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Related Experiment Video

Updated: Nov 19, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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A Simulation Model for External Cephalic Version.

Carla Baaklini1, Natalie Menassa1, Jalen T Larios2

  • 1Medicine, Northeast Ohio Medical University, Rootstown, USA.

Cureus
|February 2, 2021
PubMed
Summary

A new, reproducible simulation model for external cephalic version (ECV) training significantly improved resident comfort with the procedure. This educational intervention addresses a gap in obstetrics residency programs for practicing ECV.

Keywords:
educationexternal cephalic versionsimulationtraining model

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Education
  • Surgical Simulation

Background:

  • Breech presentation occurs in up to 4% of deliveries, necessitating interventions like external cephalic version (ECV).
  • External cephalic version (ECV) is a less invasive, cost-effective alternative to cesarean section (CS), reducing maternal risks.
  • Many obstetrics residency programs lack adequate training in ECV, highlighting a need for improved educational tools.

Purpose of the Study:

  • To develop a reconstructible simulation model for practicing external cephalic version (ECV).
  • To assess the effectiveness of the ECV model in improving trainee comfort and procedural skills.

Main Methods:

  • Development of a novel, reproducible external cephalic version (ECV) simulation model.
  • Delivery of a lecture on ECV procedures to obstetrics residents.
  • Post-simulation training assessment of resident comfort and skill acquisition using the ECV model.

Main Results:

  • Trainees demonstrated increased comfort levels performing external cephalic version (ECV) after practicing with the simulation model.
  • The developed ECV model proved effective in enhancing resident confidence in performing the procedure.
  • Data indicated a positive impact of the simulation model on preparedness for ECV.

Conclusions:

  • The developed external cephalic version (ECV) simulation model is a valuable and reproducible tool for obstetrics training.
  • Simulation-based training can effectively bridge the gap in ECV procedural education for residents.
  • Implementing such models can enhance provider confidence and potentially improve patient outcomes by increasing ECV success rates.