An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives

Objective To evaluate the success of an external cephalic version (ECV) training programme, and to determine the rates of successful ECV, complications, and caesarean birth in a low-risk population. Design Prospective observational study. Setting Primary health care and hospital settings throughout the Netherlands (January 2008–September 2011)....

Implementation of client versus care-provider strategies to improve external cephalic version rates: A cluster randomized controlled trial

Onjective: To determine the effectiveness of a client or care-provider strategy to improve the implementation of external cephalic version. Design: Cluster randomized controlled trial.Setting: Twenty-five clusters; hospitals and their referring midwifery practices randomly selected in the Netherlands. Population: Singleton breech presentation...

Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

Objective: external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of women eligible for ECV undergo an ECV attempt. The...

Contraindications for external cephalic version in breech position at term: A systematic review

Objective. External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of ECV. We assessed whether the formulation of...

A retrospective study of the success, safety and effectiveness of external cephalic version without tocolysis in a specialised midwifery centre in the Netherlands

Background: to evaluate the effectiveness of external cephalic version (ECV) without tocolysis or epidural analgesia, the complications associated with the procedure and the association between the number of ECV attempts and cephalic presentation at birth and caesarean section. Methods: retrospective cohort study of all (n = 924) ECVs carried...

Conservative management in breech deliveries leads to similar results compared with cephalic deliveries

Objective. To compare the difference in neonatal mortality and morbidity between breech and cephalic presentations at term. Methods. This was a retrospective matched cohort study in two centers between July 1998 and April 2000, including all breech deliveries between 37+0 and 41+6 weeks, except cases with multiple gestations and antepartum...