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Updated: Mar 8, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
16.0K
Obstetric and Anesthetic Approaches to External Cephalic Version
Stephanie Lim1, Jennifer Lucero2
1Division of Obstetric Anesthesia, Department of Anesthesia & Perioperative Care, University California San Francisco School of Medicine, San Francisco, CA 94143, USA.
Anesthesiology Clinics
|January 30, 2017
Summary
External cephalic version (ECV) is recommended for breech pregnancies to increase the chance of a head-first presentation at birth. ECV can decrease cesarean delivery rates by nearly 40% with a 60% success rate.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Breech presentation is the most common abnormal fetal presentation, affecting 3-4% of pregnancies.
- It necessitates careful management to optimize maternal and fetal outcomes.
Purpose of the Study:
- To evaluate the efficacy and impact of External Cephalic Version (ECV) in managing breech singleton pregnancies.
- To underscore the importance of discussing ECV risks, benefits, timing, and attempts with patients.
Main Methods:
- Review of existing literature and clinical guidelines on External Cephalic Version.
- Analysis of success rates and impact on delivery mode.
Main Results:
- External Cephalic Version (ECV) significantly increases the likelihood of a cephalic presentation at labor onset.
- ECV is associated with a nearly 40% reduction in cesarean delivery rates.
- The overall success rate for ECV is approximately 60%.
Conclusions:
- ECV should be recommended for breech singleton pregnancies without contraindications.
- Informed patient consent regarding ECV timing, risks, benefits, and number of attempts is crucial for optimal care.
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