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Original Article

J. Islam. Int. Med. Coll.. 2011; 6(1): 8-13

External Cephalic Version (ECV) for Breech Presentation at Term -Experience at Railway Hospital

Shamsunnisa Sadia, Shamsa Rizwan, Saadia Sultana, Fareesa Waqar, Raazia Rauf, Shaheena Owais.


Objective: To assess the effectiveness of ECV in singleton breech presentation at term and to determine its effect on maternal, delivery and perinatal outcomes in women to whom the procedure was offered.
Study Design: A quasi experimental study
Place and Duration of Study: The study was carried out in the Department of Obstetrics and Gynaecology, Railway hospital, Rawalpindi, from August 2006 to December 2008.
Material and Methods: Eligible women, presenting with uncomplicated breech, between 37-41 weeks gestation, underwent ECV on day care basis. Fifteen minutes before the procedure, injection salbutamol 0.5 mg was administered. Cases with contraindication to ECV or salbutamol injection were excluded from the study.
Success rate of ECV (in terms of conversion from breech to cephalic presentation at the completion of procedure confirmed through ultrasound) along with maternal, delivery and perinatal outcomes were assessed. Maternal and fetal demographic characteristics were also recorded as secondary outcome measures. For statistical
analysis, SPSS version 10 was used and Chi-square test applied with a p

Key words: External cephalic version, breech presentation, pregnancy outcome

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