{"id":12026,"date":"2019-07-23T00:00:00","date_gmt":"2019-07-22T22:00:00","guid":{"rendered":"https:\/\/www.medoucine.com\/blog\/que-faire-si-mon-bebe-se-presente-par-le-siege\/"},"modified":"2026-04-08T19:13:10","modified_gmt":"2026-04-08T17:13:10","slug":"que-faire-si-mon-bebe-se-presente-par-le-siege","status":"publish","type":"post","link":"https:\/\/www.medoucine.com\/blog\/que-faire-si-mon-bebe-se-presente-par-le-siege\/","title":{"rendered":"Que faire si mon b\u00e9b\u00e9 se pr\u00e9sente par le si\u00e8ge ?"},"content":{"rendered":"

Durant la grossesse, la plupart des b\u00e9b\u00e9s vont positionner leur t\u00eate vers le bas de l’ut\u00e9rus avant la 36\u00e8me semaine. M\u00eame si la grande majorit\u00e9 des b\u00e9b\u00e9s (96%) adoptent cette pr\u00e9sentation de mani\u00e8re spontan\u00e9e, ce n’est pas toujours le cas.<\/p>\n

Quelles sont les autres positions possibles ?<\/h2>\n

1. Le si\u00e8ge d\u00e9compl\u00e9t\u00e9<\/strong><\/em> : b\u00e9b\u00e9 a les fesses vers le bas mais les jambes relev\u00e9es au niveau de son visage (2\/3 des cas),<\/p>\n

2. Le si\u00e8ge complet<\/em><\/strong> : b\u00e9b\u00e9 est assis en tailleur.<\/p>\n

3. La pr\u00e9sentation transversale<\/strong><\/em> : b\u00e9b\u00e9 est positionn\u00e9 de mani\u00e8re oblique.<\/p>\n

Conna\u00eetre la position de b\u00e9b\u00e9<\/h3>\n
<\/figure>\n

Cet aspect est n\u00e9cessaire car la position du b\u00e9b\u00e9 d\u00e9finit le type d’accouchement :<\/p>\n

La pr\u00e9sentation du foetus ne permet pas toujours un accouchement par voie naturelle. Mon b\u00e9b\u00e9 est en si\u00e8ge, que va me proposer l’h\u00f4pital ? L’h\u00f4pital vous proposera, soit de programmer un accouchement par c\u00e9sarienne, soit d’effectuer une manoeuvre (VME) pour essayer de retourner votre b\u00e9b\u00e9.<\/p>\n

La version par manoeuvre externe est g\u00e9n\u00e9ralement effectu\u00e9e en fin de huiti\u00e8me mois car elle est susceptible de provoquer l’accouchement \u00e0 cause des fortes pressions exerc\u00e9es sur l’abdomen. Le gyn\u00e9cologue ne proc\u00e8de qu’\u00e0 une \u00e0 trois tentatives. La version ne dure donc pas plus d’une dizaine de minutes. Il faut savoir que le taux de r\u00e9ussite est d’environ 50% et qu’il n’est pas d\u00e9finitif. Le foetus peut en effet se remettre dans sa position initiale les jours suivants, m\u00eame si cela est peu fr\u00e9quent. Cette manoeuvre peut \u00e9galement \u00eatre extr\u00eamement douloureuse et c’est parfois une \u00e9preuve, autant pour la maman que pour le foetus, dont le rythme cardiaque est surveill\u00e9 par monitoring pendant la manoeuvre, ainsi que plusieurs heures apr\u00e8s.<\/p>\n

En cas de cicatrice ut\u00e9rine, d’ant\u00e9c\u00e9dent de saignement vaginal, de grossesse multiple, d’ant\u00e9c\u00e9dent de c\u00e9sarienne, de retard de croissance intra-ut\u00e9rin (RCIU) ou d’oligoamnios, la VME ne pourra g\u00e9n\u00e9ralement pas \u00eatre propos\u00e9e.<\/p>\n

Quelles sont les alternatives \u00e0 la VME ?<\/strong><\/p>\n

Si la version par manoeuvre externe \u00e9choue ou si vous ne souhaitez pas la r\u00e9aliser, d’autres techniques peuvent \u00eatre effectu\u00e9es.<\/p>\n

Les m\u00e9thodes posturales<\/h3>\n

Certaines positions comme le pont passif ou la position genupectorale pourraient favoriser le retournement du b\u00e9b\u00e9. Il est conseill\u00e9 de rester en position du pont passif pendant 20 minutes matin et soir. Ces positions sont n\u00e9anmoins parfois mal support\u00e9es.<\/p>\n

