All women with a breech pregnancy at or near term should be offered an ECV if there are no contraindications. And if:
- Ultrasound confirmation of:
- Non-vertex presentation
- Normal amniotic fluid
- Exclusion of fetal anomalies
- Placental location
2. Reassuring NST or biophysical profile prior to the procedure.
3. Absence of contraindications.
Vaginal delivery is contraindicated (Placenta previa, not a candidate for VBAC, etc.)
There are maternal, fetal and placental factors:
Is ECV safe in those with previous Cesarean Section?
Cesarean Section is not a contraindication for ECV.
- 6 cohort studies and 2 case-control studies with N = 14515
- Overall success found to be between 63-81%, similar to those without a previous c-section
- Vaginal delivery rate lower than those without a previous c-section (OR 0.26)
- No cases of uterine rupture during ECV were reported in women with a previous c-section
Prior low transverse c-section is not a contraindication to ECV.