Loading...
Lowering cesarean delivery rates in the U.S. and globally is a public-health priority. Offering trials of external cephalic version to women with term fetuses in breech or transverse presentation is important for lowering primary cesarean rates. However, risk for operative delivery following successful version remains controversial.
An international group conducted a meta-analysis of 11 observational studies (including 46,641 pregnancies) in which delivery mode following successful external cephalic version was compared with that of pregnancies in spontaneous cephalic presentation. Women with successful versions (59% of attempts) underwent cesarean delivery 21% of the time, compared with 11% of women with spontaneous cephalic presentations (…