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Related Experiment Videos

Introducing external cephalic version to clinical practice.

E Karantanis1, D Alcock, L K Phelan

  • 1Department of Women's Health, St George Hospital, Sydney, New South Wales, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|January 15, 2002
PubMed
Summary
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External cephalic version (ECV) is a safe procedure for breech presentations. This service successfully enabled vaginal births for over half of the women attempting ECV.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation complicates vaginal delivery.
  • External cephalic version (ECV) is an intervention to convert breech to cephalic presentation.

Purpose of the Study:

  • To describe the establishment and clinical outcomes of an ECV service.
  • To evaluate the safety and efficacy of ECV in a public hospital setting.

Main Methods:

  • Retrospective review of 116 ECV attempts in 114 women with breech presentation at 36-38 weeks' gestation.
  • Data collected on success rates, delivery mode, and adverse events.

Main Results:

  • ECV success rate was 51% (58/114 women).
  • 74% (43/58) of successful ECV patients achieved vaginal delivery.

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  • No fetal deaths, immediate Cesarean sections, or placental abruptions occurred.
  • Transient fetal bradycardia occurred in 2% of cases, with normal neonatal outcomes.

    • Conclusions:

    • ECV can be safely and effectively provided as a routine service in public hospitals.
    • The service demonstrated a positive impact on vaginal birth rates for breech presentations.