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Related Experiment Video

Updated: Jun 29, 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

Prognostic parameters for successful external cephalic version.

Assaf Ben-Meir1, Yair Erez, Hen Yitzhak Sela

  • 1Department of Obstetrics & Gynecology, Hadassah Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel. assafb@hadassah.org.il

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|October 2, 2008
PubMed
Summary

Predicting the success of external cephalic version (ECV) is possible using key factors. Amniotic fluid index and multiparity significantly influence ECV outcomes, aiding patient counseling.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • External cephalic version (ECV) is a procedure to manually turn a fetus from a breech to a cephalic presentation before labor.
  • Accurate patient consultation regarding ECV success is crucial for informed decision-making.

Purpose of the Study:

  • To identify prognostic parameters that predict the success of external cephalic version (ECV) at term.
  • To enhance patient counseling prior to ECV attempts.

Main Methods:

  • Prospective observational study involving 603 ECV attempts.
  • Data collected included demographic and obstetric parameters.
  • Stepwise logistic regression analysis was used to identify significant predictors of ECV success.

Main Results:

  • Overall ECV success rates were 72.3% for multiparous and 46.1% for nulliparous women.
  • Key prognostic factors for successful ECV included: amniotic fluid index > 7 cm, multiparity, non-frank breech presentation, non-anterior placental location, and body mass index < 25.

Conclusions:

  • Specific prognostic parameters, notably amniotic fluid index and multiparity, can effectively guide physicians in counseling patients about the likelihood of ECV success.
  • These findings can improve the pre-procedural consultation process for ECV.