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Updated: Aug 8, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
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.
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.
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.
- 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.
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