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Related Experiment Videos

External cephalic version without tocolysis.

S T Scaling

    American Journal of Obstetrics and Gynecology
    |June 1, 1988
    PubMed
    Summary
    This summary is machine-generated.

    External cephalic version (ECV) can reduce cesarean rates for breech presentation. Gentle ECV before 34 weeks gestation is effective and safe, with a 74.3% success rate and no reported fetal or maternal complications.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine

    Background:

    • Cesarean section rates are increasing, partly due to breech presentations.
    • External cephalic version (ECV) is a procedure to turn a fetus from breech to cephalic presentation.

    Purpose of the Study:

    • To evaluate the success rate and safety of ECV without tocolysis in private patients.
    • To determine if ECV can reduce the incidence of breech presentation at labor.

    Main Methods:

    • 66 patients underwent 90 attempted ECVs in an office setting without tocolysis.
    • Gentle, nonpersistent manipulation was used for version attempts.

    Main Results:

    • The success rate of ECV at or before 34 weeks was 74.3%.
    • The success rate after 34 weeks was 45.5%, with an overall success rate of 60.6%.

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  • Five patients with spontaneous reversion to breech had successful subsequent ECV attempts. No fetal or maternal mortality or morbidity occurred.

    • Conclusions:

    • Successful external cephalic version without tocolysis can be accomplished with gentle manipulation, particularly before 34 weeks gestation.
    • ECV is a safe procedure with no significant fetal or maternal complications observed in this study.