Fetal Version (External Cephalic Version)

The artificial alteration of the fetal position to facilitate birth.

Also Known As:

External Cephalic Version; Version, Fetal; Cephalic Version, External; Cephalic Versions, External; External Cephalic Versions; Fetal Versions; Versions, External Cephalic; Versions, Fetal; Version, External Cephalic

Networked: 323 relevant articles (17 outcomes, 41 trials/studies)

Relationship Network

Therapy Context: Research Results

Operative Surgical Procedures: 34913
- Obstetric Surgical Procedures: 159
  - Obstetric Delivery: 83
    - Fetal Version: 323

Experts

1.	Hofmeyr, G J: 10 articles (01/2006 - 01/2000)
2.	Kok, Marjolein: 8 articles (01/2017 - 08/2008)
3.	Vlemmix, Floortje: 6 articles (01/2017 - 03/2013)
4.	Hofmeyr, G Justus: 6 articles (07/2015 - 01/2012)
5.	Roberts, Christine L: 5 articles (07/2017 - 06/2004)
6.	Lau, T K: 5 articles (06/2015 - 03/2000)
7.	Peat, Brian: 5 articles (05/2012 - 06/2004)
8.	Boucher, Marc: 5 articles (01/2009 - 06/2003)
9.	Hutton, Eileen K: 4 articles (08/2017 - 07/2003)
10.	Opmeer, Brent C: 4 articles (01/2017 - 03/2014)

Related Diseases

1.	Breech Presentation 03/01/2014 - "external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. " 01/01/2021 - "Determining the efficacy of performance of a second external cephalic version (ECV) following successful first ECV with subsequent spontaneous reinversion to breech presentation in reducing the rate of cesarean delivery (CD). " 01/01/2021 - "Efficacy of a second external cephalic version (ECV) after a successful first external cephalic version with subsequent spontaneous reinversion to breech presentation: a retrospective cohort study." 01/01/2016 - "Overall a low proportion of women with breech presentation undergo successful external cephalic version, and it is associated with significant reduction in the frequency of cesarean delivery and a number of measures of maternal morbidity. " 02/10/2023 - "External cephalic version (ECV) is a cost-effective and safe treatment option for breech presentation at term. "
2.	Pain (Aches) 01/01/2020 - "External cephalic version (ECV) is associated with a moderate degree of pain. " 11/01/2017 - "Questions were focused on the source and type of information on external cephalic version, expectations of the patients, evaluation of pain and feelings during the procedure and the overall impression. " 04/01/2017 - "In addition to using it for pain relief and anxiolysis, those centers utilizing it have noted it to be multipurpose and useful for such situations as: external cephalic version, manual removal of placenta, intravenous starts, during placement of urinary catheters and intracervical Foley bulbs. " 03/01/2014 - "A considerable proportion of pregnant women with a fetus in breech position refuses external cephalic version (ECV), with fear of pain as important barrier. " 02/01/2014 - "The primary outcome was the numerical rating pain score (0-10) after external cephalic version. "
3.	Oligohydramnios 01/01/2002 - "Simple maternal hydration appears to increase amniotic fluid volume and may be beneficial in the management of oligohydramnios and prevention of oligohydramnios during labour or prior to external cephalic version. " 01/01/2000 - "Simple maternal hydration appears to increase amniotic fluid volume and may be beneficial in the management of oligohydramnios and prevention of oligohydramnios during labour or prior to external cephalic version. " 06/01/2005 - "When the fetus was found to be breech with oligohydramnios, amnioinfusion was performed to facilitate external cephalic version, and this successful procedure enabled the patient to deliver vaginally." 01/01/2002 - "Oligohydramnios (reduced amniotic fluid) may be responsible for malpresentation problems, umbilical cord compression, concentration of meconium in the liquor, and difficult or failed external cephalic version. " 01/01/2000 - "Oligohydramnios (reduced amniotic fluid) may be responsible for malpresentation problems, umbilical cord compression, concentration of meconium in the liquor, and difficult or failed external cephalic version. "
4.	Cicatrix (Scar) 06/01/2017 - "External cephalic version (ECV) in the presence of a uterine scar is still considered a relative contraindication despite encouraging studies of the efficacy and safety of this procedure. " 02/01/2011 - "Some of the other contributors to the increasing caesarean section rate are breech with failed external cephalic version, decreasing rate of trial of scar, increasing induction rate and electronic fetal heart rate monitoring and changing demography. " 10/01/2021 - "The search strategy included the following keywords: ('external cephalic version OR ECV') AND ('previous OR prior OR past' AND 'caesarean OR caesarean OR uterine scar'). " 02/01/2009 - "The need for selective vaginal births for breech, increased use of external cephalic version and the long implications of a uterine scar in future pregnancies in the 'shared antenatal care in the local context in a developing country is discussed." 01/01/2016 - "The Dutch experience indicates that external cephalic version for breech presentation, keeping the CD rate low in nulliparous women and encouraging a trial of labor in multiparous women with a previous scar, could help to keep the overall CD rate steady."
5.	Bradycardia 03/01/2019 - "The objective of this study is to assess the outcomes and risk factors of fetal bradycardia after external cephalic version (ECV). " 02/01/2020 - "To evaluate the effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version (ECV) on perinatal outcomes. " 02/01/2020 - "The effect of transient fetal bradycardia and other heart rate changes during and after external cephalic version on perinatal outcomes." 03/01/2019 - "The outcomes and risk factors of fetal bradycardia associated with external cephalic version." 09/01/2016 - "The incidences of emergency cesarean delivery (1.6% vs 2.5%; relative risk, 0.63, 95% confidence interval, 0.24-1.70), transient bradycardia (11.8% vs 8.3%; relative risk, 1.42, 95% confidence interval, 0.72-2.80), nonreassuring fetal testing, excluding transient bradycardia, after external cephalic version (6.9% vs 7.4%; relative risk, 0.93, 95% confidence interval, 0.53-1.64), and abruption placentae (0.4% vs 0.4%; relative risk, 1.01, 95% confidence interval, 0.06-16.1) were similar. "

Related Drugs and Biologics

1.	Remifentanil (Ultiva)
2.	Nitrous Oxide (Laughing Gas)
3.	Bupivacaine (Bupivacaine Hydrochloride)
4.	Ritodrine (Yutopar)
5.	Analgesics (Analgesic Drugs)
6.	Tocolytic Agents (Tocolytics)
7.	Oxygen (Dioxygen)
8.	Fentanyl (Sublimaze)
9.	RHO(D) antibody (anti-D)
10.	Rho(D) Immune Globulin (RhoGAM)

Related Therapies and Procedures

1.	Cesarean Section (Caesarean Section)
2.	Tocolysis
3.	Anesthesia
4.	Analgesia
5.	Moxibustion