

Here is a general guideline for the average pregnancy:

10-24 weeks gestation

This is the time when fetal position is generally determined, even though the baby’s final position isn’t typically set before 34 weeks gestation. How can this be? The body has a habit, so to speak, of how the soft tissues, ligaments, muscles, and alignment of the pelvis and whole body is set. The baby simply follows this basic pattern. By adding body balancing now, the baby has an increased chance of ideal positioning for labor at 34 weeks and beyond.

24-30 weeks

Routine   good posture   with walking and exercise will help most babies be head down as the third trimester gets underway. A 30-second inversion is good practice for everyone. Unless you have a medical reason not to, please consider the Forward-leaning Inversion. If you have a history of car accidents, falls, uncomfortable pregnancies, hormonal imbalance, or a previous breech or posterior baby, then begin the inversion and body work before or during early pregnancy.

30-34 weeks

After 30 weeks, you can start following our   6-day program for Helping Your Breech Baby   Turn . By 32-34 weeks,   chiropractic adjustments   are suggested. We recommend consulting with one of our   Spinning Babies ® Aware Practitioners . The best time to flip a breech is now.

Oxorn and Foote recommend external version at 34 weeks, but most doctors want to wait for the baby’s lungs and suck reflex to be more developed in case the maneuver goes wrong and starts labor or pulls the placenta off the uterine wall. There is often enough amniotic fluid for an easy flip before 35 weeks.

Dad’s the hero in this “over the top” support to help his mate do a Breech Tilt in the comfort of a bed!

• Breech Tilt:   Follow the FLI with the   Breech Tilt   for 10-20 minutes. This allows you to tuck your chin while upside down on a similar slanted surface. Use an ironing board against the couch, for instance.
• Open-knee Chest:   Open-knee Chest  has been studied and shown to help breeches flip. I like inversion positions that allow the mother to tuck her own chin. Myofascial workers tell me this relaxes her pelvis, whereas extending the chin tightens the pelvis.
• Professional bodywork:  Acupuncture and Moxibustion both have good statistics for flipping breeches. Find out if there’s a   Spinning Babies ® Aware Practitioner   in your area.
• Therapeutic massage:   There are muscle/fascia attachments at the base of the skull, respiratory diaphragm, inguinal ligament, and even the hip sockets! We are whole organisms, not machines with reproductive parts.
• Chiropractic or Osteopathic: Spinal adjustmentsof the neck do improve pelvic alignment, especially if accompanied by fascial release. Not all chiropractors are trained in soft tissue body work, however. And not all soft tissue work is equal. This is why we promote our Aware Practitioner Workshops for bodyworkers.

Should manual external cephalic version be done earlier?

A few midwives recommend version (manually turning the breech baby to head down) at 30 –31 weeks. Anne Frye, author of Holistic Midwifery, reported a very low incidence of breech at term when her midwifery group manually rotated babies during this gestational age.

Attempting to turn the baby now is over a month before the medical model of turning breeches. Utmost gentleness must be the protective factor. If forcing a baby to turn harms the baby or placenta, the baby is too young to be cared for outside of the Neonatal Intensive Care Unit.

Midwives who turn babies now believe there is less chance of hurting a baby and proceed very carefully, stopping at once if there is resistance. Typically, there is less resistance from the uterus because there is more fluid and the baby is still very small.

Body work is suggested before attempting this, especially for first-time moms or women who had a difficult time with their first birth. There are risks to a manual version, so the baby should be monitored closely in between each 10-30 degrees of rotation.

35-36 weeks

If your baby is breech during this time your doctor or midwife will begin to talk about how to help the baby flip head down, and possibly about scheduling a manual version for 36-37 weeks. Getting body work and having   acupuncture or homeopathy   may help soften the ligaments and a tense uterus to either help the baby flip spontaneously or to allow more success in an attempt at a version.

Moxibustion has its highest success rate this week.

36-37 weeks.

During this time, you can continue with the suggestions in the   “Professional Help”   page. Also, an obstetrician may suggest manually flipping the baby to a head down position at this time. A few midwives will also offer this, perhaps even earlier, at 30-34 weeks.

NOTE: Don’t let someone manually flip your baby without using careful monitoring of the baby’s heartbeat. Accidents can occur, even when there is good intention. The baby must be listened to and the version stopped immediately if the heart rate drops.

