External Cephalic Version (ECV) is a medical procedure used to turn a breech baby to a head-down position before labor begins. This technique is typically performed by an experienced obstetrician in a hospital setting. It is a manual process that involves applying pressure to the mother’s abdomen to encourage the baby to rotate. ECV is a valuable option for many expecting mothers to help avoid a breech birth and increase the chances of a vaginal delivery.
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What is External Cephalic Version (ECV)?
ECV is a procedure carried out during the late stages of pregnancy, usually around 36 to 37 weeks gestation. The goal is to turn the baby from a breech position (where the baby’s buttocks or feet are positioned to be delivered first) to a cephalic position (head-first). During the procedure, the obstetrician will use their hands to gently but firmly manipulate the baby through the mother’s abdomen. This procedure can take anywhere from a few minutes to half an hour and is often performed with ultrasound guidance to monitor the baby’s position and well-being.
Increased likelihood of vaginal birth, which typically has a shorter recovery period compared to a cesarean section.
Reduced risk of complications associated with breech births, such as cord prolapse and head entrapment.
Decreased need for a planned cesarean section, which can have longer-term implications for future pregnancies.
FAQS
Is ECV painful?
While some women may find the procedure uncomfortable, it is generally not painful. Medication can be provided to help relax the uterus and reduce discomfort.
What are the risks associated with ECV?
ECV is generally safe, but as with any medical procedure, there are risks. These can include temporary changes in the baby’s heart rate, placental abruption, premature rupture of membranes, or, in rare cases, emergency cesarean delivery.
What happens if ECV is unsuccessful?
If the ECV is not successful, your healthcare provider will discuss alternative birth plans with you, which may include scheduling a cesarean section.
How successful is ECV?
The success rate of ECV can vary, but it is generally around 50- 60%. Factors such as the amount of amniotic fluid, the baby’s position, and the mother’s uterine tone can affect the outcome.
Can ECV be repeated?
In some cases, ECV can be attempted more than once if the first attempt is unsuccessful and if the healthcare provider deems it safe to do so.