L’acupuncture<\/h3>\n

Cette m\u00e9thode consiste \u00e0 stimuler un point \u00e0 l’ext\u00e9rieur de l’ongle du petit orteil. L’acupuncture<\/a> augmente le nombre de mouvements foetaux. 2 \u00e0 3 s\u00e9ances entre 32 et 36 semaines d’am\u00e9norrh\u00e9es sont pr\u00e9conis\u00e9es.<\/p>\n

La moxibustion<\/h3>\n

Cette technique consiste \u00e0 chauffer l’angle externe du cinqui\u00e8me orteil, l\u00e0 aussi dans le but d’activer les mouvements du b\u00e9b\u00e9. Il faut compter une dizaine de s\u00e9ances de 30 minutes.<\/p>\n

La sophrologie<\/h3>\n

L’utilisation de plusieurs techniques (respiration, relaxation dynamique, visualisations), la sophrologie<\/a> permet \u00e0 la future m\u00e8re d’atteindre un niveau de relaxation physique profond et de d\u00e9tente mentale id\u00e9al pour communiquer avec son b\u00e9b\u00e9 afin de l’inciter \u00e0 se retourner.<\/p>\n

\n

B\u00e9b\u00e9 en si\u00e8ge ? La sophrologie peut vous aider.<\/strong><\/p>\n

La pr\u00e9sentation par le si\u00e8ge peut g\u00e9n\u00e9rer du stress pendant la grossesse. Prenez rendez-vous avec un Sophrologue \u00e0 Lille<\/a>, un Sophrologue \u00e0 Paris<\/a> ou un Sophrologue \u00e0 Toulouse<\/a> pour vous accompagner sereinement. La sophrologie vous offre des outils de relaxation et de visualisation adapt\u00e9s.<\/p>\n

Retrouvez confiance et pr\u00e9parez-vous \u00e0 l’accouchement en douceur gr\u00e2ce \u00e0 des Sophrologues pr\u00e8s de chez vous<\/a> qualifi\u00e9s.<\/p>\n<\/div>\n

Quelles sont les conditions pour accoucher par voie basse avec un b\u00e9b\u00e9 en si\u00e8ge ?<\/h2>\n
<\/figure>\n

Le f\u0153tus doit \u00eatre positionn\u00e9 en si\u00e8ge d\u00e9compl\u00e9t\u00e9. En cas de position en si\u00e8ge complet ou transversale, la c\u00e9sarienne est in\u00e9vitable. En cas de si\u00e8ge d\u00e9compl\u00e9t\u00e9 et si vous souhaitez accoucher par voie basse, l’h\u00f4pital \u00e9valuera le poids du b\u00e9b\u00e9. Il doit se situer dans la fourchette des 2kg500 \/ 3kg800. Une pelvim\u00e9trie sera ensuite r\u00e9alis\u00e9e. La pelvim\u00e9trie permet d’appr\u00e9cier la forme et les dimensions du bassin. Le r\u00e9sultat de la pelvim\u00e9trie, associ\u00e9 \u00e0 l’estimation des mesures du f\u0153tus, permettra de donner un avis, favorable ou pas, \u00e0 l’accouchement par voie basse. Le jour J, une r\u00e9 \u00e9valuation des mesures f\u0153tales ainsi qu’une absence de d\u00e9flexion de la t\u00eate du f\u0153tus (b\u00e9b\u00e9 doit regarder son nombril et non en l’air) permettra d’obtenir l’accord de l’\u00e9quipe m\u00e9dicale pour ce type d’accouchement.<\/p>\n

Par Aurore Roose, naturopathe et sophrologue recommand\u00e9e de Medoucine. <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Pendant la grossesse, une majorit\u00e9 des b\u00e9b\u00e9 vont positionner leur t\u00eate en bas de l’ut\u00e9rus d’ici la trente-sixi\u00e8me semaine, bien qu’une grande partie des nourrissons adoptent cette position, il existe des exceptions, les conseils de notre sophrologue.<\/p>\n","protected":false},"author":151,"featured_media":1070,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[117,119],"tags":[191,270],"class_list":["post-12026","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-famille","category-grossesse-et-bebe","tag-accouchement","tag-grossesse"],"acf":[],"yoast_head":"\nQue faire si mon b\u00e9b\u00e9 se pr\u00e9sente par le si\u00e8ge ? ~ Blog de Medoucine<\/title>\n<meta name=\"description\" content=\"Pendant la grossesse, une majorit\u00e9 de b\u00e9b\u00e9s se positionne la t\u00eate en bas de l'ut\u00e9rus. 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