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External cephalic version at term

J T Goh1, C M Johnson, M G Gregora

  • 1Department of Obstetrics and Gynaecology, Nambour Hospital, Queensland.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1993
PubMed
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External cephalic version (ECV) for term breech presentation significantly reduces Cesarean section rates. This procedure offers a successful alternative for women nearing delivery.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation at term is a common obstetric complication.
  • Vaginal delivery of breech presentation is associated with increased risks.
  • External cephalic version (ECV) is a procedure to turn the fetus from breech to cephalic presentation.

Purpose of the Study:

  • To evaluate the effectiveness of external cephalic version (ECV) in term breech presentation.
  • To compare Cesarean section rates between women who attempted ECV and those who did not.

Main Methods:

  • Retrospective review of case notes for women with singleton term breech presentation.
  • Analysis of ECV success rates and subsequent delivery modes.
  • Comparison of Cesarean section rates between groups.

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Main Results:

  • External cephalic version (ECV) was attempted in 32 of 72 women.
  • The success rate for ECV was 53% (17 women).
  • Cesarean section rates were significantly lower in the group that attempted ECV.

Conclusions:

  • External cephalic version (ECV) is an effective procedure for term breech presentation.
  • Attempting ECV can lead to a reduction in Cesarean delivery rates.