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[External cephalic version of breech presentation].

Hans Andreas Sande

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Abstract

External cephalic version of the breech presentation has long traditions. Earlier this was practised to improve the baby's prognosis. Today most breech presentations are delivered by Caesarean section, and external cephalic version of the breech presentation is done to reduce the number of Caesarean sections. External cephalic version of breech presentation reduces the total rate of Caesarean sections by 1-2%. If the breech deliveries are carefully selected at term, they become comparable with cephalic presentation, both in terms of mortality and morbidity. Although the complications associated with external cephalic version of the breech presentation are considered minimal they cannot be ruled out. Therefore systematic external cephalic version of the breech presentation should not be encouraged.

About this research paper

What this paper is about

External cephalic version of the breech presentation has long traditions. Earlier this was practised to improve the baby's prognosis. Today most breech presentations are delivered by Caesarean section, and external cephalic version of the breech presentation is done to reduce the number of Caesarean sections. External cephalic version of breech presentation reduces the total rate of Caesarean sections by 1-2%. If the breech deliveries are carefully selected at term, they become comparable with cephalic presentation, both in terms of mortality and morbidity. Although the complications associated with external cephalic version of the breech presentation are considered minimal they cannot be ruled out. Therefore systematic external cephalic version of the breech presentation should not be encouraged.

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Available abstract

External cephalic version of the breech presentation has long traditions. Earlier this was practised to improve the baby's prognosis. Today most breech presentations are delivered by Caesarean section, and external cephalic version of the breech presentation is done to reduce the number of Caesarean sections. External cephalic version of breech presentation reduces the total rate of Caesarean sections by 1-2%. If the breech deliveries are carefully selected at term, they become comparable with cephalic presentation, both in terms of mortality and morbidity. Although the complications associated with external cephalic version of the breech presentation are considered minimal they cannot be ruled out. Therefore systematic external cephalic version of the breech presentation should not be encouraged.

Key concepts: Breech presentation, External cephalic version, Presentation (obstetrics), Cephalic presentation, Caesarean section, Medicine, Obstetrics, Pregnancy

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