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Related Experiment Video

Updated: Jun 1, 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: 1 year study in a level 3 maternity].

M Roux-Chevalier1, P Gaucherand, C Cluze

  • 1Service de maternité, hôpital Femme-Mère-Enfant, groupement hospitalier Est, 59, boulevard Pinel, 69671 Bron cedex, France. magali-roux@laposte.net

Gynecologie, Obstetrique & Fertilite
|May 24, 2011
PubMed
Summary
This summary is machine-generated.

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This study found a low success rate for external cephalic version (ECV) in breech presentation cases, potentially due to inadequate tocolytic agents. Further large-scale research is needed to improve ECV protocols and outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Maternal-Fetal Medicine

Context:

  • External cephalic version (ECV) is a procedure to manually turn a fetus from a breech to a cephalic presentation before labor.
  • The success rate of ECV can be influenced by various factors, including the tocolytic agent used.
  • Limited data exists on the efficacy of ECV with specific tocolytic protocols in a real-world clinical setting.

Purpose:

  • To evaluate the success rate of external cephalic version (ECV) in a single institution.
  • To identify factors influencing the success or failure of ECV.
  • To assess the mode of delivery following attempted ECV.

Summary:

  • A retrospective study of 78 ECV cases revealed a low success rate (24.4%).
  • Successful ECV primarily resulted in vaginal deliveries (84%), while 19% of women with unsuccessful ECV also delivered vaginally (predominantly breech presentations).

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Last Updated: Jun 1, 2026

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  • No significant differences in ECV outcomes were associated with parity, gestational age, operator, placental location, or amniotic fluid index.

    • Impact:

    • The study suggests that current tocolytic agents may be suboptimal for ECV, necessitating further investigation into alternative or optimized tocolytic strategies.
    • Findings highlight the need for larger-scale studies to validate these results and inform potential modifications to clinical protocols for ECV.
    • Improved ECV success rates could lead to a reduction in cesarean deliveries for breech presentations.