ECVs are usually safe, but there are some risks. In rare cases, it can cause changes in your baby’s heart rate, tearing of the placenta, and preterm labor. The procedure is usually done near a delivery room in case you need an emergency C-section.
What are the risks of ECV?
The most common risk with an external cephalic version is a temporary change in your baby’s heart rate, which occurs in about 5 percent of cases. Serious complications are extremely rare but can include the need for emergency C-section, vaginal bleeding, loss of amniotic fluid, and umbilical cord prolapse.
When is ECV not recommended?
Most women can have an ECV if they have a healthy pregnancy with a normal amount of amniotic fluid. However, an ECV is not recommended if: you need a caesarean for other reasons. you have had vaginal bleeding in the previous 7 days.
Can a ECV trigger Labour?
A small number of women may experience bleeding behind the placenta and/or damage to the womb. About one in 200 babies need to be delivered by emergency caesarean section immediately after an ECV as a result of these complications. ECV does not usually cause labour to begin.
Is it worth having an ECV?
While ECVs are considered a safe option for some, the risks may not outweigh the benefits for others. Most providers will not perform an ECV before full term for a couple reasons. One, it could cause labor to begin or delivery could become necessary. Two, many babies turn on their own before being full-term.
How do I keep my baby’s head down after ECV?
Long, brisk walks. Wearing a pregnancy belt. Doing Side-lying Releases on both sides daily (for a while), and then twice a week. Keep balancing (you’ve done good work, but keep going so tight muscles don’t return and create issues again)
Are breech babies more painful to carry?
Giving birth to a breech baby vaginally is not usually any more painful than a head-down position, as you’ll have the same pain relief options available to you, although it does carry a higher risk of perinatal morbidity (2:1000 compared to 1:1000 with a cephalic baby).
What birth defects cause breech position?
What causes a baby to be breech?
- You are expecting multiples (twins or more). …
- There is too much or too little amniotic fluid.
- The uterus is not normal in shape or has abnormal growths such as fibroids. …
- The placenta covers all or part of the cervix (a condition called placenta previa).
- The baby is preterm.
How can I get my baby to go head down?
External cephalic version (ECV) ECV is one way to turn a baby from breech position to head down position while it’s still in the uterus. It involves the doctor applying pressure to your stomach to turn the baby from the outside. Sometimes, they use ultrasound as well.
Does a breech baby mean something is wrong?
Can a breech presentation mean something is wrong? Even though most breech babies are born healthy, there is a slightly elevated risk for certain problems. Birth defects are slightly more common in breech babies and the defect might be the reason that the baby failed to move into the right position prior to delivery.
Does ECV distress baby?
The risks associated with ECV are very small. Very occasionally the baby can become distressed. This leads to approximately one in 200 babies being delivered by emergency caesarean section immediately after an ECV due to changes in the baby’s heartbeat or bleeding from the placenta.
How long after ECV did you go into labor?
Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery.
Are breech C sections more difficult?
Cesarean section in breech or transverse presentation involves more complicated procedures than cesarean section in cephalic presentation because the former requires additional manipulations for guiding the presenting part of the fetus, liberation of the arms, and the after-coming head delivery; therefore, those …
How successful is an ECV at 39 weeks?
Results. 40 attempts of ECV were performed (always after 38 weeks of gestational age), succeeding in 26 cases (65%). Vaginal delivery occurred in 20 out of the 26 successful ECV (76.9%).
How do I make my ECV successful?
Favourable factors for success were multiparity (95.5% vs 4.1%, p = 0.0001), flexed breeches (74% vs 26%, p = 0.002), posterior placenta (38.6% vs 16.4%, p = 0.0001) and anterior fetal back (53.4% vs 34.8%, p = 0.03). Once turned the babies remained cephalic until delivery.
What happens if you refuse a ECV?
If the baby does not turn or if you decline an ECV you may choose, after discussion with the consultant obstetrician, to: • Have an elective caesarean section. Continue the pregnancy with the baby in the breech position and have a vaginal breech delivery.