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Related Experiment Video

Updated: Nov 5, 2025

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

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

Published on: June 6, 2020

15.3K

External cephalic version: Predictors for success.

Léa Cillard1, Caroline Verhaeghe1, Andrew Spiers1

  • 1Department of Obstetrics & Gynecology, University Hospital of Angers, Angers, France.

Journal of Gynecology Obstetrics and Human Reproduction
|May 18, 2021
PubMed
Summary
This summary is machine-generated.

External cephalic version (ECV) success is predicted by transverse fetal presentation, senior physician operators, multiparity, and non-anterior placenta. These factors aid in patient counseling regarding ECV outcomes.

Keywords:
BreechExternal cephalic versionPodalic

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • External cephalic version (ECV) is a procedure to manually turn a fetus from a breech or transverse presentation to a cephalic (head-down) position.
  • Successful ECV can reduce the rate of Cesarean deliveries.
  • Identifying predictors of ECV success is crucial for patient counseling and procedural planning.

Purpose of the Study:

  • To identify factors that predict the success of external cephalic version (ECV).

Main Methods:

  • A retrospective observational study of 613 patients undergoing ECV for breech or transverse fetuses.
  • Logistic regression analysis was used to determine predictive factors for ECV success.
  • Key parameters included parity, fetal presentation, fetal back position, placental location, operator experience, and maternal age.

Main Results:

  • The overall ECV success rate was 21.4%.
  • Predictive factors for success included transverse fetal presentation (OR 2.7), senior physician operator (OR 1.6), multiparity (OR 1.6), and non-anterior placental location (OR 1.4).
  • More than 3 attempts were associated with reduced success (OR 0.3).

Conclusions:

  • Transverse fetal presentation, senior physician operator, multiparity, and non-anterior placental location are significant predictors of ECV success.
  • Understanding these factors can enhance patient information and expectations regarding ECV.
  • This knowledge may aid in optimizing patient selection and procedural techniques for ECV.