{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T16:30:38Z","timestamp":1788193838362,"version":"build-2803163510"},"reference-count":38,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T00:00:00Z","timestamp":1668038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: In recent years, the rate of caesarean section (CS) has increased constantly. Although vaginal breech delivery has a long history, breech presentation has become the third most common indication for CS. This study aims to identify factors associated with the success of external cephalic version (ECV), underline the success rate of ECV for breech presentation and highlight the high rate of vaginal delivery after successful ECV. Material and Methods: This retrospective observational study included 113 patients with singleton fetuses in breech presentation, who underwent ECV from January 2016 to March 2021 in the Clinic of Obstetrics and Gynecology, Diakonieklinikum Schw\u00e4bisch Hall, Germany. Maternal and fetal parameters and data related to procedure and delivery were collected. Possible predictors of successful ECV were evaluated. Results: The success rate of ECV was 54.9%. The overall rate of vaginal birth was 44.2%, regardless of ECV outcome. The vaginal birth rate after successful ECV was 80.6%. Overall, 79.0% of women with successful ECV delivered spontaneously without complications, 19.4% delivered through CS performed during labor by medical necessity, and 1.6% delivered through vacuum extraction. ECV was performed successfully in three of the four women with history of CS. Gravidity, parity, maternal age, gestational age, fetal weight, and amniotic fluid index (AFI) were significantly correlated with the outcome of ECV. Conclusions: ECV for breech presentation is a safe procedure with a good success rate, thus increasing the proportion of vaginal births. Maternal and fetal parameters can be used to estimate the chances of successful ECV.<\/jats:p>","DOI":"10.3390\/medicina58111619","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T02:01:45Z","timestamp":1668045705000},"page":"1619","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["External Cephalic Version\u2014A Chance for Vaginal Delivery at Breech Presentation"],"prefix":"10.3390","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3240-4793","authenticated-orcid":false,"given":"Ionut Marcel","family":"Cobec","sequence":"first","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Diakoniestrasse 10, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad Bogdan","family":"Varzaru","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Diakoniestrasse 10, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamas","family":"K\u00f6vendy","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Diakoniestrasse 10, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorant","family":"Kuban","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Diakoniestrasse 10, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca-Elena","family":"Eftenoiu","sequence":"additional","affiliation":[{"name":"Clinic of Internal Medicine, Hohenloher Krankenhaus \u00d6hringen, 74613 \u00d6hringen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aurica Elisabeta","family":"Moatar","sequence":"additional","affiliation":[{"name":"Clinic of Internal Medicine, Hohenloher Krankenhaus \u00d6hringen, 74613 \u00d6hringen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Rempen","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Diakoniestrasse 10, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1515\/jpm-2020-0505","article-title":"Analysis of cesarean section rates in two German hospitals applying the 10-Group Classification System","volume":"49","author":"Pulvermacher","year":"2021","journal-title":"J. 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