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Intrapartum external cephalic version of footling-breech presentation.
1Department of Obstetrics and Gynecology, Meir General Hospital, Kfar-Saba, Israel.
Acta Obstetricia Et Gynecologica Scandinavica
|December 29, 2000
Summary
External cephalic version (ECV) can be safely attempted in laboring women with footling breech presentation. This procedure successfully facilitated vaginal delivery in most cases, avoiding cesarean delivery without complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- External cephalic version (ECV) is typically performed before labor onset.
- Footling breech presentation during labor often necessitates cesarean delivery.
- Limited data exists on ECV efficacy in laboring patients.
Purpose of the Study:
- To evaluate the feasibility and outcomes of ECV in women presenting in labor with a footling breech presentation.
Main Methods:
- ECV was attempted in 13 laboring patients with footling breech presentation.
- The breech was positioned out of the pelvis prior to the procedure.
Main Results:
- The procedure was successful in 12 out of 13 patients (92.3%).
- Ten of the successfully верted patients delivered vaginally.
- No maternal or neonatal complications were reported.
Conclusions:
- Attempting ECV in laboring patients with footling breech presentation is a viable option.
- ECV may reduce the rate of cesarean delivery in this population.
- The procedure appears safe with no adverse outcomes.