ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
External cephalic version outcomes with tocolysis and sedation: A 10-year retrospective cohort study.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Development and Internal Validation of a Multivariable Prediction Model for Complications After External Cephalic Version in Singleton Term Pregnancies.Journal of clinical medicine · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate the effectiveness and safety of external cephalic version (ECV) performed with tocolysis and sedation or spinal anesthesia, and to identify predictors of ECV success, complications, and delivery outcomes after successful ECV.
methodsThis 10-year cohort study included 990 pregnant women with term non-cephalic presentation at a tertiary hospital in Spain. Data were collected retrospectively (2014-2020) and prospectively (2020-2024). All ECVs followed a standardized protocol using ritodrine plus either propofol sedation or spinal anesthesia. Multivariable logistic regression identified predictors of ECV success and complications, and delivery outcomes were recorded.
resultsECV was successful in 691/990 (69.8%). Factors associated with higher success included a deepest amniotic fluid pocket >30 mm (OR = 1.80; 95%CI 1.04-3.11) and transverse lie (OR = 3.60; 95%CI 1.74-7.45). Lower success was observed in nulliparous women (OR = 0.55; 95%CI 0.40-0.76) and those with BMI between 30 and 35, and >35 kg/m
conclusionIn this high-volume tertiary center, ECV performed with systematic tocolysis and sedation or spinal anesthesia achieved high success and low complication rates, supporting the safety and feasibility of this optimized protocol.
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