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Updated: Aug 30, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Current concepts regarding vaginal birth after cesarean delivery
Anthony O Odibo1, George A Macones
1Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Purpose Of Review:
To review the current literature on vaginal birth after cesarean delivery efficacy and safety.
Recent Findings:
There are two major themes in current vaginal birth after cesarean delivery research. The first is continued work on the short-term safety, including maternal events such as uterine rupture and perinatal death. The second theme focuses on identifying predictors for success and failure.
Summary:
Current information suggests that the rate of major maternal and neonatal complications with vaginal birth after cesarean delivery is low, and this option should be offered to women with a single prior low transverse cesarean. Future research should focus on an evaluation of both short-term and long-term consequences of vaginal birth after cesarean delivery compared with elective repeat cesarean section.
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