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Related Experiment Videos

External cephalic version at term. A randomized controlled trial using tocolysis.

K Mahomed1, R Seeras, R Coulson

  • 1Dept. of Obstetrics and Gynaecology, University of Zimbabwe, Harare.

British Journal of Obstetrics and Gynaecology
|January 1, 1991
PubMed
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External cephalic version (ECV) with tocolysis safely reduced breech presentation and caesarean section rates in term pregnancies. This procedure offers a viable option for managing breech presentation at term.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation at term complicates approximately 3-5% of pregnancies.
  • External cephalic version (ECV) is a procedure to manually turn a fetus from a breech to a cephalic presentation before labor.
  • Tocolysis is often used to relax the uterus during ECV to facilitate fetal manipulation.

Purpose of the Study:

  • To evaluate the effectiveness and safety of external cephalic version (ECV) at term, utilizing tocolysis.
  • To assess the impact of ECV on the rate of breech presentation during labor and the subsequent need for caesarean section.

Main Methods:

  • A randomized controlled trial was conducted over 12 months at Harare Maternity Hospital.
  • 208 women with term breech presentation were randomized into a study group (103) and a control group (105).

Related Experiment Videos

  • External cephalic version was attempted using hexaprenaline for tocolysis, with a maximum manipulation time of 5 minutes.

    • Main Results:

    • ECV significantly reduced the frequency of breech presentation during labor from 83% to 17%.
    • The rate of caesarean sections decreased from 33% in the control group to 13% in the ECV group.
    • No significant adverse complications were reported for the ECV procedure.

    Conclusions:

    • External cephalic version, when performed with tocolysis in carefully selected term breech pregnancies, is a safe and effective method.
    • ECV successfully lowers the incidence of term breech presentation in labor and reduces the rate of caesarean deliveries.
    • Further investigation is warranted to explore the utility of ECV in early labor settings.