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Doctor insights on: External Cephalic Version Risks

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What if an ECV (external cephalic version) fails?

What if an ECV (external cephalic version) fails?

C/section: After a failed cephalic version the baby is typically delivered by c/section. An external cephalic version, where the doctor tries to turn a breech baby on its head is not without risk and is typically done in the OR with the entire c/section team present to be able to do an immediate c/section. ...Read more

Dr. William Singer
8 Doctors shared insights

External Cephalic Version (Definition)

An external cephalic version is turning the baby from breech presentation to the proper "head-first" presentation so that the mother may attempt a normal vaginal delivery. They are successful 50-60% of the time. External versions are performed in the hospital and the doctor will do an ultrasound first to make sure the baby hasn't turned head-first on its own. The baby is then turned after giving the mother a medication to relax the uterus. It can be uncomfortable but the patient can ask at any time to stop the procedure. Occasionally external versions are done under epidural anesthesia or even when a patient is in labor. An external version is best performed between 36 and 37 weeks when the baby is generally not as large and there is enough amniotic fluid to turn the baby. It is not performed prior to 36 weeks because of the small possibility of inducing labor ...Read more


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What is external cephalic version and when is it done?

What is external cephalic version and when is it done?

Turning your baby: An external cephalic version is a procedure done by your obgyn to turn your baby from breech to cephalic (head first) position in hopes of attempting vaginal delivery thereafter. Ideally, it is performed from 37-38 weeks but varies depending on your doctor. Some try a little earlier and some will even try beyond 38 weeks. The procedure has risks that you should discuss at length with your doctor. ...Read more

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Is external cephalic version dangerous for baby or mom? Could it cause issues with unbiblical cord? I'm 36 weeks with a breech baby. Any advice?

Is external cephalic version dangerous for baby or mom? Could it cause issues with unbiblical cord? I'm 36 weeks with a breech baby. Any advice?

Version aversion?: Version (turning a baby from a breech presentation to vertex (head down)) is not without risk. And you are correct; umbilical cord compression or kinking can occur. This is why your baby is monitored throughout the procedure. Version is not always successful, i.e., babies can flip back. And it may be uncomfortable. It can, however, increase your chance of having a vaginal delivery. Talk with doc! ...Read more

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Why is external cephalic version contraindicated in transverse lie? Why do we offer caesarean section in pregnant woman with transverse lie? Thanks.

Why is external cephalic version contraindicated in transverse lie? Why do we offer caesarean section in pregnant woman with transverse lie? Thanks.

It's not: As long as specific criteria are met (nl fluid, nl NST, no placental problems, good vag del candidate, etc...) you're halfway there! An ECV in a good candidate with an experienced OB is a good option. Otherwise, you can't deliver vaginally with a transverse lie. You risk cord prolapse, malpresentation, or maternal & fetal injury. Listen to your OB, you might have a finding that prohibits it. ...Read more

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What does it mean if there is cephalic presentation?

What does it mean if there is cephalic presentation?

Head down: Cephalic means that the baby's head is down, which from an obstetrical perspective is the desirable position, as opposed to breech, when the baby is bottom down. ...Read more

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What are cephalic disorders--head?

What are cephalic disorders--head?

Related to head: Cephalic is a term used to denote the head. For example, pain in the head is termed cephalalgia. ...Read more

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Where is the cephalic vein?

Where is the cephalic vein?

Arm: The cephalic vein is found in the upper extremity. The vein extends in line with the base of the thumb, coursing up the forearm and upper arm just in front of the deltoid muscle. The cephalic vein dumps into the larger veins of the shoulder region. The cephalic vein is often visible in body builders as the large superficial vein which courses across the deltoid shoulder region. Popular for iv's. ...Read more

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20 weeks pregnant baby in cephalic position is this normal?

20 weeks pregnant baby in cephalic position is this normal?

Yes: Hi! Cephalic presentation means that the head is down which is the right position for a normal vaginal delivery. Since it's only 20th week, baby still has some room to move but most likely will not turn around. Your ob will continue monitoring baby's position because it's also important for the vertex (top of head) to be the presenting part. Good luck. ...Read more

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Reasons for purple cephalic and accessory cephalic veins on left arm?

Reasons for purple cephalic and accessory cephalic veins on left arm?

More info needed: Hello! Are they painful? Do they feel like a cord under the skin? Any trauma? Have you had a catheter places I that arm? Wondering if infection, clot, inflammation. ...Read more

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Ultrasound report says cephalic presentation can any one help me understand?

Ultrasound report says cephalic presentation can any one help me understand?

Head down: "cephalic presentation" just means that your baby's head is down in the pelvis, as opposed to a "breech presentation" when the baby's buttocks or feet are in the pelvis. ...Read more

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What does this mean? Single alive intrauterine fetus in cephalic presentation spine right lateral?

What does this mean? Single alive intrauterine fetus in cephalic presentation spine right lateral?

It=pregnancy only 1-: -fetus, not multiple as in twins or triplets. It is positioned head downwdownward with the spine, or the back Iis located 2 the right ltlaterally. This gives a lot of information 2 Ur OB. This is a normal presentation of the fetus. ...Read more

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Can you tell me about fetus cephalic presentation and placenta anterior low lying will I deliver before my due date?

Can you tell me about fetus cephalic presentation and placenta anterior low lying will I deliver before my due date?

All normal: Fetus in the cephalic presentation just means the baby is head down. The placenta is on the front wall of the uterus which is normal and it is low on that wall instead of high on the wall. None of these things should lead to early delivery. Good luck! ...Read more

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Can a baby turn from cephalic to breech even after her head being engaged at 36wks? Hope she doesn't turn because she was footling up until 32wks!

Can a baby turn from cephalic to breech even after her head being engaged at 36wks? Hope she doesn't turn because she was footling up until 32wks!

Probably not: If the head is truly engaged in the pelvis as determined by your doctor, there is very little chance the baby will turn. It is common for babies to be breech until the third trimester. You will be examined well before labor upon starting labor to confirm cephalic presentation. ...Read more

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Baby was footling breech since 24wks. Recently turned cephalic at 32wks yesterday. Is it likely she will stay that way till birth now? Wat can I do?

Baby was footling breech since 24wks. Recently turned cephalic at 32wks yesterday. Is it likely she will stay that way till birth now? Wat can I do?

Be patient: A fetus assumes whatever position the uterus and chance allows, with more variability early and less as it approaches term. From now until term, increasing size forces less change in position as the uterine wall becomes stretched to accommodate baby. Although there is a chance she can still flip, it is less than earlier. There is little if anything you can do to influence the final position. ...Read more