External cephalic version as an opportunity to reduce the percentage of elective caesarean sections

Non-cephalic foetal positions account for about 3-4% of all timed deliveries. According to the recommendations of the Polish Socie-ty of Gynaecologists and Obstetricians on caesarean section, in the case of a non-cephalic position of the foetus in a singleton preg-nancy, the pregnant woman should be...

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Main Authors: Jadwiga Surówka, Marek Klimek
Format: Article
Language:English
Published: Termedia Publishing House 2023-06-01
Series:Problemy Pielęgniarstwa
Subjects:
Online Access:https://www.termedia.pl/External-cephalic-version-as-an-opportunity-to-reduce-r-nthe-percentage-of-elective-caesarean-sections,134,50983,1,1.html
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author Jadwiga Surówka
Marek Klimek
author_facet Jadwiga Surówka
Marek Klimek
author_sort Jadwiga Surówka
collection DOAJ
description Non-cephalic foetal positions account for about 3-4% of all timed deliveries. According to the recommendations of the Polish Socie-ty of Gynaecologists and Obstetricians on caesarean section, in the case of a non-cephalic position of the foetus in a singleton preg-nancy, the pregnant woman should be offered external cephalic version (ECV). ECV aims to achieve the head position of the foetus, using manual rotation performed through the abdominal shell, under constant ultrasound guidance. Before the procedure is per-formed, the pregnant woman undergoes the appropriate qualification, and factors that can affect the success or failure of the ECV attempt are analysed. As the literature indicates, to date, not all factors predisposing to the success or failure of the procedure have been recognised and unequivocally confirmed. Successful rotation and achievement of the foetal head position give pregnant women a chance to undergo vaginal delivery, potentially influencing a lower rate of elective caesarean sections.
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spelling doaj.art-e2903c3c3a944d6a941ecc2dff476e312023-09-05T11:31:01ZengTermedia Publishing HouseProblemy Pielęgniarstwa1233-99892299-82842023-06-013111510.5114/ppiel.2023.12913250983External cephalic version as an opportunity to reduce the percentage of elective caesarean sectionsJadwiga SurówkaMarek KlimekNon-cephalic foetal positions account for about 3-4% of all timed deliveries. According to the recommendations of the Polish Socie-ty of Gynaecologists and Obstetricians on caesarean section, in the case of a non-cephalic position of the foetus in a singleton preg-nancy, the pregnant woman should be offered external cephalic version (ECV). ECV aims to achieve the head position of the foetus, using manual rotation performed through the abdominal shell, under constant ultrasound guidance. Before the procedure is per-formed, the pregnant woman undergoes the appropriate qualification, and factors that can affect the success or failure of the ECV attempt are analysed. As the literature indicates, to date, not all factors predisposing to the success or failure of the procedure have been recognised and unequivocally confirmed. Successful rotation and achievement of the foetal head position give pregnant women a chance to undergo vaginal delivery, potentially influencing a lower rate of elective caesarean sections.https://www.termedia.pl/External-cephalic-version-as-an-opportunity-to-reduce-r-nthe-percentage-of-elective-caesarean-sections,134,50983,1,1.htmlexternal cephalic version breech presentation labour
spellingShingle Jadwiga Surówka
Marek Klimek
External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
Problemy Pielęgniarstwa
external cephalic version
breech presentation
labour
title External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
title_full External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
title_fullStr External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
title_full_unstemmed External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
title_short External cephalic version as an opportunity to reduce the percentage of elective caesarean sections
title_sort external cephalic version as an opportunity to reduce the percentage of elective caesarean sections
topic external cephalic version
breech presentation
labour
url https://www.termedia.pl/External-cephalic-version-as-an-opportunity-to-reduce-r-nthe-percentage-of-elective-caesarean-sections,134,50983,1,1.html
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