- All women with a breech pregnancy at or near term should be offered an ECV if there are no contraindications.
- Average success rate approximately 49-58% with lower rates in nulliparous women.
- Early ECV increases the likelihood of cephalic presentation at birth with no decrease in c-section rate or increase in preterm birth risk.
- Prior low transverse c-section is not a contraindication to ECV.
- Limited evidence on contraindications but should not offer if suspicion of abruption, maternal preeclampsia/HELLP, or fetal distress.
- ECV mostly likely to succeed if multiparous, normal BMI, fore-bag >1 cm, and performed by experienced providers.
- No evidence for alternatives to ECV such as postural management and moxibustion.
Updated on August 4, 2021