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 or rupture of membranes.
24 year experience in Obstetrics and Gynecology
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