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Related Experiment Video

Updated: Jun 16, 2026

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

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

Published on: June 6, 2020

[Fewer breech deliveries after implementation of a modified cephalic version protocol].

Simone M I Kuppens¹, Anne M H Francois, Tom H M Hasaart

¹Catharina-ziekenhuis, afd. Gynaecologie en Obstetrie, Eindhoven, The Netherlands. s.m.i.kuppens@uvt.nl

Nederlands Tijdschrift Voor Geneeskunde

|February 6, 2010

Summary

Implementing new guidelines significantly improved external cephalic version (ECV) success rates for breech presentation. This led to fewer C-sections, demonstrating the value of standardized ECV protocols.

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Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

Related Experiment Videos

Last Updated: Jun 16, 2026

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

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

Published on: June 6, 2020

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Surgical Outcomes Research

Context:

Breech presentation complicates vaginal delivery.
External cephalic version (ECV) is a procedure to turn the fetus.
Standardized protocols may optimize ECV success.

Purpose:

To evaluate the impact of implementing process policy guidelines on ECV success rates.
To assess changes in elective cesarean section rates following protocol implementation.

Summary:

A prospective study implemented standardized ECV protocol guidelines.
Successful ECV rates increased from 47% to 61% (p=0.006).
Elective cesarean section rates for breech presentation decreased from 39% to 27% (p=0.03).

Impact:

Standardized ECV protocols enhance success rates and reduce cesarean deliveries.
The number needed to treat to prevent one C-section was 8.
Findings support establishing specialized ECV centers.