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Related Experiment Videos

External cephalic version

A S Coco1, S D Silverman

  • 1Lancaster General Hospital, Pennsylvania, USA.

American Family Physician
|September 29, 1998
PubMed
Summary
This summary is machine-generated.

External cephalic version (ECV) safely converts breech to vertex presentation in about 65% of cases. This procedure offers a cost-effective alternative to cesarean birth for term breech fetuses.

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Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine

Background:

  • Breech presentation complicates vaginal delivery, often necessitating cesarean section.
  • External cephalic version (ECV) offers an alternative to invasive delivery methods.

Purpose of the Study:

  • To review the efficacy and safety of external cephalic version for converting breech to vertex presentation.
  • To highlight the benefits of ECV in modern obstetric practice.

Main Methods:

  • Non-surgical manipulation of the fetus from breech to vertex presentation.
  • Performed ideally at term (37 weeks gestation) to maximize success and minimize risks.

Main Results:

  • External cephalic version has a success rate of approximately 65%.

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  • The procedure has a strong safety record when performed in equipped facilities.
  • ECV can lead to significant cost savings in managing term breech fetuses.

    • Conclusions:

    • External cephalic version is a safe and effective procedure for term breech presentations.
    • It should be considered a routine part of obstetric practice due to its benefits and ease of acquisition for physicians.