Open AccessSuccessful External Cephalic Version in Early Labour: A Case Report and Literature Review
Author(s) -
Janjua Nb,
Birmani Sa,
Maeve White,
S. Siu,
Asish R. Das
Publication year - 2021
Publication title -
journal of biomedical research and environmental sciences
Language(s) - English
Resource type - Journals
ISSN - 2766-2276
DOI - 10.37871/jbres1333
Subject(s) - medicine , breech presentation , caesarean section , presentation (obstetrics) , external cephalic version , vaginal delivery , amniotic fluid , rupture of membranes , obstetrics , prom , obstetrics and gynaecology , case presentation , gestation , informed consent , pregnancy , surgery , fetus , genetics , biology , alternative medicine , pathology
Presentation: A 35 year old woman, gravida 7 para 7, all vaginal deliveries, presented with labour pains at 39 weeks’ gestation with intact membranes. Cardiotocograph (CTG) was reassuring. Diagnosis: Breech presentation was confirmed by an ultrasound. Treatment: The patient was offered options of External Cephalic Version (ECV) versus (vs) Lower Segment Caesarean Section (LSCS). She opted for ECV which was successful, followed by controlled artificial rupture of membranes. She delivered a healthy baby girl vaginally and was discharged home on day 1 postpartum. Conclusion: Although intrapartum ECV is not recommended routinely, there is a place for its judicious use in selective cases. The prerequisites include an experienced obstetrician, reassuring CTG, previous vaginal delivery, no obstetric indication for performing LSCS, adequate amniotic fluid volume with intact membranes, early labour, and informed maternal consent. We recommend keeping theatre on standby while performing ECV in case an obstetric complication arises.