RT Book, Section
A1 Levy, Lior
A2 Hess, Philip E.
A2 Li, Yunping
A2 Kowalczyk, John J.
A2 Stiles, Justin K.
SR Print(0)
ID 1199674178
T1 External Cephalic Version
T2 Obstetric Anesthesia: Quick References & Practical Guides
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264671465
LK obgyn.mhmedical.com/content.aspx?aid=1199674178
RD 2024/04/19
AB Approximately  3%  to  4%  of  term  fetuses  present  breech.  Vaginal  breech  delivery  is  associated  with  excess  risk  of  neonatal  near  miss  and  perinatal  morbidity  and  mortality,  compared  with  vaginal  cephalic  delivery.  External  cephalic  version  (ECV)  is  the  manual  rotation  of  the  fetus’  head  to  a  cephalic  presentation  to  achieve  cephalic  vaginal  delivery  and  decrease  cesarean  delivery  (CD)  rates.  ECV  is  successful  about  58%  of  the  time  (40%  for  nulliparous  and  64%  for  multiparous).  A  successful  version  decreases  the  risk  of  CD  by  about  40%  in  this  patient  population.  Table  52-1  lists  factors  that  influence  success  of  ECV.