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Related Experiment Video

Updated: Dec 6, 2025

Expansion of Embryonic and Adult Neural Stem Cells by In Utero Electroporation or Viral Stereotaxic Injection
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Current Approach for External Cephalic Version in Germany.

Fabian Kohls1, Friederike Gebauer2, Markus Flentje3

  • 1Klinik für Frauenheilkunde und Geburtshilfe, Asklepios Harzklinik Goslar, Goslar, Germany.

Geburtshilfe Und Frauenheilkunde
|October 5, 2020
PubMed
Summary
This summary is machine-generated.

External cephalic version (ECV) is preferred for term breech presentation in Germany, but practices vary. Current approaches may need re-evaluation against international guidelines for optimal outcomes.

Keywords:
breech presentationcesarean sectionexternal version

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine

Background:

  • Fetal breech presentation occurs in 3-6% of term pregnancies.
  • External cephalic version (ECV) is a key intervention to reduce cesarean sections and vaginal breech deliveries.

Purpose of the Study:

  • To assess current practices of ECV in Germany.
  • To compare these practices with existing German and international guidelines.

Main Methods:

  • An anonymized online survey of 234 German hospitals was conducted in 2018.
  • The survey gathered data on hospital structures, ECV procedures, contraindications, and success rates.

Main Results:

  • ECV is the preferred method for breech presentation in 61.7% of hospitals.
  • Practices regarding outpatient vs. inpatient procedures, tocolysis (fenoterol used by 95.5%), and contraindication assessment varied significantly.
  • Reported success rates exceeded 45%, with a low rate of emergency cesarean sections.

Conclusions:

  • German ECV practices largely follow an outdated guideline.
  • Individual recommendations require re-evaluation.
  • Updating standard procedures based on current international guidelines is recommended.