{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T22:19:17Z","timestamp":1766269157558},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T00:00:00Z","timestamp":1550448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine optimum timing of external cephalic version (<jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted at a tertiary hospital in Israel between February 1, 2016, and July 1, 2017. Healthy primiparous women with breech presentation were offered either early <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> (35\u201336\u00a0weeks; n=54) or late <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> (37\u201338\u00a0weeks; n=106). Group assignment was according to the patient's preference and physician availability. The primary outcome was the rate of cephalic presentation at delivery. Secondary outcomes included rate of cesarean delivery, presentation of fetus after the first and last <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content>s, and serious fetal complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of undergoing more than two <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> attempts was 18.5% in the early <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> group and 5.6% in the late <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>=0.039). The incidence of cephalic presentation after the first <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> was 72.2% in the early <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> group versus 66.0% in the late <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>=0.048). By contrast, no statistically significant between\u2010group differences were found for presentation at delivery or rate of cesarean delivery. The other outcomes were also similar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early initiation of <jats:styled-content style=\"fixed-case\">ECV<\/jats:styled-content> among primiparous women increased the chance of immediate cephalic presentation; however, it had no effect on presentation at delivery or cesarean delivery rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12774","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T10:55:19Z","timestamp":1549018519000},"page":"116-121","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Success rates of early versus late initiation of external cephalic\u00a0version"],"prefix":"10.1002","volume":"145","author":[{"given":"Anat","family":"Lavie","sequence":"first","affiliation":[{"name":"Lis Maternity and Women's Hospital Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Reicher","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarit","family":"Avraham","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Ram","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Maslovitz","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)30473-X"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.817"},{"key":"e_1_2_8_4_1","first-page":"306","article-title":"Efficacy of external cephalic version: A review","volume":"82","author":"Zhang J","year":"1993","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_5_1","volume-title":"External cephalic version and reducing the incidence of breech presentation. 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