EXTERNAL CEPHALIC VERSION Meaning and
Definition
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External Cephalic Version (ECV) is an obstetric procedure performed during pregnancy to manually rotate a baby from a position other than head-first (called breech position) to a head-down position (called vertex presentation) in preparation for vaginal delivery. It is a non-invasive technique that involves external manipulation of the mother's abdomen to encourage the baby's repositioning.
During an ECV, a healthcare provider applies gentle pressure on the mother's abdomen, while closely monitoring the baby’s heart rate and the mother's well-being. The procedure is usually performed in a hospital setting, close to term when the baby has enough space to move freely. Prior to the ECV, the mother may be given a medication to relax the muscles of the uterus, facilitating the baby’s repositioning.
External Cephalic Version is considered a safe and effective method to increase the likelihood of a successful head-first vaginal delivery in cases where the baby is in the breech position. By optimizing the position of the baby, ECV decreases the chances of complications associated with breech presentations, such as difficulties during birth, prolonged labor, and the need for a cesarean section.
It is important to note that not all babies can be rotated successfully using ECV. Factors such as the baby's position, size, and the presence of other medical conditions may affect the success rates of the procedure. Additionally, ECV may be contraindicated in certain situations, such as high-risk pregnancies or if the mother has a medical condition that makes the procedure risky.
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