External cephalic version near the end of pregnancy

You may also agree to go through with a cephalic version at this time. The baby is in the womb with the cord and placenta and there is a small risk in turning the baby manually. This maneuver should be done with monitoring by experienced professionals, in a setting ready for a cesarean if needed.

There is about a 40-50% chance this will be successful. Sometimes the baby moves easily and sometimes the procedure is painful. I believe it’s important who performs it, and that ligament tightness would make this more uncomfortable. I suggest getting chiropractic, myofascial, acupuncture, homeopathy, or moxibustion (or all of these) before and after the version.

Doing the Three Sisters of Balance SM (or following the Turning Your Breech Baby guidelines) daily beforehand and just before the procedure would be relaxing and helpful. More birth professionals are using our approach in the hours or the week before the procedure and report that fewer procedures are necessary and those that are seem to be easier than average to do when the baby is able to be turned.

38-40 weeks

Sometimes a woman and her caregiver don’t know the baby is breech until this point or until labor. Rarely does a baby flip to breech this late in pregnancy but they can. Parents and providers may learn that baby is breech during a routine bio-physical ultrasound exam during this time or later in pregnancy.

An external cephalic version may yet be successful, depending on the fluid level and the flexibility of the uterus, the baby’s head position and location, a uterine septum, where the placenta is, etc.

It is still possible that the baby flips doing body balancing activities or even labor itself (contractions might be the very action that turns baby in about 1% of breeches). You may find turning easier if you keep doing the activities listed above.

40-41 weeks

Though many breeches are born about 37-39 weeks gestation, some will happily go to 41 or 42 weeks. For a head down baby, 41 weeks and 1 to 3 days is a common time for labor to begin on its own. SStarting labor at this gestation can certainly be normal for a healthy breechling, too.

If the pregnant person has a tendency to be somewhat overweight or lower energy, which can indicate low thyroid function, a longer pregnancy may be more likely. This tendency deserves looking after. Well-nourished and peppy women may also go a full pregnancy length, of course.

Going into labor and then having a planned cesarean is recommend by Dr. Michel Odent in his book, Cesarean. Going into labor spontaneously is safer for the breech vaginal birth, as well. Women who are trying to flip their baby often find it necessary to slow down the efforts and come to terms with a breech birth.

When facing a cesarean, it can be nurturing to you and your baby to plan a cesarean with skin-to-skin, delayed cord clamping, and breastfeeding on the operating room table or in the recovery room. Give yourself some time and compassion to feel your feelings and explore your options to adapt to the options you have available to you.

Postdates (after your due date) with a breech

With a breech, going all the way to 42 weeks may or may not be more of an issue. Some providers will have to end any plans for a vaginal birth by now. Midwifery statutes often limit midwifery care out of the hospital to 37-42 weeks (or 36-43, depending on where you live).

After 42 weeks, the baby’s skull bones are setting up more firmly and a vaginal birth is less favorable. I’ve been to a few breech births after 42 weeks gestation and everything went very well. But, I do sometimes wonder why labor isn’t starting and if metabolism is a reason, especially when there’s been regular bodywork for weeks.

For a person carrying a breech baby who does show signs of low thyroid function or otherwise a “sloshy” metabolism, I am inclined to transfer care to a kind hospital provider at 41.5 weeks. Intelligent and experienced monitoring may rule out issues that arise post dates that may complicate labor. With slow metabolism postdates issues with breech position may need extra attention before 42 weeks.

Continue body balancing and daily stretching but stop inversions for three days. Walk with a stride. See more at https://www.spinningbabies.com/pregnancy-birth/baby-position/breech/when-baby-flips-head-down/

If Baby Does Not Turn

Not every breech baby will turn on their own. Not every attempt at an External Cephalic Version works (It’s often 50-50). Adding body balancing has abundant anecdotal reporting to show success. But this balancing should be individualized if the pregnant person has followed general guidelines closely for 1-2 weeks without success.

Be compassionate to you and your baby. You are both doing the best you can with the resources you have.

Choose your path. Sometimes it may feel like you don’t have a choice. Consider why it feels that way. Perhaps your choice is safety over manner of birth? That’s totally valid. Just because a vaginal birth might be available to some doesn’t mean it is your first choice, too.

Sometimes babies choose, too. The labor goes too fast to do surgery for the birth. Or, the baby doesn’t come into the pelvis and surgical birth is necessary. (Remember reaching in and pulling out the baby is not reasonable if a cesarean is available in the region unless this is a second twin (subsequent triplet) or travel is impossible due to weather, war, or whatever reason. Life is real. Babies don’t follow a script. Be real with your own experience.

