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Related Experiment Video

Updated: Jul 11, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

External cephalic version for breech presentation at term.

Bushra Rauf1, Mehrun- Nisa, Lubna Hassan

  • 1Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 2, 2007
PubMed
Summary
This summary is machine-generated.

External Cephalic Version (ECV) is a safe procedure for term breech presentations, reducing Cesarean sections. Successful ECV improves pregnancy outcomes for mothers and fetuses.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Term breech presentation complicates approximately 3-5% of singleton pregnancies.
  • External Cephalic Version (ECV) is a procedure to externally manipulate the fetus from a breech to a cephalic presentation before labor.
  • Successful ECV can potentially reduce the rate of Cesarean deliveries for term breech presentation.

Purpose of the Study:

  • To evaluate the success rate of External Cephalic Version (ECV) in term singleton breech presentations.
  • To assess the impact of successful ECV on maternal and fetal pregnancy outcomes.
  • To determine the effect of ECV on the rate of Cesarean sections.

Main Methods:

  • A quasi-experimental study involving 40 singleton breech presentations between 36-41 weeks gestation.
  • Exclusion criteria included contraindications to ECV, such as multiple pregnancy, oligohydramnios, and antepartum hemorrhage.
  • Success rate and pregnancy outcomes were analyzed, with statistical significance determined by Chi-square test.

Main Results:

  • The overall success rate of ECV was 67.5%.
  • Multigravida patients demonstrated a higher success rate (80%) compared to primigravida (30%).
  • Successful ECV led to spontaneous vaginal delivery in 77.7% of cases, while failed ECV resulted in a higher rate of Cesarean sections (61.5%).
  • Perinatal outcomes were generally unaffected by the route of delivery, with a live birth rate of 96.2% following successful ECV.

Conclusions:

  • External Cephalic Version (ECV) at term is an effective procedure for managing term breech presentations.
  • ECV is safe for both mother and fetus, contributing to a reduction in medically indicated Cesarean sections.
  • The procedure offers a viable option to improve pregnancy outcomes and avoid complications associated with term breech presentation.