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Related Concept Videos

Development of the Oral Microbiota01:28

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The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Related Experiment Video

Updated: May 2, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Successful external cephalic version: factors predicting vaginal birth.

Pei Shan Lim1, Beng Kwang Ng1, Anizah Ali2

  • 1Department of Obstetrics and Gynaecology, UKM Medical Centre, Malaysia.

Thescientificworldjournal
|March 4, 2014
PubMed
Summary

Successful external cephalic version (ECV) in breech presentation can lead to higher rates of C-sections and complications. Extended breech presentation and adequate amniotic fluid index (AFI) predict higher vaginal birth rates post-ECV.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • External cephalic version (ECV) is a procedure to turn a fetus from a breech to a cephalic presentation.
  • Successful ECV aims to increase the likelihood of vaginal birth and reduce cesarean delivery rates.

Purpose of the Study:

  • To evaluate maternal and fetal outcomes following successful external cephalic version (ECV).
  • To identify factors predicting vaginal birth after a successful ECV procedure.

Main Methods:

  • Retrospective review of 67 successful ECV cases at Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from September 2008 to September 2010.
  • Comparison with a control group of singleton cephalic pregnancies matched for parity.
  • Analysis of maternal, fetal, and labor outcomes, including mode of delivery and complications.

Main Results:

  • Successful ECV was associated with a higher rate of post-term pregnancy, labor induction, operative delivery, and obstetrical complications.
  • Common adverse effects included spontaneous labor and transient cardiotocographic (CTG) changes; the reversion rate was 7.46%.
  • Previous extended breech presentation (vs. flexed breech) and an amniotic fluid index (AFI) of 13 or more were significantly associated with higher rates of vaginal birth.

Conclusions:

  • Patients undergoing successful ECV face increased risks of post-term pregnancy, labor induction, cesarean delivery, and obstetrical complications.
  • Predictive factors for vaginal birth post-ECV include extended breech presentation and an AFI ≥ 13.
  • These findings necessitate realistic counseling for patients regarding ECV outcomes and potential complications.