Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases

Obstetrics and Gynecology International
Natalie KewKatherine Williams

Abstract

Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women's Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women's Hospital. Data was collected to analyse the effect of the following parameters on ECV success and birth outcome: age, parity, gestational age, BMI, AFI, and tocolytic use. These parameters were analysed to determine their effect on ECV outcome and birth outcome. Results. The Women's Hospital, Melbourne, has an ECV success rate of approximately 37%. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 (P < 0.05). The only predictor of cephalic vaginal delivery following ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. Conclusions. The success rate of ECV at the Wom...Continue Reading

References

Jan 17, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Eileen K Hutton Early External Cephalic Version Trial Collaborators Group
Nov 4, 2008·Obstetrics and Gynecology·Kim GrootscholtenJoris A van der Post
Nov 27, 2008·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Michelle R WiseDavid Ansell
Jun 21, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Tomas Gottvall, Charlotte Ginstman
Dec 16, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gerhard BognerKlaus Reisenberger
Mar 28, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·R Scott-PillaiV A Holmes

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Citations

May 4, 2020·BMC Pregnancy and Childbirth·Lionel CarbillonJeremy Boujenah
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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