{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:36:36Z","timestamp":1792092996208,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,16]],"date-time":"2024-06-16T00:00:00Z","timestamp":1718496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004687","name":"Universidad de Murcia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004687","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyze the success rate of external cephalic version (ECV) in pregnant women with a history of previous cesarean section, as well as to describe the rate of complications associated with the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of women who were offered an ECV at \u201cVirgen de la Arrixaca\u201d Clinic University Hospital (Murcia, Spain) between January 2014 and December 2023. We collected data for previous cesarean delivery, obstetric history, fetal presentation, amniotic fluid volume, ECV success rate, complications related to ECV, mode of delivery, and neonatal outcomes. The study confidently performed ECV under sedation with propofol and tocolysis with ritodrine. Univariate and multivariate analyses were conducted to compare the success rate of ECV, ECV complications, and mode of delivery between women with and without previous cesarean sections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1116 pregnant women who were offered ECV, 911 were included in the study, with 42 having a previous cesarean section. The success rate of ECV in pregnant women with a previous cesarean section was 78.6% (adjusted odds ratio 1.18; 95% confidence interval 0.49\u20132.86; <jats:italic>P<\/jats:italic>\u2009=\u20090.708), with a low complication rate of 9.5%, such as non\u2010reassuring fetal heart rate (7.1%) or major vaginal bleeding (2.4%). Of the women who attempted a vaginal delivery after ECV, 80.8% were successful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings support that ECV is a safe and effective option for women with a previous cesarean section, with success rates comparable to those in women without a previous cesarean section.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15738","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T06:24:49Z","timestamp":1718605489000},"page":"1066-1074","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["External cephalic version following prior cesarean delivery: A\u00a0comparative cohort analysis"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-3556","authenticated-orcid":false,"given":"Javier","family":"S\u00e1nchez\u2010Romero","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"},{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Mar\u00eda","family":"Gallego\u2010Pozuelo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"},{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajar","family":"Dahmouni\u2010Dahmouni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0511-3533","authenticated-orcid":false,"given":"Jos\u00e9 Eliseo","family":"Blanco\u2010Carnero","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"},{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Araico\u2010Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Herrera\u2010Gim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2831-9975","authenticated-orcid":false,"given":"Alberto Rafael","family":"Guijarro\u2010Campillo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-7119","authenticated-orcid":false,"given":"An\u00edbal","family":"Nieto\u2010D\u00edaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"},{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0117-6388","authenticated-orcid":false,"given":"Katy","family":"de Paco","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Clinic University Hospital \u201cVirgen de la Arrixaca\u201d  Murcia Spain"},{"name":"Department of Obstetrics, Gynecology, Surgery and Pediatrics University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(85)80276-3"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004076"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.056"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00317.x"},{"key":"e_1_2_10_7_1","volume-title":"WHO Recommendations Non\u2010clinical Interventions to Reduce Unnecessary Caesarean 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