ABSTRACT
External cephalic version (ECV) procedure is offered to women usually at between 36–38 weeks' gestation if their fetus is breech presentation at 36 weeks. With the additional risks associated with breech vaginal births, one way of reducing the need for a caesarean section is to turn the fetus into a cephalic presentation and aim for a normal labour and birth with less associated risks. It is suggested that 50–70% are successful. Some babies move back into the breech position. Rarely, the procedure can lead to the need for an urgent caesarean due to fetal distress or placental abruption during the procedure. ECV involves the manipulation of the fetus by applying pressure to the fetus through the mother's abdomen. This procedure can be quite uncomfortable for the woman and she will need support and reassurance throughout. If all is successful she may be sent home, but not until there are no signs of any complications and follow-up is arranged.
