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Related Experiment Videos

External cephalic version at term with tocolysis and vibroacoustic stimulation

V Annapoorna1, S Arulkumaran, C Anandakumar

  • 1Department of Obstetrics and Gynaecology, National University Hospital, Singapore.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|November 14, 1997
PubMed
Summary

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External cephalic version (ECV) after 36 weeks gestation significantly reduces cesarean section rates for breech presentation. This procedure offers a safer alternative to non-intervention for breech babies.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation after 36 weeks gestation poses delivery challenges.
  • External cephalic version (ECV) is an intervention to change fetal presentation.

Purpose of the Study:

  • To compare obstetric outcomes in women undergoing ECV for breech presentation versus those not attempting ECV.
  • To determine if ECV reduces breech deliveries and cesarean section rates.

Main Methods:

  • A study group of 200 women underwent ECV with tocolysis and vibroacoustic stimulation.
  • A control group of 278 women with breech presentation did not attempt ECV.

Main Results:

  • Successful ECV resulted in a 14.0% cesarean section rate.
  • The overall cesarean section rate in the study group was 32.5%.

Related Experiment Videos

  • The control group had a 51.4% cesarean section rate, similar to the unsuccessful ECV group (55.2%).

    • Conclusions:

    • ECV after 36 weeks gestation significantly lowers breech deliveries and cesarean section rates.
    • The study findings support earlier randomized trials on the efficacy of ECV.