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Anesthesiol Clin. 2017 Mar;35(1):81-94. doi: 10.1016/j.anclin.2016.09.008.

Obstetric and Anesthetic Approaches to External Cephalic Version.

Author information

1
Division of Obstetric Anesthesia, Department of Anesthesia & Perioperative Care, University California San Francisco School of Medicine, San Francisco, CA 94143, USA.
2
Division of Obstetric Anesthesia, Department of Anesthesia & Perioperative Care, University California San Francisco School of Medicine, San Francisco, CA 94143, USA; Department of Obstetrics, Gynecology & Reproductive Sciences, University California San Francisco School of Medicine, San Francisco, CA 94143, USA. Electronic address: Jennifer.Lucero@ucsf.edu.

Abstract

Breech presentation is the most common abnormal fetal presentation and complicates approximately 3% to 4% of all pregnancies. External cephalic version (ECV) should be recommended to women with a breech singleton pregnancy, if there is no maternal or fetal contraindication. ECV increases the chance of cephalic presentation at the onset of labor and decreases the rate of cesarean delivery by almost 40%. The success rate of ECV is approximately 60%. Review of the risks and benefits for performing an ECV and for both the timing of ECV and the number of attempts should be should be discussed with the patient.

KEYWORDS:

External cephalic version; Management for breech presentation; Neuraxial anesthesia for version; Risks and complications of external cephalic version

PMID:
28131122
DOI:
10.1016/j.anclin.2016.09.008
[Indexed for MEDLINE]

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