A baby (the fetus) often moves down between the pelvic bones (descend) before birth. If this is your first pregnancy, this may happen 2 to 4 weeks before labor. With repeat pregnancies, the baby may not “drop” until labor begins. The baby usually moves down headfirst. If your baby is not in a safe position for birth, or if there is a problem with the placenta, you may need special care. A cesarean section delivery may be needed.
Conditions that require special care
Cephalopelvic disproportion (CPD). Baby’s head or body is too big for the pelvis.
Breech position. Baby is positioned with feet or buttocks first.
Transverse position. Baby lies horizontally across the pelvis.
Placental abruption. Placenta separates from the uterus.
Placenta previa. Placenta blocks the cervix.
Online Medical Reviewer: Daphne Pierce-Smith RN MSN
Online Medical Reviewer: Tennille Dozier RN BSN RDMS
Online Medical Reviewer: Vinita Wadhawan Researcher
Date Last Reviewed: 06/01/2025
© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Need Help? We're Here for You
Our Member Services team is here to help you understand your benefits, find care, or resolve concerns.
1-800-510-9132
Call NC Quitline
Need support to quit smoking, vaping, or to quit other nicotine products? You can receive support including medicines free of charge:
1-800-784-8669
Schedule Transportation
Need transportation to a doctor's office, pharmacy, or other covered healthcare service? Contact us to arrange your ride.
1-800-510-9132
Provider Directory
Need to find a provider like a Primary Care Physician, Specialist, OB/GYN, or a Psychiatrist?
Provider DirectoryRelated Articles
Postpartum Depression: Treatment
Learn about treatment options for postpartum depression. In most cases, medicines to treat depression can be used when you're breastfeeding.
If Your Baby Is Breech: External Cephalic Version (ECV)
If your baby doesn't move into a head-first position on their own, your healthcare provider may attempt to do an external version. Your healthcare provider will try to rotate your baby by pressing down on your belly. Your healthcare provider may give you medicine to relax your uterus. This can make it easier for them to rotate your baby. During a version, your healthcare provider will use ultrasound to watch your baby.
Labor
Labor usually starts 2 weeks before or after the estimated date of delivery. No one knows exactly what sets off the onset of labor. Read on to learn more.
Anesthesia Options for Labor
Anesthetics may numb only 1 region of your body, or they may let you sleep during surgery. These medicines are given by trained specialists. Whenever possible, regional anesthesia is used so you can be awake during your baby's birth.
