SynthesisThe Cochrane database of systematic reviews2000
External cephalic version for breech presentation at term.
Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03827226 (Breech External Cephalic Version Intervention Trial- A Prospective Study), which is not on this map. Cited by 30 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Breech External Cephalic Version Intervention Trial- A Prospective Study
Who cites it
30 citing papers in PubMed, 7 syntheses or guidelines pooled it, 144 citations in OpenAlex.
- Cephalic version by moxibustion for breech presentation.The Cochrane database of systematic reviews · 2023Pooled it
- Planned caesarean section for term breech delivery.The Cochrane database of systematic reviews · 2015Pooled it
- External cephalic version for breech presentation at term.The Cochrane database of systematic reviews · 2015Pooled it
- Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.The Cochrane database of systematic reviews · 2015Pooled it
- Cephalic version by postural management for breech presentation.The Cochrane database of systematic reviews · 2012Pooled it
- Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.The Cochrane database of systematic reviews · 2012Pooled it
- Reducing stillbirths: interventions during labour.BMC pregnancy and childbirth · 2009Pooled it
- Moxibustion for cephalic version: a feasibility randomised controlled trial.BMC complementary and alternative medicine · 2011Trial
- The Early External Cephalic Version (ECV) 2 Trial: an international multicentre randomised controlled trial of timing of ECV for breech pregnancies.BJOG : an international journal of obstetrics and gynaecology · 2011Trial
- Promoting childbirth companions in South Africa: a randomised pilot study.BMC medicine · 2007Trial
- Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598].BJOG : an international journal of obstetrics and gynaecology · 2007Trial
- PRE-ECV Score: Validation of a Pre-Specified Tool for Predicting the Success of External Cephalic Version at Term-Proof of Concept.Journal of clinical medicine · 2026Article
- Article
- Altered biomechanical stimulation of the developing hip joint in presence of hip dysplasia risk factors.Journal of biomechanics · 2018Article
- Evaluation of the learning curve for external cephalic version using cumulative sum analysis.Obstetrics & gynecology science · 2017Article
- The art of vaginal breech birth at term on all fours.Clinical case reports · 2017Article
- Successful external cephalic version: factors predicting vaginal birth.TheScientificWorldJournal · 2014Article
- Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios.Journal of chiropractic medicine · 2013Article
- Improving external cephalic version for foetal breech presentation.Facts, views & vision in ObGyn · 2013Review
- Assessing health and economic outcomes of interventions to reduce pregnancy-related mortality in Nigeria.BMC public health · 2012Article
Corrections and comments
- Updated by
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundManagement of breech presentation is controversial, both in regard to manipulation of the position of the fetus and the method of delivery. External cephalic version may reduce the number of breech presentations and caesarean sections, but there also have been reports of increased perinatal mortality with the procedure.
objectivesThe objective of this review was to assess the effects of external cephalic version at term on measures of pregnancy outcome. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth trials register was searched. Date of last search: October 1997. SELECTION CRITERIA: Randomised trials of external cephalic version at term (with or without tocolysis) compared with no attempt at external cephalic version in women with breech presentation. DATA COLLECTION AND ANALYSIS: Eligibility and trial quality were assessed by GJH and checked by RK. MAIN
resultsSix studies were included. External cephalic version at term was associated with a significant reduction in non-cephalic births (relative risk 0.42, 95% confidence interval 0.35 to 0.50) and caesarean section (relative risk 0.52, 95% confidence interval 0.39 to 0.71). There was no significant effect on perinatal mortality (relative risk 0.44, 95% confidence interval 0.07 to 2.92). REVIEWER'S
conclusionsAttempting cephalic version at term appears to reduce the chance of non-cephalic births and caesarean section. There is not enough evidence to assess any risks of external cephalic version at term.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.