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Related Experiment Videos

Dysfunctional labor after external cephalic version

T Egge1, C Schauberger, A Schaper

  • 1Department of Obstetrics and Gynecology, Gundersen, Lutheran Medical Center, La Crosse, Wisconsin.

Obstetrics and Gynecology
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

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Successful external cephalic version for breech presentation does not increase cesarean delivery rates for failure to progress. This study found no significant difference in dysfunctional labor or operative delivery between version and control groups.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • External cephalic version (ECV) is a procedure to turn a breech fetus to a cephalic presentation before labor.
  • Concerns exist regarding potential adverse effects of ECV on labor progression and delivery outcomes.
  • Understanding the impact of successful ECV on labor is crucial for informed clinical decision-making.

Purpose of the Study:

  • To investigate whether successful external cephalic version for breech presentation is associated with an increased incidence of dysfunctional labor.
  • To determine if cesarean delivery rates for failure to progress are higher in women who have undergone a successful ECV compared to controls.

Main Methods:

  • A retrospective case-control study design was employed.

Related Experiment Videos

  • Seventy-six women with successful ECV for breech presentation were identified and their records reviewed.
  • A control group matched for delivery date, parity, and gestational age was used for comparison.

    • Main Results:

    • Cesarean delivery rates for failure to progress were identical (6%) in both the successful ECV group and the control group.
    • No significant difference was observed in the overall incidence of dysfunctional labor between the two groups.
    • Oxytocin augmentation for dysfunctional labor occurred in 29.6% of the ECV group versus 24.2% of the control group (P = .6530).

    Conclusions:

    • Successful external cephalic version for breech presentation does not lead to a significant increase in the rate of cesarean delivery due to failure to progress.
    • The procedure does not appear to negatively impact labor progression or increase the need for operative intervention for labor dysfunction.