External Cephalic Version

Carolyn F. Weiniger*, Yossef Ezra

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


In current obstetric practice, non-vertex presentation of the fetus usually leads to cesarean delivery. Elective cesarean delivery increases the risk of neonatal respiratory complications and birth trauma compared to vaginal delivery. External cephalic version (ECV), when successful, may allow a relatively safe vertex vaginal delivery. Success rates for external cephalic version are increased using tocolytic agents and neuraxial analgesia. This chapter considers the effects of external cephalic version on the fetus, and the use of anesthesia to increase the success rate of version. We conclude that it is desirable for both mother and fetus to attempt external cephalic version.

Original languageEnglish
Title of host publicationAnesthesia and the Fetus
Number of pages4
ISBN (Print)9781444337075
StatePublished - 17 Dec 2012
Externally publishedYes


  • Breech
  • Cesarean delivery
  • External cephalic version
  • Fetus
  • Neuraxial analgesia


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