Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ultrasonography and external cephalic version at term.

W L Donald1, J J Barton

  • 1Department of Obstetrics and Gynecology, Illinois Masonic Medical Center, Chicago 60657-5193.

American Journal of Obstetrics and Gynecology
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

White and gray matter alterations in adults with Niemann-Pick disease type C: a cross-sectional study.

Neurology·2011
Same author

Unilateral right parietal damage leads to bilateral deficit for high-level motion.

Neuron·2002
Same author

Bilateral sectoranopia from probable osmotic demyelination.

Neurology·2002
Same author

Vertical saccades in superior oblique palsy and Brown's syndrome.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society·2002
Same author

Covert recognition in acquired and developmental prosopagnosia.

Neurology·2001
Same author

Discrimination of spatial relations and features in faces: effects of inversion and viewing duration.

British journal of psychology (London, England : 1953)·2001

Ultrasonography helps predict successful external cephalic version (ECV) in term breech presentations. Frank breech and anterior fetal spine position are key factors for successful ECV, improving vaginal delivery rates.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Fetal Medicine

Background:

  • Nonvertex (breech) presentations at term complicate vaginal delivery.
  • External cephalic version (ECV) is a procedure to turn the fetus before labor.
  • Predicting ECV success is crucial for optimizing delivery outcomes.

Purpose of the Study:

  • To identify sonographic factors predicting successful external cephalic version (ECV).
  • To evaluate the association between specific fetal and placental characteristics and ECV success.
  • To determine the impact of ECV on vaginal delivery rates in term breech presentations.

Main Methods:

  • Ultrasonography was used to assess amniotic fluid volume, placental location, breech type, fetal spine position, and breech descent in 65 term nonvertex patients.

Related Experiment Videos

  • Chi-squared analysis was employed to determine the statistical significance of these factors.
  • Success of external cephalic version and mode of delivery were recorded.

    • Main Results:

    • A frank breech presentation and an anteriorly located fetal spine were significantly associated with successful ECV.
    • External cephalic version was successful in 58% of cases, with 62% achieving vaginal delivery.
    • Four instances of fetal bradycardia occurred, none requiring intervention; no maternal complications were noted.

    Conclusions:

    • Ultrasonography is a valuable tool for assessing nonvertex presentations at term.
    • Sonographic findings, specifically frank breech and anterior fetal spine, can predict ECV success.
    • Successful ECV increases the likelihood of vaginal birth for term breech presentations.