Janjua NB*, Birmani SA, Maeve White, Sarah Siu and Asish Das
Volume2-Issue10
Dates: Received: 2021-10-12 | Accepted: 2021-10-18 | Published: 2021-10-20
Pages: 926-928
Abstract
Presentation: A 35 year old woman, gravida 7 para 7, all vaginal deliveries, presented with labour pains at 39 weeks’ gestation with intact membranes. Cardiotocograph (CTG) was reassuring.
Diagnosis: Breech presentation was confirmed by an ultrasound.
Treatment: The patient was offered options of External Cephalic Version (ECV) versus (vs) Lower Segment Caesarean Section (LSCS). She opted for ECV which was successful, followed by controlled artificial rupture of membranes. She delivered a healthy baby girl vaginally and was discharged home on day 1 postpartum.
Conclusion: Although intrapartum ECV is not recommended routinely, there is a place for its judicious use in selective cases. The prerequisites include an experienced obstetrician, reassuring CTG, previous vaginal delivery, no obstetric indication for performing LSCS, adequate amniotic fluid volume with intact membranes, early labour, and informed maternal consent. We recommend keeping theatre on standby while performing ECV in case an obstetric complication arises.
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DOI: 10.37871/jbres1333
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Copyright
© 2021 Janjua NB, et al. Distributed under Creative Commons CC-BY 4.0 
How to cite this article
Janjua NB, Birmani SA, White M, Siu S, Das A. Successful External Cephalic Version in Early Labour: A Case Report and Literature Review. J Biomed Res Environ Sci. 2021 Oct 20; 2(10): 926-928. doi: 10.37871/jbres1333, Article ID: JBRES1333, Available at: https://www.jelsciences.com/articles/jbres1333.pdf
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References
- Gaiser RM. External cephalic version. Consult Obstet Anesthesiol. 2018;58(3):197-198. https://tinyurl.com/462xefp2
- Fortunato SJ, Mercer LJ, Guzick DS. External cephalic version with tocolysis: factors associated with success. Obstet Gynecol. 1988 Jul;72(1):59-62. PMID: 3288930.
- External Cephalic Version and Reducing the Incidence of Term Breech Presentation: Green-top Guideline No. 20a. BJOG. 2017 Jun;124(7):e178-e192. doi: 10.1111/1471-0528.14466. Epub 2017 Mar 16. PMID: 28299867.
- Rodgers R, Beik N, Nassar N, Brito I, de Vries B. Complications of external cephalic version: a retrospective analysis of 1121 patients at a tertiary hospital in Sydney. BJOG. 2017 Apr;124(5):767-772. doi: 10.1111/1471-0528.14169. Epub 2016 Jun 16. PMID: 27306144.
- Melo P, Georgiou EX, Hedditch A, Ellaway P, Impey L. External cephalic version at term: a cohort study of 18 years' experience. BJOG. 2019 Mar;126(4):493-499. doi: 10.1111/1471-0528.15475. Epub 2018 Oct 23. PMID: 30223309.
- Hofmeyr GJ, Kulier R, West HM. External cephalic version for breech presentation at term. Cochrane Database Syst Rev. 2015;2016(3).
- Ducarme G. Présentation du siège. Recommandations pour la pratique clinique du CNGOF — Version par manœuvre externe et techniques de version alternatives [Breech Presentation: CNGOF Guidelines for Clinical Practice - External Cephalic Version and other Interventions to turn Breech Babies to Cephalic Presentation]. Gynecol Obstet Fertil Senol. 2020 Jan;48(1):81-94. French. doi: 10.1016/j.gofs.2019.10.024. Epub 2019 Oct 31. PMID: 31678503.
- Ferguson JE 2nd, Dyson DC. Intrapartum external cephalic version. Am J Obstet Gynecol. 1985 Jun 1;152(3):297-8. doi: 10.1016/s0002-9378(85)80214-3. PMID: 4003475.
- El‐Muzaini MF, Felimban HM, Al‐Hazmi NM, Shabaan LA, Namankani FY, Fathudein MA. Breech in labor, to turn or not to turn?. BJOG: An international journal of obstetrics and gynaecology. 2008;115(s1):77. https://tinyurl.com/53krytvt
- Dalley G. External cephalic version. Lancet. 1953;262(6785):573. doi: 10.1016/S0140-6736(53)90223-2
