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[External cephalic version: experience about 237 versions at Port-Royal maternity].

[Article in French]

Author information

1
Maternité Port Royal, CHU Cochin-Port-Royal, 127, boulevard Port-Royal, 75014 Paris. tlebret@hopital-dcss.org

Abstract

OBJECTIVES:

To evaluate the effectiveness of external cephalic version for reducing the rate of cesarean section by preserving fetal safety.

MATERIALS AND METHODS:

A retrospective review of 237 external cephalic versions between January 1, 1998 and December 31, 2000 was conducted at Port Royal maternity.

RESULTS:

The success rate of external cephalic version was 50.6%. When version failed vaginal birth could be allowed after strict evaluation. The rate of cesarean section was 12.5% in the success group and 53% in the unsuccessful group, two thirds were planned. The overall rate of vaginal birth among breech presentations was 67%. After version there were 3.4% abnormal fetal heart rate tracings and 2.9% positive Kleihauer tests. No major complications occurred. Successful external cephalic version was associated with statistically significant higher multiparity, complete breech out of the pelvis and normal amniotic fluid Volume.

CONCLUSION:

External cephalic version reduces the cesarean section rate by about 20.5% among breech presentations and so, lowers maternal morbidity. External cephalic version could be proposed to the patients when safety criteria are respected and close fetal monitoring is maintained.

PMID:
15170425
[Indexed for MEDLINE]
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