Najbolji ishod za majke i djecu je da se dijete rodi tako da glavica izađe prva.
Kada se čedo nalazi u drugom položaju, povećava se rizik od komplikacija, uključivo i potrebu primjene carskoga reza.
ECV increased having a head-first vaginal birth by 42 babies per 100
If we repeated these studies, this number can be as high as 53 and as low as 30 by chance.
79 čeda od njih 100 nije se rodilo glavicom
37 čeda od njih 100 nije se rodilo glavicom
21 čedo od njih 100 rodilo se glavicom
63 čeda od njih 100 rodilo se glavicom
Caesarean section rates vary greatly between countries and over time.
Avoiding the need for surgery is especially important in countries with limited resources for healthcare.
ECV reduced caesarean section by 14 women per 100
If we repeated these studies, this number can be as high as 19 and as low as 6 by chance.
32 women out of 100 had a caesarean section
18 women out of 100 had a caesarean section
68 women out of 100 did
not have a caesarean section
82 women out of 100 did not have caesarean section
ECV made no clear difference to the number of babies who had an Apgar score less than 7 at 5 minutes, umbilical pH less than 7.20, were admitted to the neonatal unit, or died.
These studies are too small to show if ECV is safe to use in women with low-risk pregnancies, however other types of studies suggest that it is safe.
We also do not know if it should be used in high-risk cases, such as mothers who have already had a caesarean section, or who are expecting twins.
How good is the evidence?
The quality of the studies was varied.
In all trials women and health professionals knew whether ECV was happening or not, which may have affected the results.
There were differences between studies in the size of the benefit of ECV.
The quality of the evidence was low for perinatal death, and very low for all other outcomes.
Infographic by Helen West,
Cochrane Pregnancy and Childbirth
External cephalic version for breech presentation at term
Hofmeyr GJ, Kulier R, West HM
Full review: http://ow.ly/SMRvK
This project was supported by the National Institute for Health Research, via Cochrane Infrastructure and Cochrane programme Grant (13/89/05) funding to Cochrane Pregnancy and Childbirth. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Systematic Reviews Programme, NIHR, NHS or the Department of Health.