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2018•Obstetric Anesthesia DigestRequires access

The Efficacy and Safety of External Cephalic Version After a Previous Cesarean Delivery

Yishay Weill, Raphael N. Pollack

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Abstract

(Aust N Z J Obstet Gynaecol. 2017;57(3):323–326) Between 10% and 15% of all primary cesarean deliveries performed before the onset of labor are caused by malpresentation, and up to 4% of term pregnancies are complicated by fetal malpresentation, and by breech presentation in particular. Although it has been demonstrated that performing an external cephalic version (ECV) before labor onset is the optimal way to decrease breech presentation at term, the role of ECV in reducing breech presentation in patients with a prior cesarean delivery has not been well established, and ECV may even be contraindicated in this setting. These authors undertook a case-control study in order to evaluate the safety and efficacy of ECV among parturients who have undergone a previous cesarean delivery.

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What this paper is about

(Aust N Z J Obstet Gynaecol. 2017;57(3):323–326) Between 10% and 15% of all primary cesarean deliveries performed before the onset of labor are caused by malpresentation, and up to 4% of term pregnancies are complicated by fetal malpresentation, and by breech presentation in particular. Although it has been demonstrated that performing an external cephalic version (ECV) before labor onset is the optimal way to decrease breech presentation at term, the role of ECV in reducing breech presentation in patients with a prior cesarean delivery has not been well established, and ECV may even be contraindicated in this setting. These authors undertook a case-control study in order to evaluate the safety and efficacy of ECV among parturients who have undergone a previous cesarean delivery.

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Available abstract

(Aust N Z J Obstet Gynaecol. 2017;57(3):323–326) Between 10% and 15% of all primary cesarean deliveries performed before the onset of labor are caused by malpresentation, and up to 4% of term pregnancies are complicated by fetal malpresentation, and by breech presentation in particular. Although it has been demonstrated that performing an external cephalic version (ECV) before labor onset is the optimal way to decrease breech presentation at term, the role of ECV in reducing breech presentation in patients with a prior cesarean delivery has not been well established, and ECV may even be contraindicated in this setting. These authors undertook a case-control study in order to evaluate the safety and efficacy of ECV among parturients who have undergone a previous cesarean delivery.

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

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