Clinical analysis of 40 cases of external cephalic version without anesthesia

Zheng, Zhi; Lin, Xinhua

doi:10.1177/0300060520986699

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…ECV would be generally recommended after 37 weeks of gestation [9,16]. It is performed as an elective procedure in non-laboring women, aiming to improve the chance of vaginal cephalic birth.…”

Section: Discussionmentioning

confidence: 99%

“…In case of fetal breech position, the external cephalic version (ECV) could be an option for reducing the number of CSs and vaginal breech deliveries [9]. ECV is a technique used to convert the fetal breech presentation into a cephalic position with targeted manual pressure on the mother's abdominal wall at-term or near-term pregnancies in order to increase the chance of a vaginal cephalic birth [9,16,17]. ECV can be carried out with or without analgesics and with or without tocolytic therapy [18].…”

Section: Introductionmentioning

confidence: 99%

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External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

Cobec¹,

Varzaru²,

Kövendy³

et al. 2022

Medicina

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Background and Objectives: In recent years, the rate of caesarean section (CS) has increased constantly. Although vaginal breech delivery has a long history, breech presentation has become the third most common indication for CS. This study aims to identify factors associated with the success of external cephalic version (ECV), underline the success rate of ECV for breech presentation and highlight the high rate of vaginal delivery after successful ECV. Material and Methods: This retrospective observational study included 113 patients with singleton fetuses in breech presentation, who underwent ECV from January 2016 to March 2021 in the Clinic of Obstetrics and Gynecology, Diakonieklinikum Schwäbisch Hall, Germany. Maternal and fetal parameters and data related to procedure and delivery were collected. Possible predictors of successful ECV were evaluated. Results: The success rate of ECV was 54.9%. The overall rate of vaginal birth was 44.2%, regardless of ECV outcome. The vaginal birth rate after successful ECV was 80.6%. Overall, 79.0% of women with successful ECV delivered spontaneously without complications, 19.4% delivered through CS performed during labor by medical necessity, and 1.6% delivered through vacuum extraction. ECV was performed successfully in three of the four women with history of CS. Gravidity, parity, maternal age, gestational age, fetal weight, and amniotic fluid index (AFI) were significantly correlated with the outcome of ECV. Conclusions: ECV for breech presentation is a safe procedure with a good success rate, thus increasing the proportion of vaginal births. Maternal and fetal parameters can be used to estimate the chances of successful ECV.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

Cobec¹,

Varzaru²,

Kövendy³

et al. 2022

Medicina

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“…Meanwhile, some publications found a significant difference for pain levels from the surgery between the two groups, but the same success rate [10,11]. However, evidence about the efficacy of analgesia to improve the success of ECV is insufficient and lack of systematic empirical investigation at present, especially in China [12]. We have been performing ECV procedure since the last decade in our hospital, we aimed to determine whether ECV with or without NA affects the success rate of ECV and clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

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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External Cephalic Version

Bako,

Geidam,

Zaifada

et al. 2022

Journal of the Nigerian Academy of Medicine

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Background: External cephalic version (ECV) is the first-line treatment in the management of uncomplicated breech presentation at term. Objectives: The aim of this study was to determine the success rate, factors associated with success, and obstetric outcome of ECV for breech presentation at term. Materials and Methods: This was a longitudinal interventional study of patients with breech presentation at term who underwent ECV at the University of Maiduguri Teaching Hospital from January 1, 2017 to December 31, 2018. Data analysis was performed using IBM SPSS version 25.0 and a statistically significant association was determined using chi-square or Fisher exact test for categorical data as appropriate. Multinomial logistic regression was computed to find factors independently associated with ECV success. A value of P was set at <0.05. Result: The success rate of ECV was 78.5% (62/79). There were no differences in the mean age, parity, and gestational age at ECV between the successful and the unsuccessful groups with P = 0.19, 0.79, and 0.36, respectively. Multinomial logistic regression analysis showed that parous women, women who did not complain of pain during the procedure, women who weighed 80 kg or less, and women with an estimated fetal weight of <3.5 kg were significantly associated with successful ECV. There was an increased risk of postterm pregnancy and induction of labor among women with successful ECV. There were no maternal or fetal complications associated with the procedure. Conclusion: ECV is safe and associated with a high success rate. It should be offered routinely to all eligible women with breech at term.

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Clinical analysis of 40 cases of external cephalic version without anesthesia

Cited by 3 publications

References 15 publications

External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

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

External Cephalic Version

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