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Updated: Apr 17, 2026
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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
16.1K
Standards for midwife practitioners of external cephalic version: A Delphi study
Shawn Walker1, Prasanth Perilakalathil1, Jenny Moore2
1James Paget University Hospitals NHS Foundation Trust, Lowestoft Road, Gorleston, Gt Yarmouth, Norfolk NR31 6LA, UK.
Midwifery
|February 10, 2015
Summary
Midwives can perform external cephalic version (ECV) and ultrasound with appropriate training. Competency standards for midwives and doctors should be the same, requiring regular practice for proficiency.
Area of Science:
- Obstetrics and Gynecology
- Midwifery Practice
- Medical Ultrasound
Background:
- Advanced midwifery roles require evidence-based competency frameworks.
- Developing a Breech Specialist Midwife role necessitates guidance on external cephalic version (ECV) and ultrasound training.
Purpose of the Study:
- To establish standards for midwife competency in performing ECV and ultrasound.
- To develop an evidence-based framework for advanced midwifery practice.
Main Methods:
- A three-round Delphi survey was employed.
- Expert panels included obstetricians, midwives, and sonographers.
- Consensus was reached on training and competency standards.
Main Results:
- Competency standards for ECV and ultrasound should be equivalent for midwives and doctors.
- Regular practice is essential for maintaining proficiency.
- Midwives can integrate ECV and ultrasound into their practice.
Conclusions:
- Competency-based training enables midwives to perform ECV and ultrasound.
- Organized clinics with high practitioner volume (approx. 30+ ECVs/year) are ideal for skill maintenance.
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