Are babies who are "turned" by ECV still more likely to be born by caesarean section?

By , 16 May 2014

Are babies who are "turned" by ECV still more likely to be born by caesarean section?

...a little, yes.

A new systematic review published ahead of print in Obstetrics & Gynaecology this week has confirmed that the rate of subsequent caesarean section is higher in women who have had a baby successfully turned from a breech to a cephalic presentation by ECV.  In this study, the rate of caesarean section after successful ECV was 21%, which compares to an intrapartum caesarean section rate for women with cephalic-presenting babies of around 12-15%.  Nevertheless, ECV remains a safe, simple, and scientifically valid method for women wishing to avoid caesarean section; the authors found that three women need to undergo an attempted ECV to prevent one caesarean section.  In medicine this is called the "number needed to treat", or NNT.  The lower the NNT, the more efficient the treatment is, and a NNT of three is excellent. 

 

Are babies who are "turned" by ECV still more likely to be born by caesarean section?
 

About Dr David Moore

Are babies who are "turned" by ECV still more likely to be born by caesarean section?

David is a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, and undertook his specialist training in Queensland.  He is highly skilled in the management of complex and high-risk pregnancies, and has special training in minimally-invasive surgery, endometriosis, pelvic floor and incontinence surgery.  David has completed a Master of Reproductive Medicine and is skilled in the assessment and management of fertility problems, and can offer the full range of assisted reproductive treatments.  He is a Senior Lecturer with The University of Queensland Medical School, and has published both medical journal and textbook contributions.

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