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Related Experiment Videos

External cephalic version at term--using tocolysis

E Shalev1, S Battino, Y Giladi

  • 1Department of Obstetrics and Gynecology, Central Emek Hospital, Afula, Israel.

Acta Obstetricia Et Gynecologica Scandinavica
|August 1, 1993
PubMed
Summary
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External cephalic version (ECV) is a procedure to turn a fetus to a head-down position. Success depends on sufficient amniotic fluid volume and optimal fetal weight, offering a reasonable alternative for breech presentations near term.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Non-vertex fetal presentation near term poses delivery challenges.
  • External cephalic version (ECV) is an intervention to correct fetal presentation.
  • Identifying factors for successful ECV is crucial for clinical management.

Purpose of the Study:

  • To identify factors associated with successful external cephalic version (ECV) in patients with non-vertex presentation at 37-40 weeks' gestation.
  • To evaluate the success rates of ECV and subsequent delivery outcomes.

Main Methods:

  • Retrospective analysis of 55 patients with non-vertex presentation.
  • Evaluation of maternal parity, obesity, amniotic fluid volume, placental location, type of breech, and fetal spine position.
  • Assessment of ECV success rates and delivery modes.

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Main Results:

  • Amniotic fluid volume and fetal weight were significantly associated with successful ECV (p < 0.05).
  • Overall ECV success rate was 73% (40/55).
  • Vertex presentation at delivery occurred in 65% (36/55), with 58% (32/55) achieving vaginal delivery.
  • ECV was successful in 6/8 patients with a prior cesarean section, with 2/6 achieving vaginal birth after cesarean.

Conclusions:

  • Sufficient amniotic fluid volume is a critical factor for successful external cephalic version.
  • ECV is a viable option for managing term breech presentations, particularly when amniotic fluid is adequate.
  • ECV may facilitate vaginal birth after cesarean in selected patients.