External Cephalic Version and Reducing the Incidence of Breech Presentation
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چکیده
External cephalic version (ECV) is the manipulation of the fetus, through the maternal abdomen, to a cephalic presentation. This guideline summarises the evidence regarding the routine use of ECV for breech presentation. The rationale behind ECV is to reduce the incidence of breech presentation at term and therefore the associated risks, particularly of avoidable caesarean section. The evidence concerning mode and technique of delivery of the persistent breech presentation is summarised in Green-top Guideline No. 20b, The Management of Breech Presentation.
منابع مشابه
Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version.
OBJECTIVE To evaluate the effect of successful external cephalic version on the incidence of developmental dysplasia of the hip (DDH) requiring treatment in singleton breech presentation at term. DESIGN Observational cohort study. SETTING Three large teaching hospitals in the Netherlands. POPULATION Women with a singleton breech presentation of 34 weeks of gestation or more, who underwent...
متن کاملExternal Cephalic Version and Reducing the Incidence of Term Breech Presentation: Green-top Guideline No. 20a.
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The Management of Breech Presentation
The aim of this guideline is to provide up-to-date information on methods of delivery for women with breech presentation. The scope is confined to decision making regarding the route of delivery and choice of various techniques used during delivery. It does not include antenatal or postnatal care. External cephalic version is the topic of a separate RCOG Green-top Guideline No. 20a: ECV and Red...
متن کاملMaternal outcomes of term breech presentation delivery: impact of successful external cephalic version in a nationwide sample of delivery admissions in the United States
BACKGROUND We aimed to define the frequency and predictors of successful external cephalic version in a nationally-representative cohort of women with breech presentations and to compare maternal outcomes associated with successful external cephalic version versus persistent breech presentation. METHODS Using the Nationwide Inpatient Sample, a United States healthcare utilization database, we...
متن کاملManagement of Term Breech Presentation and External Cephalic Version
Breech presentation occurs in 3 to 4% of all term pregnancies [1]. Vaginal breech delivery rate has declined significantly since the Term Breech Trial, which showed lower serious perinatal mortality and neonatal morbidity after planned caesarean section delivery at term [1]. External cephalic version (ECV) is proven effective to prevent vaginal breech births and Caesarean sections [2]. The fetu...
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