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Updated: May 21, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Elective primary cesarean section: weighing the risks and benefits
Andrew Steele1, Fah Che Leong, Susan Barr
1Division of Urogynecology, Department of Obstetrics, Gynecology, and Women's Health, Saint Louis University School of Medicine, USA. steelean@slucare1.sluh.edu
The increasing understanding of the nature and extent of pelvic floor injury during childbirth, coupled with an increasing medico-legal demand to present a flawless baby at the completion of the birth process, has helped fuel the rising cesarean section rate. As more women become educated in the controversies surrounding the protective benefits of cesarean, they may increasingly elect to undergo cesarean delivery primarily. Evidence concerning maternal, fetal, and ethical considerations in this decision is presented.
The increasing understanding of the nature and extent of pelvic floor injury during childbirth, coupled with an increasing medico-legal demand to present a flawless baby at the completion of the birth process, has helped fuel the rising cesarean section rate. As more women become educated in the controversies surrounding the protective benefits of cesarean, they may increasingly elect to undergo cesarean delivery primarily. Evidence concerning maternal, fetal, and ethical considerations in this decision is presented.
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