Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

External cephalic version facilitation for breech presentation at term.

G J Hofmeyr1

  • 1(Director, Effective Care Research Unit, University of the Witwatersrand), Frere/Cecilia Makiwane Hospitals, Private Bag 9047, East London 5200, Eastern Cape, South Africa. gjh@global.co.za

The Cochrane Database of Systematic Reviews
|November 1, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Transcervical side by side Foley balloons for preterm breech birth: A new concept to enhance safety.

European journal of obstetrics, gynecology, and reproductive biology·2024
Same author

Implementing E-MOTIVE for detection and treatment of postpartum haemorrhage in South Africa.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2024
Same author

Novel concepts and improvisation for treating postpartum haemorrhage: a narrative review of emerging techniques.

Reproductive health·2023
Same author

Clinical algorithms for management of fetal heart rate abnormalities during labour.

BJOG : an international journal of obstetrics and gynaecology·2022
Same author

Constructing evidence-based clinical intrapartum care algorithms for decision-support tools.

BJOG : an international journal of obstetrics and gynaecology·2022
Same author

Effectiveness of uterine tamponade devices for refractory postpartum haemorrhage after vaginal birth: a systematic review.

BJOG : an international journal of obstetrics and gynaecology·2021
Same journal

Interventions for smoking cessation in inpatient psychiatry settings.

The Cochrane database of systematic reviews·2026
Same journal

Mechanical thromboprophylaxis for preventing intradialytic hypotension in people undergoing maintenance haemodialysis.

The Cochrane database of systematic reviews·2026
Same journal

Prognostic models for predicting intensive care unit admission or mortality in critically ill adults not yet been admitted to the intensive care unit.

The Cochrane database of systematic reviews·2026
Same journal

Views and experiences of weight management for people living with mobility‑limiting conditions, intellectual disabilities or severe mental illness: a qualitative evidence synthesis.

The Cochrane database of systematic reviews·2026
Same journal

Non-pharmacological interventions for anxiety and depression in Parkinson's disease.

The Cochrane database of systematic reviews·2026
Same journal

Biologic drugs for induction and maintenance of remission in Crohn's disease: a network meta-analysis.

The Cochrane database of systematic reviews·2026
See all related articles

Routine tocolysis effectively reduces external cephalic version failures at term, decreasing cesarean sections. Fetal acoustic stimulation also shows promise, but more evidence is needed for other methods.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • External cephalic version (ECV) at term aims to convert a breech presentation to cephalic.
  • Tocolytic drugs and other interventions are used to facilitate ECV.

Purpose of the Study:

  • To assess the effectiveness of routine tocolysis, fetal acoustic stimulation, epidural/spinal analgesia, and transabdominal amnioinfusion for ECV at term.
  • To evaluate their impact on successful version and pregnancy outcomes.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched Cochrane Pregnancy and Childbirth Group Trials Register and Cochrane Controlled Trials Register (up to April 2001).

Main Results:

  • Routine tocolysis reduced ECV failure rates (RR 0.74) and cesarean sections (RR 0.85).

Related Experiment Videos

  • Fetal acoustic stimulation in midline fetal spine positions significantly reduced ECV failures (RR 0.17).
  • Evidence for epidural/spinal analgesia and transabdominal amnioinfusion was insufficient or lacking.

    • Conclusions:

    • Routine tocolysis appears beneficial for ECV success at term.
    • Further research is needed to confirm the efficacy of fetal acoustic stimulation and regional analgesia.
    • No trials were found for transabdominal amnioinfusion in ECV.