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Related Experiment Videos

Efficacy of external cephalic version: a review

J Zhang1, W A Bowes, J A Fortney

  • 1Department of Epidemiology, University of North Carolina, Chapel Hill.

Obstetrics and Gynecology
|August 1, 1993
PubMed
Summary

External cephalic version (ECV) is a safe and cost-effective procedure that significantly reduces cesarean delivery rates for breech presentations. While ECV lowers risks associated with breech birth, it won't drastically alter the overall cesarean birth rate.

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Area of Science:

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

Background:

  • Breech presentation complicates a significant number of pregnancies.
  • Cesarean delivery is the standard intervention for breech presentation, contributing to high cesarean rates.
  • External cephalic version (ECV) offers a non-surgical alternative to convert breech to cephalic presentation.

Purpose of the Study:

  • To evaluate the efficacy and safety of external cephalic version (ECV).
  • To conduct a cost-benefit analysis of ECV.
  • To determine the impact of ECV on cesarean delivery rates.

Main Methods:

  • Comprehensive MEDLINE search (1980-1991) for English-language articles on ECV.
  • Inclusion of studies with detailed data on subject numbers.

Related Experiment Videos

  • Cross-referencing of bibliographies for additional relevant reports.

    • Main Results:

    • ECV success rate in US trials was approximately 65% (range 48-77%).
    • Post-version, fetuses largely remained in vertex position until birth.
    • Cesarean delivery rate was 37% for ECV group versus 83% for controls (P < .001).
    • ECV demonstrated a potential cost saving of 12.3% for breech deliveries.

    Conclusions:

    • External cephalic version is a safe and cost-effective intervention.
    • ECV substantially reduces cesarean delivery rates for breech presentations.
    • ECV decreases risks associated with breech delivery and subsequent cesarean births, but won't significantly impact overall cesarean rates.