Related Experiment Video
Updated: Apr 28, 2026
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Route of delivery following successful external cephalic version
Catarina Policiano1, Ana Costa1, Alexandre Valentim-Lourenço2
1Department of Obstetrics and Gynecology, Central Hospital of Lisbon North, Hospital of Santa Maria, Lisbon, Portugal.
Objective:
To evaluate the delivery route and the indications for cesarean delivery after successful external cephalic version (ECV).
Methods:
A retrospective matched case-control study was conducted at a hospital in Lisbon, Portugal, between 2002 and 2012. Each woman who underwent successful ECV (n = 44) was compared with the previous and next women who presented for labor management and who had the same parity and a singleton vertex pregnancy at term (n = 88). The outcome measures were route of delivery, indications for cesarean delivery, and incidence of nonreassuring fetal status.
Results:
Attempts at ECV were successful in 62 (46%) of 134 women, and 44 women whose fetuses remained in a cephalic presentation until delivery were included in the study. The rates of intrapartum cesarean delivery and operative vaginal delivery did not differ significantly between cases and controls (intrapartum cesarean delivery, 9 [20%] vs 16 [18%], P = 0.75; operative vaginal delivery, 14 [32%] vs 19 [22%], P = 0.20). The indications for cesarean delivery after successful ECV did not differ; in both groups, cesarean delivery was mainly performed for labor arrest disorders (cases, 6 [67%] vs controls, 13 [81%]; P = 0.63).
Conclusion:
Successful ECV was not associated with increased rates of intrapartum cesarean delivery or operative vaginal delivery.
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