Exam (elaborations)
External cephalic version (ECV) Questions and Answers Grade A+
- Course
- Institution
External cephalic version (ECV) Questions and Answers Grade A+
[Show more]
Content preview
1|Page | © copyright 2024/2025 | Grade A+External cephalic version (ECV)
Questions and Answers Grade A+
Background
✓ Breech presentation complicates 3-4% of all term deliveries and a
higher proportion of preterm deliveries. It is more common where there
has been a previous breech presentation.
✓ -ECV at term reduces the incidence of noncephalic presentation at
delivery . Spontaneous version rates for nulliparous women are
approximately 8% after 36 weeks, but less than 5% after unsuccessful
ECV; success rates of ECV are 30-80%. Spontaneous reversion to
breech presentation after successful ECV occurs in less than 5%.
What is the success rate of ECV and what influences it?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ An overal success rate of 40% for nulliparous, and 60% for multiparous
women can usually be achieved. The highest success rates are seen
with multiparous, non-white women with a relaxed uterus, where the
breech is not engaged and the head is easily palpable. Success rates
are also higher with increasing liquor volume, but, in practice, very high
liquor volume may be associated with spontaneous reversion. Maternal
weight, placental position, gestation, fetal size and position of the legs
make less difference and are probably not independent of other
factors.
✓ -The use of tocolysis with beta-sympathomimetics may be offered to
women undergoing ECV as it has been shown to increase the success
rate.The use of tocolysis should be considered where an initial attempt
at ECV without tocolysis has failed. A simple protocol is to offer a slow
intravenous or subcutaneous bolus of salbutamol or terbutaline either
routinely or if an initial ECV attempt has failed. Women should be
advised of the adverse effects of tocolysis with beta-2 agonists.
✓ -Where ECV fails the possibility of a further attempt should be discussed.
Master01 | October, 2024/2025 | Latest update
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamArsenal. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now