{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:23:48Z","timestamp":1792797828454,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,2]],"date-time":"2015-02-02T00:00:00Z","timestamp":1422835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"KNOV","id":[{"id":"https:\/\/ror.org\/02162rn53","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Midwifery Academy in Amsterdam"},{"name":"Midwifery Academy in Rotterdam"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,2]]},"abstract":"\n Objective<\/jats:title>\n \n To evaluate the success of an external cephalic version (\n ECV<\/jats:styled-content>\n ) training programme, and to determine the rates of successful\n ECV<\/jats:styled-content>\n , complications, and caesarean birth in a low\u2010risk population.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Primary health care and hospital settings throughout the Netherlands (January\u00a02008\u2013September\u00a02011).<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n \n Low\u2010risk women with a singleton fetus in breech presentation, without contraindications to\n ECV<\/jats:styled-content>\n , were offered\n ECV<\/jats:styled-content>\n at approximately 36\u00a0weeks of gestation.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Data were collected for all\n ECV<\/jats:styled-content>\n s performed by midwives, and were entered into a national online database.\n <\/jats:p>\n <\/jats:sec>\n \n Main measures<\/jats:title>\n \n Successful\n ECV<\/jats:styled-content>\n was defined as the fetus having a cephalic presentation immediately following the procedure and at birth. Complications were observed at \u226430\u00a0minutes and between 30\u00a0minutes and 48\u00a0hours after the\n ECV<\/jats:styled-content>\n procedure. All serious pregnancy outcomes that occurred after the\n ECV<\/jats:styled-content>\n procedure until birth were reported.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 47% had a successful ECv and a cephalic at the time of birth: 34% of nulliparous and 66% of multiparous women. After\n ECV<\/jats:styled-content>\n , 57% of women gave birth vaginally: 45% of nulliparous women and 76% of multiparous women. Within 30\u00a0minutes after\n ECV<\/jats:styled-content>\n , and between 30\u00a0minutes and 48\u00a0hours after\n ECV<\/jats:styled-content>\n , the proportion of women experiencing a complication or serious pregnancy outcome was 0.9% and 1.8%, respectively. Serious pregnancy outcome at any time following\n ECV<\/jats:styled-content>\n until birth was experienced by 58 (2.5%) of the women.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The success rate of\n ECV<\/jats:styled-content>\n s performed by trained midwives in primary health care or hospital settings is comparable with that of other providers, and the procedure is safe for low\u2010risk women.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.13234","type":"journal-article","created":{"date-parts":[[2015,2,2]],"date-time":"2015-02-02T04:10:48Z","timestamp":1422850248000},"page":"415-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["An observational study of the success and complications of 2546 external cephalic versions in low\u2010risk pregnant women performed by trained midwives"],"prefix":"10.1111","volume":"123","author":[{"given":"A","family":"Beuckens","sequence":"first","affiliation":[{"name":"KNOV, Royal Dutch Organisation of Midwives Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Rijnders","sequence":"additional","affiliation":[{"name":"TNO Department of Child Health Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GHM","family":"Verburgt\u2010Doeleman","sequence":"additional","affiliation":[{"name":"Hogeschool Rotterdam Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GC","family":"Rijninks\u2010van Driel","sequence":"additional","affiliation":[{"name":"KNOV, Royal Dutch Organisation of Midwives Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Midwifery Education Program McMaster University Hamilton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EK","family":"Hutton","sequence":"additional","affiliation":[{"name":"Midwifery Education Program McMaster University Hamilton Canada"},{"name":"Department of Midwifery VU University Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00317.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01143.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01050.x"},{"key":"e_1_2_9_6_1","unstructured":"KweeA.Caesarean section in the Netherlands. 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