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CC BY-NC-ND 4.0 · AJP Rep 2019; 09(04): e323-e327
DOI: 10.1055/s-0039-1695748
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Factors Associated with Attempted External Cephalic Version for Fetal Malpresentation at Term

Meghana Limaye
1   Department of Obstetrics & Gynecology, NYU Langone Medical Center, New York, New York
,
Najma Abdullahi
2   Department of Obstetrics & Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, Rhode Island
,
Phinnara Has
2   Department of Obstetrics & Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, Rhode Island
,
Valery A. Danilack
2   Department of Obstetrics & Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, Rhode Island
,
Rosemary Froehlich
3   Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Erika Werner
2   Department of Obstetrics & Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, Rhode Island
› Author Affiliations
Further Information

Publication History

12 April 2019

11 June 2019

Publication Date:
15 October 2019 (online)

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Abstract

Objective To assess differences in patient characteristics between women who did and did not undergo attempted external cephalic version (ECV) for fetal malpresentation at term.

Study Design This was a retrospective cohort study of women with a singleton gestation and noncephalic presentation at > 37.0 weeks between October 2014 and October 2015. We compared demographic and clinical characteristics of women who did and did not undergo attempted ECV and assessed the reasons that women did not attempt ECV.

Results Among 215 women, only 51 (24%) attempted ECV. There were no differences in age, race, insurance type, or body mass index between women who underwent attempted ECV and those who did not. Women who underwent ECV were significantly more likely to have had a prior vaginal delivery (69 vs. 36%, p < 0.001). Seventy-six women (46%) declined ECV. Women who declined ECV were more likely to be nulliparous than those who accepted the procedure (66 vs. 29%, p < 0.001). Among women who had ECV, the success rate was 55%. There were no adverse events after attempted ECV in this cohort.

Conclusion Among women with fetal malpresentation at term, those without a prior vaginal delivery were significantly less likely to undergo attempted ECV.

Keywords

external cephalic version - fetal malpresentation - prevention of primary cesarean delivery - utilization of external cephalic version

Presented at

ACOG Annual Clinical and Scientific Meeting, May 6–9, 2017, San Diego, CA