This has resulted in resurgence of external cephalic version
as an effective maneuver, which can result in significant reduction in cesarean section rate.
External cephalic version
before labor is one such established method; however, it usually does not result in cephalic birth.
Key Words: Breech Pregnancy, External Cephalic version
, Fetomaternal complication, Caesarian section.
Management options may vary from institution to institution, however, because of limited availability of certain services--such as the expertise required for a trial of external cephalic version
, the availability of on-site cesarean delivery capabilities, and patient and clinician preferences.
MONTREAL -- Early external cephalic version
increases the likelihood of cephalic presentation at birth, but does not result in fewer cesarean sections compared with later cephalic version
, based on the results of an international, multicenter, randomized controlled trial.
Combined spinal-epidural analgesia did not significantly improve the rate of successful external cephalic version
, compared with systemic opioid analgesia for breech presentation, but it did improve maternal pain and satisfaction, Dr.
Chances are slim that a morbidly obese woman with a breech presentation will have a vaginal delivery, even if external cephalic version
is successful, investigators reported at the annual meeting of the Society of Obstetricians and Gynaecologists of Canada.
PARIS -- Estimated fetal weight is directly related to the success of external cephalic version
UCSF policy is to offer two attempts at external cephalic version
to women with singletons in breech presentation with an estimated fetal weight of 3,850 g or less on ultrasound, excluding women with major fetal anomalies, intrauterine fetal demise, or preexisting maternal morbidity.
SAN FRANCISCO -- A higher amniotic fluid index was associated with a greater rate of successful external cephalic version
of a breech fetus in a prospective, observational study of 1,361 patients.
There are also important guidelines to keep in mind when doing an external, cephalic version
to prevent breech delivery, he said at the meeting.
Physicians who attempt external cephalic version
of a breech fetus at 34-36 weeks' gestation may have slightly more success than those who attempt it at 37-38 weeks, according to the results of the Early External Cephalic Version