Several factors can lead to abnormal fetal positions. These include: - Premature Birth: Babies born prematurely are more likely to be in an abnormal position. - Multiparity: Women who have had multiple pregnancies may have more relaxed uterine muscles, leading to higher chances of abnormal fetal positions. - Uterine Abnormalities: Conditions like fibroids or a bicornuate uterus can restrict space and limit the baby's ability to move into the correct position. - Amniotic Fluid Levels: Both low and high levels of amniotic fluid can contribute to abnormal positions. - Placenta Previa: The placenta covering the cervix can prevent the baby from moving into a head-down position.