External
cephalic version initiated at 34-35 weeks of gestation compared with 37 or more weeks of gestation increases the probability of cephalic presentation at birth but it does not reduce the 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. The conversion rate of the intervention group was compared with the comparison group who received standard obstetrical care without the opportunity for hypnosis.
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.
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.
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.
When the ObGyn attempted an external
cephalic version to turn the baby, the uterus ruptured and the placenta was damaged.
I have also done some work around the procedure of external
cephalic version to turn babies in the breech position.
Ultrasound sizing was performed on 40%, and external
cephalic version was attempted in 20%.
The management algorithm may include external
cephalic version, elective cesarean delivery before onset of labor, or cesarean delivery after onset of labor.
18; and "External
Cephalic Version: No Drop in C-Sections," p.
MONTREAL -- Early external
cephalic version increases the likelihood of cephalic presentation at birth, but does not result in fewer cesarean sections compared with later
cephalic version, based on the results of an international, multicenter, randomized controlled trial.