DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173477

Outcome of external cephalic version (ECV) in singleton pregnancy with uncomplicated breech presentation at term in a tertiary rural hospital

Sachin G. Vedpathak, Vaishali R. Korde Nayak, Panigrahi P. P.

Abstract


Background: Breech presentation is the most common malpresentation. The incidence of breech presentation at term is 3-4%. Objective of present study was to evaluate the outcome of external cephalic version (ECV) in singleton pregnancy with uncomplicated breech presentation at term in tertiary rural hospital and to analyze the immediate and ultimate outcome of external cephalic version done in term pregnancy with breech presentation with gestational age ≥37 weeks.

Methods: This study was conducted at MIMER Medical college and BSTR Hospital, Talegaon Dabhade. Patients with breech presentation at term were studied over duration of 2½ years. 50 patients with breech presentation ≥37 weeks fulfilling the inclusion criteria underwent External cephalic version (ECV). Further obstetric progress is studied with the perinatal outcome and results were analyzed.

Results: ECV was successful in 66% cases, out of which 88% cases had vaginal delivery and 12 % cases had LSCS for obstetric indication. Perinatal outcome was not affected with ECV.

Conclusions: ECV at term significantly reduces both the incidence of breech delivery and caesarean section rate for breech delivery. ECV does not adversely affect the maternal and perinatal outcome.


Keywords


Assisted breech delivery, Breech at term, External cephalic version

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References


Hofmeyr GJ, Kulier R. External cephalic version for breech presentation. In: The Cochrane Library Issue 1. Oxford Update Software; 2001.

Hofmeyr GJ, Kulier R. External cephalic version for breech presentation at term (Cochrane Review). In the Chochrane library, Issue 2. Oxford Update Software; 2002.

ACOG Committee on Obstetric Practice. Mode of term singleton breech delivery. Committee Opinion 265. Obstet Gynecol Can. 2003;25:14-6.

Hofmeyr GJ. Effect of external cephalic version in late pregnancy on breech presentation and caesarean section rate: a controlled trial. BJOG. 1983;90:392-9.

Hutton EK, Hofmeyr GJ, Dowswell T. External cephalic version for breech presentation before term. Cochrane Database Syst Rev. 2015;(7):CD000084.

Morrison JC, Myatt RE, Martin JN, Meeks GR, Marrin RW, Bucowaz ET et al. External cephalic version of breech presentation under tocolysis. AM J Obstet Gynecol. 1986;154:900-3.

Hofmeyr GJ, Kulier R. External cephalic version for breech presentationat term. Cochrane Database Syst Rev. 2005;2.

Van Dorsten JP, Schifrin BS, Wallace RL. Randomized control trial of external cephalic version with tocolysis in late pregnancy. Am J Obstet Gynecol. 1981;141:417-24.

Brocks V, Pholipsen T, Secher NJ. A randomized trial of external cephalic version with tocolysis in late pregnancy. BJOG. 1984;91:653-6.

Hofmeyr GJ. Interventions to help External cephalic versionfor breech presentation at term. Cochrane Database Syst Rev. 2004;1:000184.

American College of Obstetrics and Gynaecology. External cephalic version. Washington (DC): The College, 2000. Practice bullet in No:13

Vanveellen AJ, Van cappellen AW, Flu PK, Straub MJPF, Wallenburg HCS. Effect of external cephalic version in late pregnancy on presentation at delivery: a randomized controlled trial. BJOG. 1989;96:916-21.

Brost BC, Scardo JA, Newman RB, Van Dorsten JP. Effect of fetal presentation on the amniotic fluid index. Am J Obstet Gynecol. 1999;181(5):1222-4.

Stine LE, Phelan JP, Wallace R. Update on external cephalic version performed at term. Obstet Gynecol. 1985;65;642-6.

Lau TK. Leung TY, Kit Lo KW, Fok WY, Rogers MS. Outcome of labour after successful external cephalic version at term complicated by isolated transient fetal bradycardia. BJOG. 2000;107:401-5.

Hutton EK, Kaufman K, Hodnett E, Amankwah K, Hewson SA, McKay D et al. Early external cephalic version trial group. external cephalic version beginning at 34 weeks' gestation versus 37 weeks' gestation: a randomized multicenter trial. Am J Obstet Gynecol. 2003;189(1):245-54.

Lau TK, Wing K, Rogers M. Pregnancy outcome after successful external cephalic version for breech presentation at term. Am J Obstet Gynecol. 1997;176:218-23.