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Related Experiment Videos

External cephalic version: an approach with few complications.

Daniel W Skupski1, Catherine Harrison-Restelli, Rebecca B Dupont

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York Presbyterian Hospital-Weill Cornell Center, New York, NY, USA. dwskupsk@med.cornell.edu

Gynecologic and Obstetric Investigation
|August 16, 2003
PubMed
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This summary is machine-generated.

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External cephalic version (ECV) can safely convert breech presentations to cephalic, reducing cesarean delivery rates. Careful patient selection for ECV minimizes complications, making it a valuable intervention for term pregnancies.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation at term is a common obstetric complication.
  • External cephalic version (ECV) is a procedure to manually turn the fetus from breech to cephalic presentation.
  • ECV aims to reduce the rate of cesarean delivery (CD).

Purpose of the Study:

  • To evaluate the safety and efficacy of external cephalic version (ECV) in term pregnancies.
  • To compare cesarean delivery rates among spontaneous cephalic version (SCV), ECV attempted, and ECV not attempted groups.
  • To assess complications associated with ECV.

Main Methods:

  • Retrospective study of patients referred for ECV at or after 36 weeks gestation (1993-2000).
  • Exclusion criteria included fetal distress, nuchal cord, extended head, oligohydramnios, and uncontrolled hypertension.

Related Experiment Videos

  • Comparison of three groups: SCV, ECV attempted, and ECV not attempted.

    • Main Results:

    • ECV was attempted in 191 patients, with a success rate of 51%.
    • Cesarean delivery rates were highest in the no-attempt group (96%) compared to ECV attempted (64%) and SCV (11%).
    • Complications were rare (4 cases), leading to non-emergent cesarean delivery; maternal and neonatal complications were not significantly different across groups.

    Conclusions:

    • External cephalic version (ECV), when performed with careful attention to contraindications, is associated with few complications.
    • ECV significantly lowers the rate of cesarean delivery in term breech presentations.
    • ECV is a safe and effective procedure for reducing cesarean delivery rates.