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Eur J Obstet Gynecol Reprod Biol. 2009 Feb;142(2):111-4. doi: 10.1016/j.ejogrb.2008.08.012. Epub 2008 Nov 18.

Safety and efficacy of external cephalic version for women with a previous cesarean delivery.

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1
Department of Obstetrics & Gynecology, Hadassah Hebrew University Medical Center, Ein-Kerem, P.O. Box 12000, Jerusalem 91120, Israel. henys@hadassah.org.il

Abstract

OBJECTIVE:

To evaluate the success and morbidity rates for attempted external cephalic version (ECV) in patients with one previous cesarean delivery (CD) and a breech-presenting fetus at term.

STUDY DESIGN:

This is a retrospective study of outcomes of ECV at our institution for all women with one previous CD and a breech-presenting fetus at term between January 1997 and June 2005. A literature review was also performed as a Medline search (1966-2006).

RESULTS:

ECV was attempted for 42 women with a breech-presenting fetus and previous CD. The success rate of ECV was 74.0%, and 84% of women with successful ECV delivered vaginally. All fetal and maternal outcomes were favorable. Only four Medline reports met our inclusion criteria, representing a total of 124 patients and a mean ECV success rate of 76.6%. Thus we assessed 166 cases of attempted ECV and find an average ECV success rate of 76.5% and favorable fetal and maternal outcomes.

CONCLUSIONS:

Women with a breech-presenting fetus at term and previous CD, who desire a trial of labor, should be counseled regarding the accumulating evidence about the efficacy and apparently safety of this procedure and may be offered an ECV attempt.

PMID:
19019528
DOI:
10.1016/j.ejogrb.2008.08.012
[Indexed for MEDLINE]
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