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[External version from breech to vertex presentation (author's transl)].

V Lehmann, C Rodt, T Criegern

    Zeitschrift Fur Geburtshilfe Und Perinatologie
    |December 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    External cephalic version (ECV) has a 53% success rate, with higher success in later pregnancies and posterior placentas. Complications like emergency cesarean sections and fetomaternal transfusion occur, making ECV not recommended.

    Area of Science:

    • Obstetrics
    • Maternal-Fetal Medicine

    Context:

    • External cephalic version (ECV) is a procedure to manually turn a fetus from a breech to a vertex presentation before labor.
    • The study analyzed 51 ECV attempts to evaluate success rates, influencing factors, and associated complications.

    Purpose:

    • To assess the efficacy and safety of external cephalic version (ECV) for breech presentation.
    • To identify factors influencing ECV success and complications.

    Summary:

    • The study found a 53% success rate for ECV, with higher success in multiparous women and posterior placenta location. Gestational age over 38 weeks and parity influenced outcomes.
    • Complications included emergency cesarean sections (6%) and fetomaternal transfusion (30%), with erythrocyte transfer linked to manipulation force and placental position.
    • Newborn outcomes (Apgar, pH) showed no significant differences between successful and failed ECV groups.

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    Impact:

    • The findings suggest that external cephalic version (ECV) is associated with significant complication risks and a moderate success rate.
    • Given the high failure and complication rates, ECV from breech to vertex presentation is not recommended.