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External cephalic version

L S Clay¹, K Criss, U C Jackson

¹Nurse Midwifery Program, University of Medicine and Dentistry of New Jersey.

Journal of Nurse-Midwifery

|March 1, 1993

Summary

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External cephalic version (ECV) is a safe and effective method to reduce cesarean births by correcting breech presentations. This procedure can be successful in term pregnancies with adequate amniotic fluid and fetal well-being.

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine

Background:

Breech presentations complicate approximately 3-5% of term singleton pregnancies.
Rising cesarean section rates in recent decades necessitate strategies to reduce operative deliveries.

Purpose of the Study:

To evaluate the role of external cephalic version (ECV) in managing term breech presentations.
To assess the impact of ECV on reducing cesarean section rates.

Main Methods:

External cephalic version involves manipulating the fetus from a breech to a cephalic presentation.
The procedure is typically performed in term pregnancies with singleton gestations, adequate amniotic fluid, and reactive nonstress tests.

Main Results:

External cephalic version is a safe and effective intervention for selected breech presentations.

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Factors such as parity, fetal position, placental location, and presenting part descent can influence version success.

Conclusions:

External cephalic version can significantly impact the overall cesarean section rate by addressing fetal malpresentation.
Appropriate patient selection and procedural technique are crucial for successful external cephalic version outcomes.