Related Experiment Video
Updated: Nov 18, 2025
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
15.4K
External cephalic version - A 10-year review of practice.
Emmanuel Hakem1, Stephen W Lindow1, Michael P O'Connell1
1Coombe Women and Infants University Hospital, Dublin, Ireland.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 7, 2021
Summary
External Cephalic Version (ECV) successfully converts breech presentations to cephalic, reducing Cesarean section rates. Experienced operators and IV terbutaline improve ECV success, leading to more vaginal births.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- The Term Breech Trial (TBT) led to increased Cesarean section rates for breech presentations, rising from 76.9% to 89.7%.
- External Cephalic Version (ECV) is a recognized method to reduce non-cephalic presentations before delivery.
Purpose of the Study:
- To evaluate the effectiveness and success factors of External Cephalic Version (ECV) in reducing Cesarean section rates for breech presentations.
- To analyze outcomes of ECV procedures in a tertiary women's hospital setting.
Main Methods:
- A retrospective audit of all ECV procedures performed between January 2010 and January 2020.
- Data analysis included success rates, mode of delivery post-ECV, and factors influencing success.
Main Results:
- The overall ECV success rate was 54.5%.
- Successful ECV resulted in a 73.6% vaginal birth rate compared to 26.4% Cesarean rate.
- Factors associated with higher ECV success included intravenous terbutaline, fetal birth weight ≥3.5 kg, and procedures performed by experienced operators (>20 ECVs).
Conclusions:
- External Cephalic Version (ECV) is a safe and effective procedure for reducing Cesarean sections due to breech presentation.
- Establishing dedicated ECV clinics with experienced operators and utilizing intravenous terbutaline can enhance success rates and decrease Cesarean delivery rates for breech presentations.
Related Concept Videos
01:26Endoscopic Procedures V: ERCP
1.5K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
1.5K
01:28Endoscopic Procedures III: Video Capsule Endoscopy
438
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
438
01:23Methods of Documentation V: CBE
1.3K
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.3K
01:19Standards of Care II
889
Nurses bear specific legal responsibilities under several federal statutes, including:
889
01:22Standards of Care I
927
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
927
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
1.0K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
1.0K