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Updated: Jun 21, 2026
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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Sheffield modified technique for external cephalic version
R Keriakos1, B Abdelmalek, L Campbell
1Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Sheffield, UK. remon.keriakos@sth.nhs.uk
Summary
External cephalic version (ECV) can reduce C-sections for breech babies. A modified ECV technique shows a high success rate, offering a safe alternative for fetal positioning.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
Background:
- Rising Cesarean section rates for breech presentation over 20 years.
- Increased popularity of External Cephalic Version (ECV) due to breech delivery risks and C-section reduction demands.
- ECV offers a strong safety record and high success rates (up to 80%), with potential cost savings.
Purpose of the Study:
- To evaluate a modified External Cephalic Version (ECV) technique.
- To assess the success rate of the modified ECV technique in achieving cephalic presentation.
- To address the wide variation in ECV success rates (30-80%) with the standard technique.
Main Methods:
- A small prospective study was conducted.
- Implementation of a modified External Cephalic Version (ECV) technique.
- Outcomes of the modified ECV procedure were recorded.
Main Results:
- The modified ECV technique demonstrated a high success rate.
- Specific success rate data for the modified technique is detailed in the study.
- The modified approach aims to improve upon the variable outcomes of traditional ECV.
Conclusions:
- The modified ECV technique presents a promising approach for fetal version.
- This method has the potential to further increase ECV success rates.
- Further research may validate this modified technique for broader clinical application.
