"the baby's turned wrong"

Sally Jean is giving birth to a baby in the breech position. Most babies are head-down when they are delivered. In the case of Sally Jean's baby, it is feet first. Babies born early are more likely to be breech. Many breech babies can be delivered safely, but complications can occur and so sometimes it is safer to perform a C-section. Doctor's can tell if a baby is breech and create a plan for birthing. It is reasonable to assume that Sally Jean's finances kept her from seeing a doctor often throughout her pregnancy.

Source: Familydoctor.org