External cephalic version

External cephalic version (ECV) is a non-surgical procedure used to correct the position of a breech presentation fetus within the uterus. It is typically performed late in the pregnancy, around the 37th week, to increase the chances of a normal, head-first birth.

Procedure

The procedure involves the manual manipulation of the abdomen to encourage the fetus to turn in the womb. The healthcare provider, usually an obstetrician, applies pressure to the abdomen and attempts to guide the baby into a head-down position. The procedure is often performed in a hospital setting, where emergency cesarean section can be performed if necessary.

Success Rate and Risks

The success rate of ECV varies, but studies suggest it is successful in approximately 50-70% of cases. Factors that may affect the success rate include the amount of amniotic fluid, the position of the placenta, the size of the baby, and the mother's body type.

Risks associated with ECV include premature labor, rupture of the membranes, fetal distress, and placental abruption. However, these risks are relatively low. If the ECV is unsuccessful, a cesarean section may be planned to deliver the baby.

Alternatives

Alternatives to ECV include waiting for the baby to turn naturally, or planning for a cesarean section or a breech vaginal birth. The choice of method depends on various factors, including the mother's health, the position and size of the baby, and the healthcare provider's experience and preference.

See Also

• Breech birth
• Cesarean section
• Obstetrics