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Related Experiment Video

Updated: Feb 2, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

External Cephalic Version: A Dying Art Worth Reviving.

Raj Lakshmi Nalam¹, Priya Chinnachamy², Paul Emmanuel²

¹Department of Obstetrics and Gynaecology, RDT Hospital, Bathalapalli, Anantapur District, 515661 Andhra Pradesh India.

Journal of Obstetrics and Gynaecology of India

|November 13, 2018

Summary

External cephalic version (ECV) is a safe procedure for breech presentation, with a 61.5% success rate. Successful ECV significantly increases the likelihood of vaginal delivery, reducing cesarean section rates.

Keywords:

Breech presentation External cephalic version (ECV)Transverse lie

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Area of Science:

Obstetrics and Gynecology
Perinatal Medicine
Maternal-Fetal Medicine

Background:

Breech presentation occurs in 3-4% of deliveries and is associated with increased cesarean section rates.
External cephalic version (ECV) is an intervention aimed at converting breech presentation to cephalic before labor.
The rising incidence of cesarean sections for breech presentation necessitates effective management strategies.

Purpose of the Study:

To evaluate the success rate and safety of external cephalic version (ECV) in a rural secondary healthcare setting.
To determine the impact of successful ECV on the mode of delivery.
To identify factors influencing ECV success and associated complications.

Main Methods:

A prospective study involving 52 patients with breech presentation was conducted over two years.
External cephalic version (ECV) was attempted to convert breech to cephalic presentation.
Outcomes including success rate, mode of delivery, and complications were recorded.

Main Results:

External cephalic version (ECV) was successful in 61.5% (32/52) of patients.
Of the successful ECVs, 75% resulted in vaginal delivery (p=0.00).
Transverse lie showed a 100% ECV success rate (p=0.005); gravidity, placental position, gestational age, and tocolytics did not affect success. Abdominal discomfort was the most common issue.

Conclusions:

External cephalic version (ECV) is a safe and effective procedure for increasing vaginal deliveries in breech presentation.
Successful ECV significantly reduces the need for cesarean sections.
Proficiency in ECV should be a mandatory component of postgraduate obstetrics training.