External cephalic version (ECV): Our approach

For a patient with a breech fetus who desires ECV and has no contraindications (eg, placenta previa, previous classical cesarean birth), we typically perform the procedure at 37 weeks of gestation. However, it may be performed at any time after 36+0 weeks of gestation.

ECV: external cephalic version; SC: subcutaneously.
* Factors that may impede success include, but are not limited to, the following: nulliparity, anterior placenta, decreased amniotic fluid volume, frank breech presentation, engaged presenting part. This is discussed in detail in related UpToDate content.
¶ Immediate induction of labor rather than routine prenatal care may be performed in patients with other indications for induction of labor (eg, gestational age ≥39 weeks, unstable fetal lie).

Graphic 100240 Version 3.0

خرید پکیج

External cephalic version (ECV): Our approach