Document Detail

Safety and efficacy of external cephalic version for women with a previous cesarean delivery.
MedLine Citation:
PMID:  19019528     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the success and morbidity rates for attempted external cephalic version (ECV) in patients with one previous cesarean delivery (CD) and a breech-presenting fetus at term. STUDY DESIGN: This is a retrospective study of outcomes of ECV at our institution for all women with one previous CD and a breech-presenting fetus at term between January 1997 and June 2005. A literature review was also performed as a Medline search (1966-2006). RESULTS: ECV was attempted for 42 women with a breech-presenting fetus and previous CD. The success rate of ECV was 74.0%, and 84% of women with successful ECV delivered vaginally. All fetal and maternal outcomes were favorable. Only four Medline reports met our inclusion criteria, representing a total of 124 patients and a mean ECV success rate of 76.6%. Thus we assessed 166 cases of attempted ECV and find an average ECV success rate of 76.5% and favorable fetal and maternal outcomes. CONCLUSIONS: Women with a breech-presenting fetus at term and previous CD, who desire a trial of labor, should be counseled regarding the accumulating evidence about the efficacy and apparently safety of this procedure and may be offered an ECV attempt.
Hen Y Sela; Tomer Fiegenberg; Assaf Ben-Meir; Uriel Elchalal; Yossef Ezra
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-11-18
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  142     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  111-4     Citation Subset:  IM    
Department of Obstetrics & Gynecology, Hadassah Hebrew University Medical Center, Ein-Kerem, P.O. Box 12000, Jerusalem 91120, Israel.
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MeSH Terms
Breech Presentation*
Cesarean Section*
Infant, Newborn
Pregnancy Outcome
Retrospective Studies
Vaginal Birth after Cesarean*
Version, Fetal / statistics & numerical data*

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