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Related Experiment Videos

Repeat external cephalic version. Is it worth the effort?

S J Kilpatrick1, K L Safford

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco 94143, USA.

The Journal of Reproductive Medicine
|November 1, 1995
PubMed
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Repeat external cephalic version after an initial failed attempt can decrease cesarean section rates and hospital costs. This procedure should be considered for nonvertex presentations in term pregnancies.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • External cephalic version (ECV) is a procedure to turn a fetus from a nonvertex to a vertex presentation.
  • Initial ECV attempts may fail, leading to decisions about subsequent management.

Purpose of the Study:

  • To evaluate the effectiveness of repeat external cephalic version (ECV) after an initial failed attempt.
  • To determine if repeat ECV reduces cesarean section rates and associated hospital costs.

Main Methods:

  • A retrospective review of women who underwent repeat ECV after a failed initial attempt.
  • Data collected included version success, delivery mode, hospital stay, and costs.

Main Results:

  • 17% of repeat ECV attempts were successful, all resulting in vaginal delivery.

Related Experiment Videos

  • Vaginal delivery occurred in 21% of failed repeat ECV cases (P < .0002).
  • Successful repeat ECV was associated with shorter hospital stays and lower mean hospital costs ($5,059 vs. $8,042).

    • Conclusions:

    • Repeat ECV is associated with a reduced cesarean section rate.
    • Repeat ECV can lead to significant cost savings.
    • Consider repeat ECV for managing nonvertex term presentations.