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External cephalic version (ECV): experience in a sub-Saharan African hospital.

P A Feyi-Waboso¹, C O Selo-Ojeme, D O Selo-Ojeme

¹Abia State University Teaching Hospital, Aba, Nigeria.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|June 7, 2006

Summary

External cephalic version (ECV) is a viable procedure for breech presentation in Nigeria, with a 67% success rate. Factors like multiparity and unengaged breech positively influenced outcomes, with most babies remaining cephalic until birth.

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine

Background:

External cephalic version (ECV) is underutilized in developing countries like Nigeria.
Breech presentation at term poses delivery risks, making ECV a potential intervention.

Purpose of the Study:

To evaluate the success rate and outcomes of ECV in Nigerian women.
To identify factors associated with successful ECV in this population.

Main Methods:

Prospective study over 3 years at a Nigerian University Teaching hospital.
Comparative analysis between successful and unsuccessful ECV cases.
Inclusion of adequate counseling for patient acceptance.

Main Results:

ECV success rate was 67% among Nigerian women willing to undergo the procedure.

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Favorable factors for success included multiparity, flexed breech, unengaged breech, normal liquor volume, and posterior placenta.

97% of successfully turned fetuses remained cephalic until delivery.

Caesarean section rates were elevated compared to the unit rate.

Conclusions:

External cephalic version is feasible and accepted in Nigeria for singleton term breech presentation.
Identifying favorable factors can optimize ECV success rates.
While ECV reduces the need for caesarean section, careful monitoring is essential due to potential complications.