The introduction of external cephalic version at term into routine clinical practice

Bewley, Susan; Robson, Stephen C.; Smith, Megan; Glover, Angelica V.; Spencer, John

doi:10.1016/0028-2243(93)90233-3

Cited by 42 publications

(32 citation statements)

References 10 publications

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“…Eight studies reported episodes of fetal bradycardia ranging from 1% to 47% of cases, but these were transitory and fetal heart rate returned to normal within 5 min to 1 h following ECV 20–26,29 . Prolonged and variable decelerations in fetal heart rate that resulted in subsequent delivery were noted by two studies in 1.1% of cases with infants in both studies born in good condition 23,29 .…”

Section: Resultsmentioning

confidence: 96%

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Systematic review of adverse outcomes of external cephalic version and persisting breech presentation at term

Nassar

Roberts

Barratt

et al. 2006

Paediatric Perinatal Epid

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The aim of this study was to determine the frequency of adverse maternal and fetal outcomes of both external cephalic version (ECV) and persisting breech presentation at term. We conducted a systematic review of the literature using Medline, Embase and All Evidence Based Medicine (EBM) Reviews databases. Data were extracted from studies that compared women who had an ECV from 36 weeks' gestation with a similar control group of women enrolled at the same gestational age, eligible for, but who did not have an ECV. Eleven studies with a total of 2503 women were included. Adverse outcomes related to ECV were rarely reported and in most studies there was no evidence that relevant outcomes were ascertained among similar women who did not have an ECV. There was no increased risk of antepartum fetal death associated with ECV, but numbers were small. There were no reported cases of uterine rupture, placental abruption, prelabour rupture of membranes or cord prolapse, but these outcomes were not examined among controls. Onset of labour within 24 h and nuchal cord was non-significantly higher among women who had an ECV compared with those with a persisting breech. Despite limited reporting and small numbers, the results of our review suggest that adverse maternal and fetal outcomes of both ECV and persisting breech presentation are rare. Only with improved reporting and collection of safety data on ECV and persisting breech presentation can we provide high-quality information to assist informed decision making by pregnant women with a breech presentation at term.

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Section: Resultsmentioning

confidence: 96%

“…Table 1 describes the 11 studies included in our systematic review 5,20–29 . All studies used similar protocols for patient selection and the ECV procedure.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of adverse outcomes of external cephalic version and persisting breech presentation at term

Nassar

Roberts

Barratt

et al. 2006

Paediatric Perinatal Epid

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“…The overall success rate of ECV in studies published in the United Kingdom was 46% [12,13]. Among published studies in the Untied States it reached 65% [1] and 69.5% in a recent study [8].…”

Section: Discussionmentioning

confidence: 96%

External cephalic version for breech presentation at term: predictors of success, and impact on the rate of caesarean section

Hussin¹,

Mahmoud²,

Abdel-Fattah³

2013

East Mediterr Health J

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The incidence of caesarean section for breech presentation has increased markedly in the last 20 years. A prospective, interventional cohort study was carried out of the success rate of external cephalic version (ECV) and its predictors of as well as its impact on the rate of caesarean section for vaginal breech delivery. All 128 women admitted during the study period to the obstetrics department of a tertiary care military hospital in Taif, Saudi Arabia with breech presentation at term, regardless of age and parity, who accepted ECV were recruited. ECV was successful in 53.9% of the women. Most of the women with successful ECV delivered normally (84.1%) and only 14.5% of them delivered by caesarean section. Conversely, normal vaginal delivery was reported among 8.5% of those who had spontaneous version with failed ECV and approximately two-thirds of them delivered by caesarean section (62.7%). Successful ECV reduced the breech and caesarean section rate.

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“…In Australia, Raynes-Greenow et al [6] investigated pregnant women's preferences and knowledge of term breech management; 39% of the women responded that they would or would not choose ECV, and the 22% were uncertain. A study in the UK by Bewley et al [7] reported a 50% ECV rate among term breech presentations. Yogev et al [8] performed a similar study in Israel.…”

Section: Introductionmentioning

confidence: 99%

Patient’s willingness to opt for external cephalic version

Vlemmix¹,

Kuitert²,

Bais³

et al. 2013

Journal of Psychosomatic Obstetrics & Gynecology

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We conclude that expected pain during treatment and the success rate are the most important factors influencing the willingness to undergo ECV. Taking this information into account when counseling for ECV and reassuring women that unbearable pain is always a reason to stop ECV, and that the vast majority of women reported that the experienced pain is bearable, might improve the uptake of ECV and decrease the number of CS due to breech presentation.

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The introduction of external cephalic version at term into routine clinical practice

Cited by 42 publications

References 10 publications

Systematic review of adverse outcomes of external cephalic version and persisting breech presentation at term

Systematic review of adverse outcomes of external cephalic version and persisting breech presentation at term

External cephalic version for breech presentation at term: predictors of success, and impact on the rate of caesarean section

Patient’s willingness to opt for external cephalic version

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