I would take your clotting situation out of the equation for a second and determine, if there was no clotting /anticoagulation concerns, what would you decide. Based on the decision, then I'd ask my doc, what are the risk of clotting, what are we going to do to prevent clots, bleeding, etc. Sometimes it's easier to chunk this stuff down into smaller pieces.

Also, when I'm faced with options, I literally ask my doc point blank, ok, if I was your wife, or daughter or mom, what would you recommend. That seems to help me get some footing.

Gotta agree with @rmb on this. What would be the best option for both you and baby if you take the clotting out of it? Figure that out, and dealing with the clotting issues will be secondary. You'll have to come off the thinners to go into delivery anyway.

Sometimes, too, you have to sit in a calm corner and think through all the options. Listen to your gut on what you feel might be best. If you decide to go with something and you immediately feel tense and anxious, perhaps another option would work better. Sometimes, also, you choose something and all the pieces seem to fall into place ... I'll hope that happens for you!

Wow, I am so sorry for your situation, having to make this type of decision. And I'll just be honest, what you're going through kicks up a lot of stuff for me emotionally too. I had my PE's as a result of a very difficult breech vaginal delivery, because my doctors were too stupid to figure out he was breech prior to the point when my son's butt was coming out rather than his head.

So, first good thing, you have better OB's than I did, and that's excellent. When I've been faced with serious decisions like the one you're dealing with, I ask the doctors to basically list the pros and cons of each decision. Then I try to just look at the information and make what to me looks like the safest decision for everyone.

A couple of things that would concern me with the external version is in my opinion, 60% sounds like a pretty low success rate, especially coupled with the idea the baby could turn back around. Also, although the risk is low, I will admit the chance of it inducing labor now and putting you into a situation of an emergency C-section, I hate to risk something like that happening. Also, I would wonder how much the procedure might affect your blood flow - will it put additional pressure for any period of time on your vena cava or iliac veins, increasing your risk of additional clotting? 36 hours is a short amount of time, but clots really don't need much time to get started. (My delivery was actually very fast, it had to be, but my clots started then and I'm sure I had PE already within a couple of hours of delivery.)

I also understand not wanting a C-section. I had felt that I would do anything I could to avoid one, and if I had been in your situation prior to having my own experience, I would probably have done the external version, so I think that's a perfectly valid and reasonable decision should you choose to do it.

For me, with the experience I've had, I have to say I'd probably actually choose the C-section, though. I don't like the idea of a major surgery either, but it is a very common surgery and most women come through it very well. I know that C-section is generally considered a larger risk for clotting than vaginal delivery, but I've read studies that contradict that and say the risk is the same regardless of the manner of delivery because both create a trauma to that part of our body. In any case, you'll be better protected than the majority of women afterward, because as soon as they can restart anticoagulation after the delivery they will. And remember, you have to be off anticoagulation anyway even for a vaginal delivery, so again the manner of your delivery doesn't change what you're doing in terms of anticoagulation treatment.. I guess in way I would feel that there's less risk in holding anticoagulation once for one procedure than having to hold it twice for two procedures.

So, I probably haven't helped at all, but those are some of the things I would be thinking about and trying to sift through, if I were in your situation. Just try to find which situation you feel most comfortable with, and trust that. I would try to recommend not letting fear of a C-section be a deciding factor. If you decide not to go that way, that's great, but try to be certain it's because you feel that's the smartest and safest decision physically for you and the baby, not just because this isn't your vision of how you'd deliver. It's natural for us to have those ideals in our head, but sometimes that isn't what works out. Just remember that the manner of getting there is not nearly as important as having both of you safely together afterward.

I always know you guys will help! You are so wise.

Like rmb and TnT suggested I took the clotting part of the equation out of my decision and then it was pretty easy. I don't want to take the risk of premature labour or harming the baby. Some doctors say babies are in breech for a reason and maybe I shouldn't fool around with that. And the whole idea of the version unnerves me so I don't think I would be relaxed. Who knows? Maybe he'll turn on his own!

ShilosMommy you WERE very helpful. I mean I don't WANT a c-section but I agree I feel more comfortable with one procedure instead of two. As well like you said having a more controlled situation is preferable and they will be monitoring me as well. And it makes me feel better and it is comforting to see you have my same thinking.

I think because my boyfriend and doctor think I should do the version I feel like I'm making a mistake refusing it. So support on my decision helps a lot.

I appreciate everyone's input:)

Arat, since you have made the decision I'll share something else with you, which is always scary to me when I look back over the events of my son's delivery. But you made me think of it when you said that some doctors say a baby is in a breech position for a reason.

I don't pretend to know what would have happened if things had been different, and maybe thinking of this is my way of trying to make something bad that happened turn into something good, so take it for what you will.

The delivery of my son was really scary because the doctors didn't realize he was breech until pretty much the last moment, something I still consider a huge mistake on their part, especially because I had specifically asked whether he was breech because I could feel his head up high rather than low like my first son. And ultimately, his horrid delivery ended up causing me to have massive PE. However, despite that, I tend to think the way things came out was probably the best scenario, because at the point of delivery, the doctor actually said, "Oh my God, look his cord is all knotted up." The nurses told me later that he had several knots and some were pretty tight, they were surprised he made it to delivery.

Please don't misunderstand me and worry that your baby is in the same situation, that's not what I mean at all. But what I am saying is that I support trying to mess around as little as possible with the things you can't see. If I had known my son was breech, I can guarantee I'd have been doing every exercise in the book to get him to turn and I'd have probably gone ahead and had the procedure if that didn't work, because I really, really didn't want a C-section. But I also in hindsight believe that would have been a huge mistake considering the condition of his cord. Seven years later and I still can't think about what could have happened.

So I'm just saying I think you've made a good choice that makes a lot of sense, to stay with what can be better controlled in all respects. Try to relax these last few weeks and enjoy the last little bit of peace that your life will have for quite awhile, because that little person is going to turn your world upside down, ha! I hope that everything goes well for you, and let us know too how you're doing after.

Thank you for sharing your story with me. That must have been really, really scary!! Your support in my decision means a lot because I think the doctor really wants to to do the external version and for me it's always hard to go against something that a medical professional is telling you to do.

I'm still a bit panicky about a c-section but I really think controlled will be my best option!

Thanks ShilosMommy! I will keep you posted:)

I agree with all the advice you've gotten. Many hugs and prayers for the safest delivery, no matter which way it happens!

Just thought I'd update everyone and let them know that I delivered my baby on June 25, 2015. It's taken me almost two months to update....that's how much a little one takes over your life! The baby ended up turning head down at my next ultrasound so I ended up not having to make a decision at all. I was to be induced but went into labour naturally after having taken my shot and things turned out fine with an uneventful delivery. Unfortunately a week after I had a post partum bleed which was exacerbated by the thinners and was hard to stop. I did avoid a transfusion and went off the thinners for four days and ended up with a d & c. I am well now but it was a scary time and my anxiety is up again. I am working with a counselor and now really enjoying my time off with my little bambino. Thanks to everyone for their support.

Congratulations!

I am so happy for you and your family.

I'm so sorry you had to go through that episode of bleeding, but I'm really happy the delivery itself turned out fine. Congratulations and just enjoy the ride that is parenthood!