Open Access
When does External Cephalic Version Succeed?
Author(s) -
Hellström AnnCathrin,
Nilsson Bo,
Stånge Lars,
Nylund Lars
Publication year - 1990
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349009036147
Subject(s) - external cephalic version , medicine , logistic regression , amniotic fluid , parity (physics) , obstetrics , cephalic presentation , multivariate analysis , breech presentation , pregnancy , fetus , gynecology , second trimester , genetics , physics , particle physics , biology
From 1984 to 1987, 300 pregnant women with fetal representations underwent an attempt at external cephalic version (ECV) during the last trimester. A consecutive analysis of factors associated with successful version was performed during this period. the final version rate after one or more attempts was 58%, being lower in nulliparous (39%) than in parous women (80%). Multivariate analyses (logistic regression) identified only three significant variables out of 16 with independent power to explain successful version. the overall most important factor was parity ( p < 0.001), followed by fetal presentation ( p < 0.001) and amount of amniotic fluid ( p = 0.019).