Association of Persistent Breech Presentation With External Cephalic Version Success

Lauterbach, Roy; Bachar, Gal; Ben-David, Chen; Matanes, Emad; Ginsberg, Yuval; Beloosesky, Ron; Ganem, Nadir; Weiner, Zeev; Zipori, Yaniv

doi:10.1097/aog.0000000000004231

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Emergency CD is a serious complication during or after the procedure of ECV [11] . The incidence of emergency CD in our present study was 6.25% (13/207), Compared and contrasted with other studies reported that the rate of emergency CD during ECV was 1.0 to 4.2% [12][13] . The most reasons was fetal distress during the the procedure of ECV [14] .…”

Section: Discussioncontrasting

confidence: 85%

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Duan,

Chen,

et al. 2023

Preprint

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Objective To determine the factors associated with the external cephalic version (ECV) and evaluate the success rate ECV of at term in China. Methods 207 consecutive patients who attempted ECV with a breech presentation at term were included from January 2017 to January 2023. Patients with a successful ECV were divided into the ECV success group. Patients who performed ECV but had a repeat breech presentation were divided into the ECV failure group. The factors for ECV success was carried out by multiple logistic regression analyses. Results The success rate of ECV was 68.6%(142/207) among 207 pregnancies with breech presentation at term. The reasons for failed ECV were not turning at all after four to five attempts(38/65, 58.5%), followed by fetal distress(7/65, 10.8%). Three predictive factors were identified and associated with a successful ECV: larger AFI, the use of tubutaline and lower HC/FL ratio. Conclusions This ECV prediction model based on a Chinese population to predict the success of ECV that is easy to use and incorporates a limited number of objective patient characteristics. The level of AFI, use of tubutaline, and ratio of HC/FL are independent determinants of the final presentation.

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Section: Discussioncontrasting

confidence: 85%

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Duan,

Chen,

et al. 2023

Preprint

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“…Dugoff and Birnbach's studies both showed that the surgery ECV with or without NA did not show a difference in success rate for conversion to cephalic presentation [14,15]. However, many researchers found that participants with NA had a higher success rate due to less maternal pain [16,17]. A few potential explanations for these differences between our results and those of findings are as follows.…”

Section: Discussioncontrasting

confidence: 56%

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Yang¹,

Lu²,

Liu³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background: To determine whether neuraxial anesthesia (NA) can improve the success rate of external cephalic version (ECV), and evaluate the clinical outcomes. Methods: This study included 201 consecutive participants who had a breech presentation at term and received ECV between 2014 and 2022. Participants who received ECV without NA were included in Group 1, while participants with NA were included in Group 2. Outcomes assessed were the success rate of ECV and clinical outcomes. Results: In total, 201 participants who had a breech presentation at term and received ECV met the inclusion criteria. Totally, 134 participants performed ECV without NA were included in Group 1, while 67 participants performed the ECV with NA were included in Group 2. The success rate of ECV among the participants was 66.2% (133/201). The rate of placental abruption during or after ECV and neonatal intensive care unit (NICU) admission in Group 2 was statistically significant higher than in the Group 1 (p < 0.05). Conclusions: This study suggested that the use of NA did not increase ECV success rates after 37 weeks of gestation. The recommendation of NA for the ECV may be not suitable for all pregnancies unless the participants request. A large and high-quality study should be conducted to verify the role of NA in ECV, if any.

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Factors influencing the effect of external cephalic version: a retrospective nationwide cohort analysis

Londero

Xholli

Massarotti

et al. 2022

Arch Gynecol Obstet

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Objective This study aims to assess the factors associated with the success and failure rate of the external cephalic version (ECV) in breech fetuses. Secondary outcomes were fetal presentation in labor and mode of delivery. Methods This cross-sectional study examined the live birth certificates from 2003 through 2020 from US states and territories that implemented the 2003 revision. A total of 149,671 singleton pregnancies with information about ECV success or failure were included. The outcome was ECV success/failure, while the exposures were possible factors associated with the outcome. Results The successful ECV procedures were 96,137 (64.23%). Among the successful ECV procedures, the prevalence of spontaneous vaginal delivery was 71.63%. Among the failed ECV procedures, 24.74% had a cephalic presentation at delivery, but 63.11% of these pregnancies were delivered by cesarean section. Nulliparity, female sex, low fetal weight centile, high pre-pregnancy BMI, high BMI at delivery, and high maternal weight gain during pregnancy were associated with an increased ECV failure (p < 0.001). African American, American Indian and Alaska Native race categories were significant protective factors against ECV failure (p < 0.001). Maternal age had a U-shape risk profile, whereas younger maternal age (< 25 years) and old maternal age (> 40 years) were significant protective factors against ECV failure (p < 0.001). Conclusions A high prevalence of successful ECV procedures and subsequent spontaneous vaginal delivery were found. The present results found nulliparity, maternal race, maternal age, female fetal sex, low fetal weight, and maternal anthropometric features correlated to ECV results. These findings can potentially improve the knowledge about the factors involved in ECV, allowing more informed counseling to the women undergoing this procedure.

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Association of Persistent Breech Presentation With External Cephalic Version Success

Cited by 4 publications

References 18 publications

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Factors influencing the effect of external cephalic version: a retrospective nationwide cohort analysis

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