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Related Experiment Videos

External cephalic version of the breech presentation under tocolysis.

J C Morrison, R E Myatt, J N Martin

    American Journal of Obstetrics and Gynecology
    |April 1, 1986
    PubMed
    Summary

    External cephalic version (ECV) near term safely converts breech presentations to vertex, reducing cesarean births. Success is linked to gestational age, not procedure difficulty, benefiting selected pregnant individuals.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Surgical Innovation

    Background:

    • Breech presentation at term is a common indication for cesarean delivery.
    • External cephalic version (ECV) with tocolysis is an intervention to convert breech to vertex presentation.
    • Avoiding cesarean birth is a key goal in modern obstetrics.

    Purpose of the Study:

    • To evaluate the safety and efficacy of external cephalic version (ECV) near term.
    • To assess the impact of ECV on reducing cesarean birth rates for breech presentation.
    • To identify factors influencing the success rate of ECV.

    Main Methods:

    • Retrospective analysis of 304 external cephalic version (ECV) procedures performed with tocolysis.
    • Data collected on success rates, complications, and delivery presentations.

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  • Comparison of ECV outcomes during a 3-year period with the preceding 3 years.

    • Main Results:

    • External cephalic version (ECV) was successful in 207 of 304 (68.1%) parturients without major complications.
    • Post-ECV, 201 of 207 (97.1%) infants presented in vertex position at delivery.
    • Success rate of ECV was inversely correlated with gestational age.

    Conclusions:

    • External cephalic version (ECV) near term is a safe and effective procedure for selected populations.
    • Successful ECV significantly reduces the rate of cesarean deliveries due to breech presentation.
    • ECV can decrease the incidence of laboring with a breech presentation.