External Cephalic Version in Cases of Imminent Delivery at Preterm Gestational Ages: A Prospective Series

Hill, Meghan G.; Reed, Kathryn L.

doi:10.1055/s-0039-3401800

Cited by 2 publications

(3 citation statements)

References 37 publications

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“…Attempted ECV may be also associated with an increased risk of a low APGAR score at 5 min [6]. According to the literature, the absolute risk of all complications of ECV is approximately 1% in fetuses at term [14]. We noticed in our study that the registered complications were minimal and insignificant compared to the high rate of successful ECV, followed by a high rate of vaginal deliveries.…”

Section: Discussionsupporting

confidence: 49%

“…The maternal risks of CS compared to vaginal delivery are well known. These include greater blood loss, thrombotic events, unplanned hysterectomy, operative damage to other organs, mortality, longer hospital stay with higher costs, and more readmissions than patients undergoing vaginal delivery [14]. Additional maternal complications of CS include scarring, chronic pain, and intestinal obstruction caused by adhesive disease.…”

Section: Introductionmentioning

confidence: 99%

“…Additional maternal complications of CS include scarring, chronic pain, and intestinal obstruction caused by adhesive disease. Moreover, in the following pregnancies, a previous cesarean delivery may cause a higher rate of placental abnormalities, unexplained stillbirth, as well as repeated surgical delivery in many cases [14]. However, vaginal delivery could also have maternal complications compared to CS, such as postpartum urinary incontinence and pelvic organ prolapse [15].…”

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: Discussionsupporting

confidence: 49%

Section: Introductionmentioning

confidence: 99%

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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How the Mode of Delivery Is Influenced by Patient’s Opinions and Risk-Informed Consent in Women with a History of Caesarean Section? Is Vaginal Delivery a Real Option after Caesarean Section?

Cobec,

Rempen,

Anastasiu-Popov

et al. 2024

JCM

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Background/Objectives: In recent years, there has been a noticeable increase in the rates of caesarean section (CS), being one of the most commonly performed surgical procedures. For the following pregnancy, the previous CS represents the backbone of the risks and complications, such as uterine scar formation, uterine rupture, massive bleeding, and serious negative outcomes for both the mother and child. Our study followed patients with a history of CS from the birth planning prenatal check-up to delivery. Methods: We reviewed the records of 125 pregnant women with previous CS who presented in the third trimester for a prenatal check-up and completed our questionnaire from March 2021 to April 2022 in the Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schwäbisch Hall, Germany. Results: Before the prenatal check-up, 74 patients (59.2%) preferred vaginal delivery (VD), while 51 (40.8%) preferred CS. After discussing birth planning with the obstetrician, 72 women (57.6%) decided upon VD, while 53 (42.4%) preferred CS. Ultimately, 78 (62.4%) of women gave birth through CS (either planned or by medical necessity) and 47 (37.6%) gave birth vaginally (either natural or per vacuum extraction). Conclusions: VD for patients with CS in their medical history is a real option. The patient must be well informed about the risks and benefits of the medical situation and should be empowered and supported on their chosen mode of delivery, which should be respected.

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External Cephalic Version in Cases of Imminent Delivery at Preterm Gestational Ages: A Prospective Series

Cited by 2 publications

References 37 publications

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

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

How the Mode of Delivery Is Influenced by Patient’s Opinions and Risk-Informed Consent in Women with a History of Caesarean Section? Is Vaginal Delivery a Real Option after Caesarean Section?

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