A Randomized Trial of External Cephalic Version in Late Pregnancy.
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Date
2012-01
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Abstract
To assess the role of external cephalic version (ECV) in late pregnancy. A prospective randomized controlled
trial of external cephalic version after 37 weeks gestation. All women, in whom routine ultrasound examination
during the 37th week of pregnancy had shown a single breech presentation were eligible for recruitment.
Department of Obstetrics & Gynecology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar. 60
women with breech presentation at term were recruited after satisfying eligibility criteria. There were 30
women in study group and 30 in the control group. Intervention - ECV was attempted in study group in
dorsal position with left lateral tilt over a maximum period of 5 minutes. Main outcome measures - Success
rate in terms of presentation during labour, need for caesarean section and various variables related to
foetal outcome.ECV was successful in 24 out of 30 patients (80%). Breech presentation at delivery
occurred in 93.3% of the control group and in 20% of the ECV group. The caesarean section rates were
73.3% and 20% respectively. There were no troublesome complications from the procedure.
Description
Keywords
External Cephalic Version, Breech Presentation, Vaginal Delivery, Caesarean Section
Citation
Mehbooba Rita, Sultana Sameena, Khurshid Rabia. A Randomized Trial of External Cephalic Version in Late Pregnancy. JK Science Journal of Medical Education and Research. 2012 Jan-Mar;14(1): 25-29