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Funic presentation as a complication of external cephalic version. A case report
1Department of Obstetrics and Gynecology, St. John's Mercy Medical Center, St. Louis, Missouri, USA.
The Journal of Reproductive Medicine
|November 11, 1999
Summary
External cephalic version (ECV) reduces breech births but can lead to complications like funic presentation. Post-procedure monitoring is crucial for fetal well-being after ECV.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Breech presentation is a significant risk factor in childbirth.
- External cephalic version (ECV) is an effective procedure to convert breech presentations to cephalic, reducing intrapartum risks.
Observation:
- A rare complication of successful ECV, known as funic presentation, was observed.
- Funic presentation involves the umbilical cord prolapsing or presenting before the fetus.
Findings:
- While ECV is beneficial, it carries a risk of adverse sequelae.
- The study highlights funic presentation as a potential complication following ECV.
Implications:
- Increased surveillance for adverse events is necessary with the widespread use of ECV.
- Post-ECV protocols should include ultrasound, pelvic examination, and fetal heart rate monitoring to detect cord complications.