Key points at a glance:

• All doctors at the MVZ are registered with the statutory health insurance scheme — no private services
• Book an appointment easily via Doctolib, Docmedico or by telephone
• Open to all female patients — no referral required
• Appointments from 34 to 40+6 weeks of pregnancy
• Close links with the Geisenhofer Clinic — direct referral to the delivery theatre where necessary

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What happens during the breech presentation consultation at the Dr Geisenhofer Medical Centre?

The check-up is not a routine appointment — it is a consultation where the focus is on you and your baby. The appointment takes about 20 minutes and is highly recommended from the 34th week of pregnancy.

Here’s what you can expect:

• Ultrasound scan: We determine the baby’s exact position, assess the volume of amniotic fluid, the position of the placenta and other relevant parameters.
• In-depth discussion: Our doctors will explain your specific situation to you — in a way that’s easy to understand, and taking the time to answer all your questions.
• Discussion of the options: Together, we will discuss which options are available to you — external version, a planned caesarean section or further monitoring.
• Coordination with the hospital: If you opt for an external version, we will arrange for you to be referred to the Geisenhofer Clinic — the procedure will then take place in the clinic’s delivery theatre.

Consultations are covered by health insurance and can be booked by all patients — regardless of whether you are already receiving treatment at the Geisenhofer Clinic.

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What options are available in the case of a breech presentation?

If your baby is still in a breech position shortly before the due date, there are generally three options — which one is right for you depends on your personal circumstances. This is exactly what we’ll discuss during your consultation.

External version — actively turning the baby

An external version is a procedure in which experienced obstetricians, from the outside, by means of gentle pressure Try to turn the baby into the head-down position whilst lying on your stomach. SWe carry out this test from the 37+0 week of pregnancy.

The suitability and risks associated with external rotation vary greatly from person to person — which is why a preliminary consultation during a clinic appointment is absolutely essential. If the patient is suitable, we will arrange for a referral to the The procedure itself takes place in the delivery theatre at the Geisenhofer Clinic took place. You can find all further information on the external turn here.

Elective caesarean section — safety through planning

For many pregnant women with a breech presentation, a planned caesarean section is the preferred option. During your consultation, we will discuss together whether and when a caesarean section is appropriate for you, and coordinate the next steps with the hospital.

Vaginal delivery of a baby in a breech presentation

Even if your baby is in a breech presentation, a vaginal birth is still possible here at the Dr Geisenhofer Maternity Clinic. Our experienced obstetricians will support you throughout the birth.

Measures to help turn the baby

Some pregnant women would like to try some remedies themselves first, before taking any further medical steps. Methods such as the Indian Bridge or Moxibustion can encourage the baby to move on its own — the scientific evidence is limited, but Both measures are low-risk and can be used as a complementary treatment. Our doctors will be happy to provide you with further information during your consultation.

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Why do expectant mothers choose the Dr Geisenhofer Medical Centre?

• State-funded healthcare for all: The breech presentation consultation is covered by health insurance — it is open to all patients, whether they have statutory or private health insurance.
• All doctors at the MVZ: Consultations are carried out by all the doctors at the MVZ — competently, reliably and without long waiting times to see a particular specialist.
• Directly linked to the Geisenhofer Clinic: The medical centre and the hospital work hand in hand — from the consultation at the medical centre to the procedure in the delivery theatre, there are no breaks in care and no gaps in responsibility.
• Easy appointment booking: Book an appointment easily via Doctolib, Docmedico or by telephone.
• In the centre of Munich: The Dr Geisenhofer Medical Centre is easily accessible in the heart of Munich

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What does a breech presentation mean — and why is it important to seek advice?

Until 37th week of pregnancy Most babies turn into the cephalic position on their own — that is, with their head down, the natural position for birth. In the case of four to five However, in a certain percentage of all pregnancies, the baby remains in a breech presentation: the bottom or feet are facing downwards, whilst the head is at the top of the womb.

That sounds worrying at first — but it isn’t necessarily so. A breech presentation is not a medical condition, but a variation in foetal position, which can be easily assessed and planned. It is crucial that you seek advice at an early stage: depending on the baby’s position, your medical history and other individual circumstances, there are various options which we will discuss with you.

