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Related Experiment Video

Updated: Oct 15, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?
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External cephalic version in the outpatient clinic.

Gwang-Jun Kim1, Ji Su Seong1

  • 1Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Republic of Korea.

Journal of Perinatal Medicine
|October 29, 2021
PubMed
Summary

External cephalic version (ECV) significantly reduces cesarean section rates for term breech pregnancies. Modern safety protocols have simplified ECV procedures, making them safer and more accessible for expectant mothers.

Keywords:
breechcesareanversion

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Cesarean section rates are rising globally, with breech presentation being a primary indication.
  • External cephalic version (ECV) is a procedure to turn a fetus from breech to cephalic presentation before birth.
  • ECV can decrease cesarean delivery rates by up to two-thirds in term breech pregnancies.

Purpose of the Study:

  • To share experiences from managing over 2000 patients in South Korea's largest ECV clinic over 15 years.
  • To highlight the evolution and safety of ECV procedures in an outpatient setting.

Main Methods:

  • Implementation of ultrasonography and cardiotocography for enhanced safety monitoring before and after ECV.
  • Streamlining ECV protocols by removing requirements for overnight fasting, IV access, and preoperative lab tests.

Main Results:

  • ECV has become a safer procedure with a very low risk of emergency cesarean section.
  • Outpatient ECV trials initiated in 2015 have been successfully managed.

Conclusions:

  • ECV is an effective and safe method to reduce cesarean deliveries for term breech presentations.
  • The simplification of ECV procedures supports its wider adoption in outpatient settings.