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Related Experiment Videos

Efficacy of external cephalic version performed at term

S Norchi1, A C Tenore, M Lovotti

  • 1Divisione di Ostetricia e Ginecologia, Ospedale Valduce, Como, Italy.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|March 3, 1998
PubMed
Summary

External cephalic version (ECV) is effective for turning breech babies at term, leading to successful vaginal delivery in most cases. This procedure is safe for both mother and fetus, with no observed complications.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Fetal Medicine

Background:

  • Breech presentation at term complicates delivery.
  • External cephalic version (ECV) is a procedure to non-invasively turn a fetus from breech to cephalic presentation.
  • Evaluating ECV's safety and efficacy in term gestations is crucial for obstetric practice.

Purpose of the Study:

  • To assess the success rate of external cephalic version (ECV) in term pregnancies.
  • To determine the complication rate associated with ECV in term breech presentations.
  • To evaluate the impact of ECV on delivery mode and perinatal outcomes.

Main Methods:

  • A case series design was employed, analyzing data from 160 patients.
  • The study included women with singleton breech presentation at 37 or more weeks of gestation.

Related Experiment Videos

  • External cephalic version (ECV) was performed with prophylactic tocolysis.

    • Main Results:

    • Overall ECV success rate was 67% (107/160), with higher success in multiparous (86%) than nulliparous (56%) women.
    • Approximately 90% of successful ECV cases resulted in vaginal delivery with a vertex fetus.
    • No emergency Cesarean sections for fetal distress were required, and no perinatal mortality or low Apgar scores were observed.

    Conclusions:

    • External cephalic version (ECV) is an effective and safe procedure for term pregnancies with breech presentation.
    • ECV facilitates vaginal delivery and is associated with favorable perinatal outcomes.
    • The procedure should be conducted at term under close fetal monitoring in a setting equipped for emergency Cesarean delivery.