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.