{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:36:35Z","timestamp":1792092995103,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"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;amp; Obste"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This 10\u2010year cohort study included 990 pregnant women with term non\u2010cephalic presentation at a tertiary hospital in Spain. Data were collected retrospectively (2014\u20132020) and prospectively (2020\u20132024). 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ECV was successful in 691\/990 (69.8%). Factors associated with higher success included a deepest amniotic fluid pocket &gt;30\u2009mm (OR\u2009=\u20091.80; 95%CI 1.04\u20133.11) and transverse lie (OR\u2009=\u20093.60; 95%CI 1.74\u20137.45). Lower success was observed in nulliparous women (OR\u2009=\u20090.55; 95%CI 0.40\u20130.76) and those with BMI between 30 and 35, and &gt;35\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (OR\u2009=\u20090.53 and 0.49 respectively). Complications occurred in 101\/990 (10.2%), including 67\/990 (6.7%) emergent cesarean sections. After successful ECV, 556\/691 (80.5%) delivered vaginally.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this high\u2010volume 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70711","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T08:55:30Z","timestamp":1765616130000},"page":"1343-1351","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["External cephalic version outcomes with tocolysis and sedation: A 10\u2010year retrospective cohort study"],"prefix":"10.1002","volume":"173","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 \u2018Virgen de la Arrixaca\u2019 University Hospital  Murcia Spain"},{"name":"Department of Obstetrics and Gynecology, Pediatrics and Surgery University of Murcia  Murcia Spain"},{"name":"Maternal\u2010Fetal Medicine, Reproduction and Gynecology Research Group Biomedical Research Institute of Murcia Pascual Parrilla\u2013IMIB  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2712-123X","authenticated-orcid":false,"given":"Rosa Mar\u00eda","family":"Gallego\u2010Pozuelo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u2018Virgen de la Arrixaca\u2019 University Hospital  Murcia Spain"},{"name":"Department of Obstetrics and 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