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Prediction of success in external cephalic version for breech presentation at term

Obstetrics and Gynecology Apr 27, 2019

Isakov O, et al. - Researchers performed this single-center retrospective study of all candidates for external cephalic version (ECV) between 36 and 41 weeks of gestation in order to develop a clinically based predictive model for the likelihood of successful ECV. They identified 250 pregnant women who opted for a trial of ECV by a single operator, with a success rate of 64.8%. Accurate prediction of successful ECV at term was made via a prediction model composed of three easily measurable variables (body mass index, size of fore-bag, and parity). The most important discriminator was fore-bag. This model holds in internal validation and seems to have utility for supporting patient counseling and decision making for ECV.
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