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Updated: Aug 24, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Will there ever be an end to the Caesarean section rate debate?
Hans Peter Dietz1, Michael J Peek
1Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia. hpdietz@bigpond.com
Caesarean section rates continue to rise. To date, no serious attempt has been made to address this issue. There are no scientific grounds for identifying an 'appropriate' level for Caesarean section rates. A 'Term Cephalic Trial' may provide such information, but poses major logistic and ethical challenges. The authors propose that a combination of known and newly developed predictors of emergency operative delivery may allow an antenatal risk assessment that could make intervention trials both ethically sound and logistically feasible.
Caesarean section rates continue to rise. To date, no serious attempt has been made to address this issue. There are no scientific grounds for identifying an 'appropriate' level for Caesarean section rates. A 'Term Cephalic Trial' may provide such information, but poses major logistic and ethical challenges. The authors propose that a combination of known and newly developed predictors of emergency operative delivery may allow an antenatal risk assessment that could make intervention trials both ethically sound and logistically feasible.
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