[External version of the foetus from breech presentation in patients in condition following abdominal caesarean...

Since 1974 we have performed more than 500 external versions of the fetus from breech to vertex presentation under tocolysis near to term. Among these were 20 patients who had previously had a caesarean section; in 15 cases the version was successful and in 5 cases unsuccessful. There were only 4 cases of short-lasting bradycardia or slight longer-lasting tachycardia in the cardiotocograms. Twice complications occurred (once vaginal bleeding and once umbilical cord presentation) which did not lead to serious consequences. After successful versions made on 15 patients, 10 patients could be delivered vaginally and 5 were delivered by caesarean section. Based on our first results we are of the opinion that a previous caesarean section is not an absolute contraindication for performing an external version.