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Updated: Mar 27, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Vaginal cesarean delivery in modern obstetric practice]
M Gueye1, M Diallo1, M D Ndiaye Gueye1
1Clinique gynécologique et obstétricale, EPS Aristide Le Dantec, 1, avenue Pasteur, 3001 Dakar, Sénégal.
Vaginal cesarean delivery, though safe and fast, carries risks. This study highlights its use in Senegal, emphasizing the need for skilled surgical technique to manage potential complications effectively.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures
- Maternal Health
Background:
- Vaginal cesarean delivery is a rare obstetric procedure.
- Limited data exists on its application in resource-limited settings.
Purpose of the Study:
- To describe the experience with vaginal cesarean deliveries in a Senegalese maternity unit.
- To analyze the clinical characteristics and indications for this procedure.
Main Methods:
- Retrospective, descriptive study.
- Analysis of seven vaginal cesarean deliveries performed between July and September 2012.
- Review of patient clinical data and surgical indications.
Main Results:
- Vaginal cesareans represented 3.2% of all cesarean sections.
- Placental abruption was the primary indication (72%).
- The procedure was associated with a mean operative time of 20.7 minutes and uneventful postoperative courses.
Conclusions:
- Vaginal cesarean delivery can be a safe and rapid surgical option.
- Successful implementation requires advanced vaginal surgical expertise.
- Potential complications necessitate careful patient selection and skilled execution.
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