Inducing a breech

Inducing a breech is not recommended in out of hospital settings. Even in the hospital, the risk rises. In some areas where breech is common, Pitocin/Syntocin inductions are done with outcomes that are good enough to keep the options open. Induction by herbs is also considered out of scope for breech.

We need to respect the breech and not stress the baby, especially in settings where we don’t have the rescue setup to solve any potential problems.  Try body balancing and see if labor begins on its own. That would be a non-invasive, non-manipulating approach.

The Breech Turned During Labor

It is a rare possibility that the baby flips to head down during labor. I once assisted a midwife who’s laboring mother’s water had released. Her labor was mild and not picking up, so after 24 hours we transferred and found that the baby had flipped. The doctor thought we’d misdiagnosed, but the mother’s abdomen was so thin we could feel the baby’s knuckles and elbow and found the baby in the opposite direction after entering the hospital!

Another mother had Dynamic Body Balancing in early labor with one of Dr. Carol Phillips students who was also a midwife. Her breech baby turned head down during transition phase of labor!

Laboring With a Breech Before The Cesarean

If the plan is to have a cesarean once labor begins, call the hospital and alert them of labor immediately. Go to the hospital right away. Breech births can go quite quickly and you want to be where people are ready to help you. If you plan to have a vaginal birth, don’t delay in getting to your birth location or getting your birth team to you.

While it can be totally normal to have a 24-hour or longer breech birth, many breech labors are quite short. Because the softer bottom is first, it may take you by surprise that you are progressing with such little pain (though some breech births are as painful as head down births). Just don’t base your decision to get to the hospital on your pain level!

A cesarean can be more complicated if the baby is wedged low in the pelvis. That is why there is a recommendation to have the cesarean in early labor. But cesareans are done everyday with head down babies low in the pelvis. Sometimes it’s how it is.

Starting labor in and of itself doesn’t make the surgery more dangerous. Rushing around and doing things in a hurry might. Alert your hospital before labor and again once you start labor. Be firm that you know what you are about and that they need to get the Operating Room ready while you are on your way.

Mostly, a leisurely transition into the hospital can be sustained with a sense of humor and practicality. There can be a sense of calm while you and the staff take the steps to welcome your baby. This is your birth. Be present with how your experience unfolds.

After the birth

While the concern about breech position is during the birthing, when the baby is breech for most of the third trimester, their skull bones become shaped by the inside of the upper womb (the fundus). This isn’t typically an issue but can be noticed.

Craniosacral therapy   can gently (and without using force) reshape the baby’s head, ideally during the month or two after birth. Surgery on baby’s skull is seldom necessary after 3-6 sessions with a Craniosacral therapist. For most breech babies, this issue is not present. I list is here because I have heard some assumptions that can be dispelled.

A question about breech

Email from Wed, Feb 11, 2009:

…I’m 30 weeks and the baby is what I’d describe as   oblique   breech – his head is on my right side next to my belly button, his hips/butt are in my pelvis on the lower left side (my left) and his feet are in front of his face. I think he’s facing forward – towards my belly button. I’ve known this for weeks just because his big head is so hard I always bump that spot on accident. …. my first son was 9 lbs and born posterior, so I’m really hoping this baby is in the ideal position for delivery… so both of these things make me nervous that he won’t move. He has been in this position for a few weeks now. … Anyway, just wondering if I should worry and what, if anything, I can do to help him move now. My Midwife suggested a Chiropractor that can do some adjustments. I’d like to do the couch inversion too. Would it help for me to walk more? Also, should I sleep more on one side than the other? Thanks for your help! Great site!

Gail’s reply:

Hi…. now is a good time to take action, not so much that your baby is breech, but because your first baby was   OP . You see, a pelvic misalignment and/or round ligament spasms (they often go together) can result in either a breech or a   posterior fetal position . So, a breech will often flip to a posterior position and may stay that way unless you resolve the underlying issue. Maternal positioning is often not enough by itself to correct a posterior fetal position when there is a history of previous posterior or breech babies. While certainly most breech babies flip head down, it’s beneficial to help correct the symmetry of your   uterine ligaments   now, while the baby is still small enough to have plenty of room to flip head down once the reason for the previous posterior position is remedied. See some things a Chiropractor can do for breech and posterior by reading   Professional Help .