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Related Experiment Videos

Update on external cephalic version performed at term.

L E Stine, J P Phelan, R Wallace

    Obstetrics and Gynecology
    |May 1, 1985
    PubMed
    Summary

    External cephalic version under tocolysis is a successful procedure for converting breech presentations to vertex presentation at term. This method significantly increases the likelihood of a vaginal delivery, reducing cesarean section rates.

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    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Medicine
    • Fetal Medicine

    Background:

    • Breech presentation at term is associated with increased perinatal risks.
    • External cephalic version (ECV) aims to convert breech to vertex presentation before labor.
    • Tocolysis is often used to facilitate ECV, but its impact on success rates requires further investigation.

    Purpose of the Study:

    • To investigate the success rate of external cephalic version (ECV) performed under tocolysis in term pregnancies.
    • To evaluate the rate of successful vaginal delivery following successful ECV.
    • To determine the cesarean section rate in patients who underwent successful ECV and achieved a vertex presentation at delivery.

    Main Methods:

    • Prospective study conducted at a single tertiary medical center.

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  • Inclusion of patients with breech presentation at term undergoing attempted ECV.
  • Randomization of a subset of patients to a control group (not detailed in abstract).

    • Main Results:

    • The overall success rate for external cephalic version under tocolysis was 73% (108 of 148 attempted procedures).
    • Of the successful versions, 93% (95 of 102) maintained a vertex presentation until labor onset.
    • The cesarean section rate among successful ECV cases with a vertex presentation at delivery was 24% (23 of 95).

    Conclusions:

    • External cephalic version performed under tocolysis is an effective procedure for correcting breech presentations at term.
    • Successful ECV significantly increases the proportion of patients who can achieve a vaginal delivery.
    • The cesarean section rate in this cohort suggests ECV is a viable option for reducing operative delivery in term breech presentations.