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Related Experiment Videos

External cephalic version after previous cesarean section--a clinical dilemma

M Schachter1, S Kogan, I Blickstein

  • 1Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|April 1, 1994
PubMed
Summary

External cephalic version (ECV) is successful for breech presentation in women with prior cesarean delivery. This procedure showed no uterine scar complications, suggesting safety for future research.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Innovation

Background:

  • External cephalic version (ECV) is a procedure to turn a fetus from breech to vertex presentation.
  • Women with a history of cesarean delivery (CD) present unique considerations for ECV.
  • Limited data exists on ECV safety and efficacy in the prior CD population.

Purpose of the Study:

  • To evaluate the experience with ECV in women with a previous CD.
  • To assess the success rate of ECV in converting breech to vertex presentation.
  • To determine the safety of ECV regarding uterine scar integrity.

Main Methods:

  • Eleven women with prior CD underwent ECV after 36 weeks gestation.
  • Ritodrine was used for tocolysis.

Related Experiment Videos

  • Exclusion criteria included low-lying placenta, severe oligohydramnios, or ruptured membranes.
  • Patients were followed to delivery, with scar examination post-delivery.

    • Main Results:

    • All 11 attempted ECVs were successful in converting breech to vertex presentation.
    • Six women achieved vaginal delivery; five required repeat cesarean delivery.
    • No instances of uterine scar dehiscence were observed in any patient.
    • Infant birth weight varied, with higher weights in the cesarean delivery group.

    Conclusions:

    • ECV is a successful procedure for breech presentation in carefully selected women with prior CD.
    • The procedure demonstrated a favorable safety profile, with no uterine scar complications.
    • Further investigation is warranted to confirm the safety and efficacy of ECV in this patient group.