Probability of cesarean delivery after successful external cephalic version

Burgos, Jorge; Iglesias, María Jesús; Pijoán, José Ignacio; Rodríguez, Laura Tesouro; Fernández-Llebrez, Luis; Martínez-Astorquiza, Txantón

doi:10.1016/j.ijgo.2015.04.050

Cited by 16 publications

(12 citation statements)

References 11 publications

(16 reference statements)

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“…Following a successful and uncomplicated ECV trial, the mean cesarean section rate ranged from 14.7% to as high as 21% [3839]. Although the pregnancy progresses beyond 40 weeks in women who undergo successful ECV, these women are known to require labor induction with a higher rate of cesarean section [40], mainly necessitated by labor dystocia (OR, 2.2; 95% CI, 1.6–3.0) and fetal distress (OR, 2.2; 95% CI, 1.6–2.9) [39].…”

Section: Cesarean Section After Successful External Cephalic Versionmentioning

confidence: 99%

Reviving external cephalic version: a review of its efficacy, safety, and technical aspects

Kim

2019

Obstet Gynecol Sci

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Currently, the rate of cesarean sections being performed in Korea is approximately 40%, with Korea ranking 4th among the Organization for Economic Co-operation and Development countries with respect to cesarean deliveries. Breech presentation at term is an important indication for cesarean section among other factors, including medicolegal concerns and pregnancies in women of advanced maternal age. Term breech presentation is associated with a higher fetal mortality rate than that associated with a cephalic presentation. Therefore, in Korea, most of these women deliver by cesarean section to avoid the complications of vaginal breech delivery. However, cesarean section is itself associated with considerable obstetric morbidity and sometimes, mortality. External cephalic version (ECV) is a useful method to reduce the cesarean section rate in women with breech presentation and therefore to reduce the incidence of breech presentation at delivery. Studies have shown that routine use of ECV reduces the cesarean section rate by approximately two-thirds in term pregnancies with breech presentation. ECV is accepted as a safe, efficacious, and cost-effective method and is recommended by both the American College of Obstetricians and Gynecologists and the Royal College of Obstetricians and Gynecologists in all pregnancies with term breech presentation, if not contraindicated. In Korea, although most clinicians are aware of the option of ECV, their relative lack of experience in performing the procedure and fear of complications render them hesitant to perform ECV. This review is aimed at guiding obstetricians by describing the efficacy, safety concerns, and technical aspects of this procedure.

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Section: Cesarean Section After Successful External Cephalic Versionmentioning

confidence: 99%

Reviving external cephalic version: a review of its efficacy, safety, and technical aspects

Kim

2019

Obstet Gynecol Sci

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“…An increased BMI has been also related to a lower ECV success rate 23 and with other obstetric complications such as cesarean section. 24 Chaudhary et al have reported a decreased success rate for ECV as BMI increased (p<.01). 23 Burgos et al have highlighted that in patients who underwent ECV, the higher pregnant women's degree of obesity, the higher their risk of cesarean section (p<0.006).…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index Trends in Women Who Undergo External Cephalic Version in a Tertiary Hospital in Spain

Sánchez-Romero¹

2021

Gyne and Obste Open A Open J

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The global epidemic of obesity also affects pregnant women. External cephalic version is a procedure for achieving a cephalic presentation. Obesity has been associated with lower rates of ECV success. The main objective of this article is to analyze the trends in BMI in pregnant women who underwent ECV. A descriptive retrospective analysis of ECV performed in Hospital Clinico Universitario Virgen de la Arrixaca in Murcia (Spain) between 1st of January of 2014 and 31st of December 2018 has been carried out. 417 patients were recruited. The mean maternal BMI was 25.5 kg/m2 at 36 week’s gestation. If BMI is categorized, 2.6% (N=11) of the patients had a BMI below 18.5 kg/m2, 51.1% (N=213) had a BMI between 18.5-24.9 kg/m2, 30.9% (N=129) of the patients had a BMI between 25-29.9 kg/m2 and 14.0% (N=64) had a BMI above 30 kg/ m2. Mean maternal BMI had statistically significant changes between 2014 and 2018 (p<0.001). Maternal BMI has increased over the years in patients who undergo ECV. In patients who undergo ECV, maternal BMI should be related to socio-economic inequalities and social behavior in future researches. It should be also associated with maternal BMI of pregnant women who undergo ECV with ECV success rate and with the type of delivery of those pregnancies. Keywords: External Cephalic Version; Body Mass Index; Pregnant; Obstetrics; Obesity; Overweight. Abbreviations ECV: External Cephalic Version; BMI: Body Mass Index.

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“…s 3,1 poskusa ZO enemu carskemu rezu. Zmanjšanje števila carskih rezov kaže reProDukcIJa človeka večina raziskav s tega področja (31)(32)(33)(34). Potrdila ga je zadnja Cochraneova raziskava Hofmeyrja in sodelavcev (12).…”

Section: Razpravljanjeunclassified

Zunanji obrat ploda na glavico v Porodnišnici Izola

Lovšin¹,

Mrkajić²,

Zver-Skomina³

et al. 2017

SlovMedJour

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IzvlečekIzhodišča: Večino plodov v medenični vstavi ob predvidenem datumu poroda porodimo s carskim rezom. Strokovne smernice ob zagotovitvi določenih pogojev priporočajo poskus zunanjega obrata ploda v glavično vstavo in s tem zmanjšanje deleža carskih rezov. Želeli smo analizirati dejavnike uspešnosti zunanjega obrata in preveriti hipotezo, da se z izvajanjem zunanjega obrata izognemo znatnejšemu številu carskih rezov.Metode: V raziskavo smo vključili vse poskuse zunanjega obrata ploda na glavico pri enoplodni nosečnosti po dopolnjenem 36. tednu nosečnosti na Ginekološko-porodniškem oddelku Splošne bolnišnice Izola od leta 2002 do 2010.Rezultati: Od 143 poskusov zunanjega obrata je bil ta uspešen pri 68 nosečnicah ali v 47,6 %. Na uspešnost posega so najbolj vplivali večja količina plodovnice, visok položaj vodilnega plodovega dela v medenici ter prečna ali poševna lega ploda. S 100 poskusi zunanjih obratov se izognemo 32 carskim rezom oziroma enemu carskemu rezu s 3,1 poskusa.Zaključki: Raziskava je potrdila, da z zunanjim obratom na glavico lahko zmanjšamo število carskih rezov zaradi medenične vstave. Uspešnost posega je bila primerljiva z drugimi raziskavami kljub manjši uporabi zdravil. AbstractBackground: Almost all babies in breech presentation at term are delivered by caesarean section. Professional guidelines recommend an attempt of external cephalic version to reduce breech presentations at birth and thus the proportion of caesareans. Our aim was to analyse the clinical and ultrasound factors to predict the outcome of version and check the hypothesis, if the implementation of the external cephalic version helps to reduce the number of caesareans.

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Probability of cesarean delivery after successful external cephalic version

Abstract: Following ECV, induction of labor, an interval of less than 2 weeks to delivery, BMI, and previous cesarean were associated with an increased risk of cesarean.

Cited by 16 publications

References 11 publications

Reviving external cephalic version: a review of its efficacy, safety, and technical aspects

Reviving external cephalic version: a review of its efficacy, safety, and technical aspects

Body Mass Index Trends in Women Who Undergo External Cephalic Version in a Tertiary Hospital in Spain

Zunanji obrat ploda na glavico v Porodnišnici Izola

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