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Antepartum external cephalic version under tocolysis.

D C Dyson, J E Ferguson, P Hensleigh

    Obstetrics and Gynecology
    |January 1, 1986
    PubMed
    Summary
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    External cephalic version (ECV) is a safe procedure for breech presentation at term. ECV significantly increases the chance of vaginal birth and reduces cesarean sections without complications.

    Area of Science:

    • Obstetrics
    • Maternal-Fetal Medicine
    • Perinatal Care

    Background:

    • Breech presentation at term complicates approximately 3-5% of pregnancies.
    • External cephalic version (ECV) is a procedure to turn the fetus from breech to vertex presentation.
    • Cesarean delivery is often recommended for term breech presentation, impacting maternal and infant outcomes.

    Purpose of the Study:

    • To evaluate the efficacy and safety of antepartum external cephalic version (ECV) in term pregnancies.
    • To compare outcomes of ECV with a control group not undergoing version.
    • To assess the impact of ECV on intrapartum presentation and mode of delivery.

    Main Methods:

    • A prospective study involving 172 patients undergoing ECV after 37 weeks gestation.

    Related Experiment Videos

  • Comparison with a control group of 40 patients where ECV was not attempted.
  • Data collection on version success, intrapartum presentation, mode of delivery, and complications.

    • Main Results:

    • ECV was attempted in 158 patients, with a success rate of 77% (122/158).
    • Intrapartum vertex presentation increased from 12% in controls to 77% in ECV patients.
    • Cesarean section rates decreased from 80% in controls to 32% in ECV patients.
    • No maternal or fetal complications were directly attributed to ECV.

    Conclusions:

    • Antepartum ECV under tocolysis is highly successful for term breech presentation.
    • ECV is associated with a low complication rate.
    • ECV significantly reduces the cesarean section rate for term breech presentation, promoting vaginal birth.