Related Experiment Videos
[External fetal version from breech presentation to cephalic presentation: modifying factors, reliability and risks]
Zentralblatt Fur Gynakologie
|April 9, 1998
Summary
External cephalic version (ECV) successfully converts breech presentations in 38.4% of pregnancies. While generally safe, ECV requires careful monitoring due to potential complications, including emergency cesarean.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Fetal Presentation Management
Context:
- Breech presentation complicates a significant number of singleton pregnancies.
- External cephalic version (ECV) is a non-invasive procedure to manually turn the fetus.
- Understanding ECV success rates and safety is crucial for obstetric practice.
Purpose:
- To evaluate the success rate of external cephalic version (ECV).
- To identify factors influencing ECV success.
- To assess the safety and complications associated with ECV in singleton pregnancies.
Summary:
- External cephalic version (ECV) was performed in 524 singleton pregnancies with a success rate of 38.4%.
- Parity, amniotic fluid volume, and maternal weight were key factors influencing success.
- ECV was not associated with increased risks of premature rupture of membranes, umbilical cord issues, or neonatal transfer; a low rate of emergency cesarean (0.6%) occurred due to fetal bradycardia.
Impact:
- ECV is an appropriate method for converting breech to cephalic presentation.
- The procedure requires careful consideration of potential complications.
- Performing ECV under conditions allowing immediate cesarean section and close maternal follow-up is recommended.