Contraindications for external cephalic version in breech position at term: A systematic review

Facteurs prédictifs de réussite d’une version par manœuvre externe : étude bicentrique

“…Rosman [17] en 2012 rappelle les différentes contreindications de la VME se basant sur les recommandations internationales concernant la version notamment celles de l'ACOG [18] ou du Royal College of Obstetricians and Gynaecologists (RCOG) [10]. Elle précise que les principales contre-indications les plus souvent mentionnées telles que l'utérus unicicatriciel, le retard de croissance intra-utérin, la macrosomie ou l'hydramnios ne peuvent être retenues comme contre-indications effectives.…”

Management of Fetal Malpresentation

“…27 In summary, most contraindications mentioned in national guidelines are based on expert opinion without clear data and should be considered ''relative'' contraindications. Indeed, the majority of women with breech presentation at term are candidates for ECV.…”

“…Many are based on no evidence or poor-quality evidence while others, such as anterior placenta and oligohydramnios are cited because they are predictive of unsuccessful ECV but have not been shown to increase the risk of complications. 27 The most frequently mentioned contraindications include oligohydramnios, fetal growth restriction, abnormal fetal heart tracing, uterine anomaly, ruptured membranes, hypertension of pregnancy, and antepartum bleeding.…”

“…27 Five of these 6 contraindications could be rejected based on the reviewed evidence and one had low level of evidence (ECV in the setting of premature rupture of membranes has only been evaluated in case reports).…”

Too late to back out? Options for breech presentation management

“…Insufficient amniotic fluid, fetal macrosomia or intrauterine restricted fetal growth, and enlargement of umbilical cord, are contraindications for ECV 1 29. However, it is doubtful that contraindications to ECV yield all the cases of elective CD performed without a prior ECV attempt 28…”