Breech Baby Delivery After a Previous Pregnancy Loss
How consistent antenatal support helped a mother carry safely to term for a planned cesarean at Rahat Hospital
DOCTOR PROFILE
Dr. Reshma K Priya
MBBS, DGO, DNB (Obstetrics & Gynaecology), Fellowship in Fetal Medicine
Founder & Chief Gynaecologist
Rahat Hospital | Saheed Nagar, Bhubaneswar, Odisha
Specialisation: Obstetrics · High-Risk Pregnancy Management · Fetal Medicine · Laparoscopic Gynaecological Surgery
KEY TAKEAWAYS
Condition
Pregnancy following a previous missed miscarriage, later found to be in breech position at term
Procedure
Planned cesarean delivery following a supportive, closely guided antenatal course
Care Team
Dr. Reshma K Priya with Rahat Hospital’s obstetric and nursing staff
Technique:
Antenatal reassurance and monitoring through each trimester, spinal anaesthesia, planned cesarean section
Outcome
Healthy baby girl. Smooth maternal recovery.
Complications
None reported
PATIENT PROFILE
Patient Name:
Annapurna Siddhartha
Gender:
Female (mother). Healthy baby girl delivered.
City:
Bhubaneswar
Presenting Complaint:
A pregnancy carried with considerable anxiety after an earlier missed miscarriage, later found to be in breech position close to term
Diagnosis:
Term pregnancy in breech presentation, planned cesarean advised
Duration of Issue:
Full antenatal course, from early pregnancy through to a term delivery
Previous Treatments:
A missed miscarriage in 2024, managed with rest and monitoring at the time
Patient identity has been withheld per confidentiality guidelines. Details reflect the family’s own account of their experience at Rahat Hospital.
THE PROBLEM
Condition
This case study looks at a breech baby delivery in Bhubaneswar, following a pregnancy that came after an earlier loss. The patient had gone through a missed miscarriage in 2024, and the months that followed were shaped by caution and restriction rather than routine care. When she conceived again in early 2025, she and her husband approached pregnancy care this time looking specifically for a doctor who would not treat pregnancy as a condition to be managed around fear.
Emotional & Psychological Impact
That search led the family to Dr. Reshma K Priya at Rahat Hospital, one of the best maternity hospitals in Bhubaneswar. After the previous loss, ordinary questions — whether it was safe to travel, or to continue yoga — had felt too risky even to ask. Dr. Reshma reviewed the reports and gave the family clear, confident answers rather than blanket caution. That reassurance changed how the rest of the pregnancy was experienced, allowing the mother to stay active and engaged rather than anxious and restricted through each trimester.
CONSULTATION & TREATMENT PLAN
What was assessed
- Obstetric history, including the previous missed miscarriage
- Fetal growth, position, and wellbeing at each antenatal visit
- Maternal fitness for continued activity, including travel and yoga
- Fetal position specifically in the later weeks, once breech presentation was suspected
Why this approach
Once Dr. Reshma K Priya confirmed the pregnancy was progressing normally, the plan shifted from caution to permission. Rather than restricting activity by default, the antenatal course was built around what the mother’s reports actually supported, which meant travel and yoga could continue safely through the second trimester. In the eighth month, as the due date approached, the pace was intentionally slowed on medical advice. When the baby was confirmed to be in breech position, the plan moved to a cesarean delivery, since a breech presentation at term is a recognised and well-managed indication for planned surgery rather than vaginal birth.
PRE-OPERATIVE PHOTOS & MARKINGS
Not applicable in the format captured for this case. Surgical site preparation followed standard pre-operative protocol ahead of the planned cesarean.
PROCEDURE DETAILS
Step-by-step overview
Pre-operative assessment and consent completed ahead of the planned procedure
Spinal anaesthesia administered by the on-site anaesthetist
Cesarean delivery performed with the baby delivered in breech position
Newborn assessed immediately by the neonatal team present at delivery
Uterine and abdominal incisions closed in layers
Mother monitored in recovery before transfer to the postnatal ward
Procedure Facts
Duration:
In line with standard timelines for a planned cesarean section
Anaesthesia:
Spinal anaesthesia
Approach:
Vaginal (normal) delivery
Intraoperative Complications:
None
Hospital Stay:
Standard post-cesarean maternity stay
POST-OPERATIVE RESULTS
The delivery went ahead as planned on the scheduled date, and both mother and baby were assessed as healthy and stable soon afterward. The family described the entire experience, from the anxious early months to the calm final weeks, as a marked contrast to their previous pregnancy.
Outcomes at a Glance
| Outcome Metric | Result |
| Maternal Outcome | Healthy, stable recovery |
| Newborn Outcome | Healthy baby girl at birth |
| Patient Satisfaction | Very high |
| Complications | None |
| Recovery | Within expected timeline |
PATIENT FEEDBACK
“After the heartbreak of a missed miscarriage in 2024, my husband and I were living inside a lot of what-ifs and restrictions. We were surviving, not living. When we found out we were pregnant again in early 2025, this time felt different. We walked into Rahat Hospital and met Dr. Reshma, and she gave us the greatest gift: permission to live normally. I travelled, I did yoga, I stayed mindful, but I was finally enjoying my pregnancy instead of just getting through it. Our baby was in a breech position, so she arrived by cesarean, but the method didn’t matter. The moment did. Thank you, Dr. Reshma, for trusting me so that I could finally trust myself.”
Profile: Annapurna Siddhartha · Mother · Bhubaneswar
Procedure: Breech baby delivery via planned cesarean · Rahat Hospital, Bhubaneswar
Surgeon: Dr. Reshma K Priya · Rahat Hospital
POST-PROCEDURE CARE & RECOVERY
Instructions given
- Rest and gradual mobility as advised following cesarean delivery
- Wound care instructions for the surgical site
- Guidance on breastfeeding and newborn care
- Pain management as needed during early recovery
- Avoidance of heavy lifting and strenuous activity for the advised period
- Follow-up appointment scheduled with the obstetric team
Recovery Timeline
Patient feedback published with written consent | Patient identity withheld per confidentiality guideline.