Predictors of a successful external cephalic version: A population-based study of Washington state births

Women and Birth : Journal of the Australian College of Midwives
Erin R MorganStephen E Hawes

Abstract

Breech presentation affects approximately 3% of women with singleton pregnancies. External cephalic version is a manual procedure that reorients a foetus to cephalic position in preparation for birth, reducing indications for caesarean birth. However, unsuccessful attempts are associated with some adverse health outcomes. Versions are successful in 17-86% of attempts. Temporal trends in version success and association between maternal height or prenatal care and version success are unknown. Few population-based studies and no recent investigations in the United States have evaluated predictive factors for version success. This study aimed to estimate the proportion of successful version procedures in the United States and to evaluate factors associated with version success. We used birth certificate and hospital administrative data. The study included all women who had a singleton birth in Washington State between 2003-2014 following a version procedure (total n=4981). Prevalence ratios and 95% confidence intervals were calculated using Poisson regression. 57.2% of version attempts were successful. Primiparity (Prevalence Ratio:1.43; 95% Confidence Interval:1.29-1.60) and multiparity (Prevalence Ratio:1.68; 95% Confidence Inter...Continue Reading

Citations

Apr 4, 2019·Birth·Gabriel LevinRaphael N Pollack
May 23, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Raanan MeyerGabriel Levin
Jan 24, 2020·Obstetrics & Gynecology Science·Jun Yi LeeJung Yeol Han
Jun 1, 2021·American Journal of Obstetrics & Gynecology MFM·Carly M DahlWilliam A Grobman
Aug 6, 2021·Obstetrics and Gynecology·Carly M DahlWilliam A Grobman

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