Breech presentation, footling presentation, transverse presentation — what types are there?

In the case of a breech presentation, we distinguish between various types:

• Pure breech presentation: The bottom is facing downwards, the legs are stretched upwards — this is the most common form of BEL.
• Complete breech presentation: The buttocks and feet are both pointing downwards.
• incomplete breech presentation: One foot is lower than the bottom — a less common but relevant variation.

What does a breech presentation feel like?

Many pregnant women recognise a breech presentation by the fact that they feel the baby’s movements — kicks and jabs — deep in the lower abdomen or in the area of the bladder, whilst any bulges at the top of the abdomen are more likely to be the baby’s head, which can be felt there as a hard, round shape. However, the diagnosis is always confirmed by an ultrasound scan.

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Up to what point is a breech presentation normal — and at what point should you take action?

Until 32nd week of pregnancy A significant proportion of all babies are still in a breech presentation — this is perfectly normal, as there is still enough space in the womb for them to turn. As the pregnancy progresses, space becomes more limited: by the 36th week of pregnancy, the vast majority of babies turn spontaneously into a head-down position.

From the 34th week of pregnancy We recommend that you attend a consultation at our clinic if your baby is still in a breech presentation. This will allow sufficient time for an ultrasound scan, a detailed consultation and — if desired and appropriate — planning for an external version or a spontaneous birth in breech presentation.

Don’t wait until just before your due date: The sooner we start planning together, the more options you’ll have.

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Frequently asked questions about breech presentation

Up to what stage is a breech presentation considered normal?

Until 32nd week of pregnancy the majority of babies are still in a breech position — this is perfectly normal. Up until 36th week of pregnancy Most children turn round on their own. From the 34th week of pregnancy We recommend that you attend a consultation with us if the breech presentation persists.

How many babies are in a breech presentation at birth?

Four to five per cent of all babies are still in a breech presentation at term — which amounts to several thousand pregnancies a year in Germany.

Is it possible to give birth to a baby in a breech presentation?

Yes, a vaginal birth from a breech presentation is generally possible. Whether it is an option for you depends on various individual factors — including the baby’s exact position and the experience of the obstetric team. We will discuss this together during your consultation.

Is giving birth to a baby in a breech position more painful?

There’s no one-size-fits-all answer — every birth is unique. We’ll discuss during your consultation whether and how this type of birth might be suitable for you.

What are the potential consequences of a breech presentation during childbirth?

A prolonged lack of oxygen can have neurological consequences. That is why careful planning and choosing the right method of delivery are crucial — and that is precisely what our consultation service is for.

Is a breech presentation dangerous?

A breech presentation is not an emergency — but it is a situation that requires careful assessment and planning. With the right guidance and an experienced team, a safe delivery is possible.

What can be done about a breech presentation?

There are various approaches: external version performed by experienced obstetricians (from 36 weeks’ gestation), supportive measures such as the Indian bridge or moxibustion, or the planned caesarean section. We will discuss which option is best for you on an individual basis.

When is a preliminary consultation necessary for an external rotation?

Every external change is preceded by a preliminary discussion absolutely essential. We will check whether the conditions for a reversal are met and provide you with detailed information on the process and the risks involved. You can find all the relevant information on our

Where can you feel the baby moving when it is in a breech position?

In the case of a breech presentation, pregnant women often feel kicks and jabs deep in the lower abdomen or in the bladder area — as this is where the baby’s feet or legs are located. The head can be felt at the top, often as a hard, round shape beneath the ribcage.

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Your MVZ Dr Geisenhofer team in Munich

Our team at Geisenhofer MVZ Munich consists of experienced medical specialists.
We have provided you with comprehensive information on this page. If you have any further questions, please do not hesitate to contact us.

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A breech presentation is not a diagnosis you have to face alone. At the Dr Geisenhofer Medical Centre, you’ll find an experienced team who will take the time to listen to your situation, answer your questions and plan the next steps with you — calmly, professionally and on an equal footing. Consultations are covered by health insurance and available to all patients. It’s easy to book an appointment via Doctolib, Docmedico or by telephone.