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External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery .
Ideally, the fetus can be turned to the right position with maneuvers on the abdomen of the mother. This is called external cephalic version and it is a way to avoid Cesarean surgery and its possible risks. The maneuver cannot be performed on every woman.
The next section is looking at external cephalic version (ECV), which is a method that can help the baby turn from a breech position to a head-down position. Vaginal birth of a breech baby has its risks but caesarean sections are not always available or possible, a mother might arrive in the hospital at a late stage of her labour or may choose ...
Cephalic presentation. Vertex presentation with longitudinal lie: [1] Left occipitoanterior (LOA)—the occiput is close to the vagina (hence known as vertex presentation), facing anteriorly (forward with mother standing) and toward the left. This is the most common position and lie.
External cephalic version: The process by which the fetus can be turned from feet- or butt-first in the uterus to head-first can be sometimes made more successful by amnioinfusion by increasing the space the fetus has to move. Preterm premature rupture of membranes: This is an active area of research for patients.
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The procedure of external cephalic version (ECV) had previously been described by François Mauriceau in the 17th century as “a little more difficult than turning an omelette in a frying pan”, [3] and in 1807, the German Justus Heinrich Wigand published a more detailed account.
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