IMR Press / CEOG / Volume 38 / Issue 4 / pii/1630543040988-1705751303

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Factors associated with the success of external cephalic version (ECV) of breech presentation at term
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1 Department of Obstetrics and Gynaecology,King Abdullah Universit Hospital lordan University of Science and Technology(JUST), Irbid
2 Prince Rashid Ben Al-Hassan Military Hospital
3 Department of Pediatrics, King Abdullah University Hospital,Jordan University of Science and Technology (JUST), lroid (Jordan)
Clin. Exp. Obstet. Gynecol. 2011, 38(4), 386–389;
Published: 10 December 2011
Abstract

Objective: To evaluate the predictors of success of ECV for breech presentation at term. Methods: A retrospective study was con-ducted over a 3-year period from 2005-2007, where 101 patients who had singleton breech presentation at term were undergoing external cephalic version (ECV) after 37 weeks of gestation at two major teaching hospitals in the North of Jordan. Comparative analysis was made between the successful ECV and unsuccessful ECV groups. The collected data were analysed by using statistical analysis Sudent's t-test and Man-Whitney test as appropriate and on discrete results chi square or Fisher's exact test when appropriate. The differences were considered significant at a p value of < 0.05. Results: The ECV success rate was 72.3%. Favourable factors for sucess were multiparity (95.5% vs. 4.1%, p = 0.0001), flexed breeches (74% vs. 26%, p = 0.002), posterior placenta (38.6% vs. 16.4%, p =0.0001) and anterior fetal back (53.4% vs. 34.8%, p = 0.03). Once turned the babies remained cephalic untildelivery. All the 28 cases who had failed ECV had caesarean section. Among those who had a successful external cephalic version, the incidence of intrapartum caesarean section was only 8.2% which was lower than that of the average of both units caesarean rate (28%).There were no complications related to the ECV procedure in the study. Conclusion: Multiparity, flexed breech, posterior placenta, and anterior foetal back were the most favourable factors for successful ECV in our study. Moreover, with careful evaluation of individual predictors patient selection and success rates can be optimised.
Keywords
ECV
Breech presentation
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