Early versus late ecv in primigravidae with breech presentation: A pilot study

Nor Azlin Mohamed Ismail, H. Norliza, M. N. Norzilawati, Zaleha Abdullah Mahdy, Shuhaila Ahmad, M. A. Jamil

Research output: Contribution to journalArticle

Abstract

This was a pilot study comparing the success between early versus late external cephalic version (ECV) involving primigravidae with singleton breech pregnancy. They were randomised into early (34-36 weeks) and late (37-40 weeks) ECV groups. A total of 44 women were initially randomised into 22 women for each group. The overall ECV success rate was acceptable in both groups although insignificantly higher in the late ECV group (55.6% versus 46.7%, p= 0.732.) Caesarean section in the early ECV group was higher (80% versus 72.2%). Early ECV group had women with higher BMI (29.5 versus 26.8 kg/mz, p=0.107), anterior placentation (60% versus 38.9%) and extended breech presentation (55.6% versus 44.4%; p= 0.296). In conclusion, early ECV in primigravidae showed no better success rate than late ECV. Maternal obesity, anterior placentation and extended breech presentation should alert to failure risk.

Original languageEnglish
Pages (from-to)20-27
Number of pages8
JournalMalaysian Journal of Public Health Medicine
Volume13
Issue number1
Publication statusPublished - 2013

Fingerprint

Fetal Version
Breech Presentation
Placentation
Cesarean Section
Obesity
Mothers
Pregnancy

Keywords

  • Breech
  • External cephalic version
  • Tocolysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Early versus late ecv in primigravidae with breech presentation : A pilot study. / Mohamed Ismail, Nor Azlin; Norliza, H.; Norzilawati, M. N.; Abdullah Mahdy, Zaleha; Ahmad, Shuhaila; Jamil, M. A.

In: Malaysian Journal of Public Health Medicine, Vol. 13, No. 1, 2013, p. 20-27.

Research output: Contribution to journalArticle

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