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Related Experiment Videos

Experience with external cephalic version and selective vaginal breech delivery in private practice

H A Cook1

  • 1Department of Obstetrics and Gynecology, Saint Joseph's Hospital, Bellingham, Washington.

American Journal of Obstetrics and Gynecology
|June 1, 1993
PubMed
Summary

External cephalic version (ECV) and selective vaginal delivery protocols can reduce cesarean rates for breech presentation. This approach achieved a 48% vaginal delivery rate in a private practice setting.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatal Care

Background:

  • Breech presentation complicates vaginal delivery, often leading to cesarean delivery.
  • Minimizing cesarean deliveries is a key goal in modern obstetrics.

Purpose of the Study:

  • To evaluate a protocol aimed at decreasing cesarean delivery rates for breech presentation.
  • To assess the efficacy of external cephalic version (ECV) combined with selective vaginal delivery.

Main Methods:

  • External cephalic version (ECV) was offered to patients with breech presentation beyond 36 weeks' gestation.
  • Selected patients in active labor also underwent a trial of labor for vaginal breech delivery.

Main Results:

Related Experiment Videos

  • The success rate for ECV was 53%.
  • Among successful ECV cases, 28% still required cesarean delivery.
  • 80% of remaining eligible breech fetuses were delivered vaginally, resulting in an overall 48% vaginal delivery rate.

    • Conclusions:

    • A protocol combining ECV and selective vaginal breech delivery is feasible in private practice.
    • Implementing such protocols can lead to a reduction in cesarean section rates for breech presentations.