A pre-procedure ultrasound was done for assessment of fetal parameters, following which gentle attempt of external cephalic version
(ECV) was made.
In small set-ups such as a small secondary care hospital decision towards choosing Caesarean Section (CS) over vaginal births are due to several limiting factors such as failure in providing one-to-one support during labour lack of foetal monitoring techniques limited number of external cephalic versions
and history of previous CS.
An exploratory study of women's experiences and key stakeholders views of moxibustion for cephalic version
in breech presentation.
Pugh had sought medical care during her pregnancy, doctors would have discovered that the baby was breech, or bottom-first, and would have scheduled an external cephalic version
- turning the baby before labor - or a Caesarean section.
Early external cephalic version
for breech presentation (at 34 to 36 weeks gestation instead of after 37 weeks) appears to decrease the rate of noncephalic presentation at birth, as well as cesarean sections, without increasing maternal or fetal morbidity or mortality.
17) found that an external cephalic version
performed near term increased the concentration of cell-free fetal DNA in the maternal plasma.
What Are Her Options in Regard to External Cephalic Version
Many of today's obstetricians seem to be much less apt than their forebears to attempt an external cephalic version
(ECV, or turning around a breech presentation) in order to do a normal delivery.
In February 2016, ACOG issued a revised Practice Bulletin (#161) on external cephalic version
outlining clinical considerations and recommendations and providing an algorithm for patient management.
2,7) This could be attributed to fact that more external cephalic version
(ECV) for transverse/oblique lie was practiced.
Offering External cephalic version
(ECV) to patients with breech presentation at 37 weeks of gestation who fulfil the criteria to deliver vaginally is another way to decrease the CS performed for malpresentation.
Objective: To find out whether initiating external cephalic version
(ECV) earlier in pregnancy increase the rate of successful ECV procedures, and be more effective in decreasing the non cephalic presentations at birth and also cesarean section rate.
MAIN OUTCOME VARIABLES: A successful conversion for the intervention group was scored when the baby spontaneously converted to the vertex position before delivery or successful external cephalic version
They also discussed broadening of midwives' role to include prenatal screening, external cephalic version
and preconceptional consultations.
No practitioner would think of attempting amniocentesis, external cephalic version
, cesarean section, forceps-assisted delivery, or vacuum-assisted delivery without first discussing this with the patient; however, cutting a woman's genitalia, usually unnecessarily, is thought to be in the realm of practitioner discretion," said Dr.