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Pregnancy outcome after successful external cephalic version.
D Siddiqui1, R J Stiller, J Collins
1Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Bridgeport Hospital, Connecticut 06610, USA.
American Journal of Obstetrics and Gynecology
|November 16, 1999
Summary
Successful external cephalic version (ECV) does not increase cesarean delivery rates. This study found no significant difference in cesarean delivery incidence between ECV patients and those with primary cephalic presentations.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Background:
- External cephalic version (ECV) is a procedure to manually turn a fetus from a breech to a cephalic presentation.
- Concerns exist regarding potentially higher cesarean delivery rates after successful ECV.
Purpose of the Study:
- To compare cesarean delivery rates in patients with successful ECV versus those with spontaneous cephalic presentations.
- To investigate if successful ECV is associated with an increased risk of cesarean birth.
Main Methods:
- Retrospective chart review of 92 patients who underwent successful ECV.
- Comparison with a control group of 184 patients with primary cephalic presentations.
- Collection of outcome data and risk factors for cesarean delivery.
Main Results:
- No significant differences were observed between the ECV and control groups.
- Cesarean delivery rates were similar: 22.8% for ECV patients and 23.4% for control patients.
- No statistically significant increase in cesarean delivery was found post-ECV.
Conclusions:
- Successful external cephalic version is not associated with a significantly higher rate of cesarean delivery.
- The findings do not support the hypothesis that ECV increases the likelihood of cesarean birth compared to spontaneous cephalic presentations.