IMR Press / CEOG / Volume 45 / Issue 2 / DOI: 10.12891/ceog4096.2018

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 as a courtesy and upon agreement with S.O.G.

Case Report
Should external cephalic version be attempted in the presence of a nuchal cord?
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1 Meuhedet Health Fund, Department of Obstetrics & Gynecology, Jerusalem, Israel
2 Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel
Clin. Exp. Obstet. Gynecol. 2018, 45(2), 310–311;
Published: 10 April 2018

Objective: The efficacy and safety of external cephalic version (ECV) for breech presentation in the presence of a nuchal cord has not been studied. Here the authors report two cases of failed ECV in the presence of nuchal cord. Case Report: A 28-year-old, G4P3A0, presented at term with breech presentation. Umbilical cord was demonstrated ultrasonographically to be wrapped twice around the neck. External cephalic version was attempted three times with no success. A 25-year-old, G1P0A0, was diagnosed with breech presentation at 36 weeks’ gestation. A nuchal cord was wrapped twice around the fetal neck. ECV was performed three times unsuccessfully. No complications were noted during or after the procedures in both cases. Conclusion: The present findings could suggest a new relative contraindication that should be further investigated.
Breech presentation
Cesarean section
External cephalic version
Fetal malpresentation
Fetal version
Nuchal cord
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