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Related Experiment Video

Updated: Feb 14, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
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[External cephalic version].

B Navarro-Santana, M Duarez-Coronado, J Plaza-Arranz

    Ginecologia Y Obstetricia De Mexico
    |February 10, 2018
    PubMed
    Summary
    This summary is machine-generated.

    External cephalic version (ECV) is recommended for breech presentations, successfully converting 55% of fetuses to cephalic presentation. This procedure can decrease cesarean section rates.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine

    Background:

    • Breech presentation complicates delivery, often leading to cesarean sections.
    • External cephalic version (ECV) is a procedure to manually turn a fetus from breech to cephalic presentation before labor.
    • Assessing ECV success rates and its impact on cesarean delivery is crucial for obstetric practice.

    Purpose of the Study:

    • To determine the success rate of external cephalic versions (ECV) at our institution.
    • To evaluate the potential reduction in cesarean sections through the application of ECV.
    • To analyze factors influencing ECV outcomes.

    Main Methods:

    • A retrospective analysis of 52 external cephalic versions performed between January 2012 and March 2016.
    • Data collected included maternal and fetal characteristics, tocolysis, analgesia, and adverse effects.
    • Outcomes assessed were ECV success rate, vaginal delivery rate, and cesarean section rate.

    Main Results:

    • The overall success rate for ECV was 55%.
    • Successful ECV led to an 84% rate of vaginal delivery, with only 4% requiring instrumental assistance.
    • Fifteen percent of ECV attempts resulted in cesarean sections.
    • Birth weight was identified as a potential factor influencing ECV success, though further research with larger cohorts is needed.

    Conclusions:

    • External cephalic version is an effective procedure for increasing cephalic presentation in fetuses.
    • ECV can significantly reduce the rate of cesarean sections for women with breech presentation.
    • We recommend ECV as a primary intervention for breech presentation, preceding expectant management or elective cesarean delivery.