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External cephalic version in breech presentation under tocolysis.

O Fall, B A Nilsson

Obstetrics and Gynecology

|June 1, 1979

Summary

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External cephalic version (ECV) successfully converted 70% of breech presentations. This prospective trial found ECV reduced breech presentation and cesarean section rates without serious complications.

Area of Science:

Obstetrics and Gynecology
Perinatal Medicine

Background:

Breech presentation complicates approximately 3-5% of term deliveries.
Cesarean section is often indicated for breech presentation, carrying associated risks.
External cephalic version (ECV) is a procedure to manually turn a fetus from breech to cephalic presentation.

Purpose of the Study:

To evaluate the benefits and risks of external cephalic version in singleton breech presentations.
To assess the impact of ECV on delivery mode and complication rates.

Main Methods:

A prospective trial involving 53 attempts at external cephalic version.
Description of the ECV technique employed.
Analysis of delivery outcomes for women with breech presentation, including those not in the study cohort.

Related Experiment Videos

Main Results:

External cephalic version achieved a success rate of 70% in converting breech presentations to cephalic.
The study period observed a reduction in both the incidence of breech presentation and cesarean sections.
No serious complications were reported in association with the external cephalic version attempts.

Conclusions:

External cephalic version is a safe and effective procedure for converting breech presentations.
Successful ECV can lead to a decrease in cesarean section rates for breech deliveries.
ECV offers a viable alternative to cesarean delivery for breech presentation.