Successful external cephalic version in a massively obese patient

Area of Science:

• Maternal-Fetal Medicine
• Obstetrics
• Medical Imaging

Background:

• Massively obese gravidas present unique challenges in managing fetal malpresentation.
• Transverse fetal lie at term increases the risk of cesarean delivery.
• External cephalic version (ECV) is a procedure to externally reposition a fetus.

Observation:

• A term pregnancy with a massively obese patient (199 kg) presented with a fetus in transverse lie.
• Ultrasound guidance was utilized during the external cephalic version procedure.

Findings:

• Successful external cephalic version was achieved in this massively obese patient.
• The procedure resulted in a subsequent vertex vaginal delivery.
• External cephalic version is a feasible intervention for transverse fetal lie in massively obese patients.

Implications:

• External cephalic version can be a safe and effective alternative to cesarean section in massively obese women.
• This technique may reduce operative delivery rates and associated maternal risks.
• Sonographic guidance enhances the safety and efficacy of ECV in complex obstetric cases.