To determine the rate of success of external cephalic version in low-risk breech presentations and possible factors affecting its success in pof hospital, wah cantt. | [Journal of Rawalpindi Medical College • 2021]

Author(s):

1. Noreen Majeed: Department of Obs & Gynae, Wah Medical College, Wah Cantt, Pakistan.

2. Shabana Kalsoom: Department of Obs & Gynae, Wah Medical College, Wah Cantt, Pakistan.

3. Faiza Safdar: Department of Obs & Gynae, Wah Medical College, Wah Cantt, Pakistan.

4. Shazia Rafique: Department of Obs & Gynae, Wah Medical College, Wah Cantt, Pakistan.

5. Shamsa Tariq: Department of Obs & Gynae, Wah Medical College, Wah Cantt, Pakistan.

6. Saana Bibi: Wah Medical College, Wah Cantt, Pakistan.

Abstract:

Introduction: The caesarean section rate is on the rise for various reasons. One of the reasons is breech presentation. External cephalic version (ECV) is a procedure to manipulate the baby from breech to cephalic presentation externally through the maternal abdomen under ultrasound guidance. Success in ECV decreases the breech presentation and hence caesarean section rate. Materials and Methods: This retrospective study was conducted by Wah Medical College in POF hospital from10 Oct 2015- 10 Oct 2019. It included 56 women with low-risk singleton breech presentations from 36 weeks- 40 weeks (wks). ECV was performed by a single obstetrician in the labour room equipped with facilities of cardiotocograph and emergency caesarean section. Several successful ECVs & specific factors of the women & the baby (age. parity, amniotic fluid index, type of breech, engagement of breech, and position of the fetal spine) were chosen to observe their effect on the success of ECV. Results: External cephalic version was successful in 27 (48.2%) & unsuccessful in 29 (51.8%) of women. Unengaged breech, multiparity & complete flexed breech (with p values 000, .001 & .001 respectively) had a statistically significant positive association with successful external cephalic version. Conclusion: External cephalic version should be offered to all women with low-risk breech presentations. Knowledge of factors predictive of ECV success can be utilized in selecting cases for ECV & counselling the women regarding the success and failure of ECV.

Page(s): 186-191

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 25, Issue: 2, Year: 2021

Keywords:

factors affecting the success of External cephalic version , External cephalic version

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