To Study effect of external cephalic version in breech pregnancy with respect to antenatal patient admitted in M.Y. Hospital, Indore

Abstract

Background & Method: An interventional prospective study was conducted in Department of Obstetrics and Gynecology at M.G.M. Medical College and M.Y. Hospital Indore in women with breech pregnancy admitted, Minimum of 30 cases were screened by ultrasound, then presentation were confirmed. All the patients who are diagnosed with breech adviced to go for USG with colour doppler at term and their follow up till they deliver were recorded. Result: Total number of breech admitted was 679 out of which maximum in the age group of 22-26 i.e 49.6%. Maximum number of women 407(60%) were found be unbooked and 272 (40%) of women are booked. Total no. of deliveries and breech admitted in the hospital, in study period total no. of cases delivered during the study time found to be 17,308 out of which 679 patient were breech, so incidence of breech found to be 3.9 %. Among them 30 patient give consent for ECV. Conclusion: It was concluded that External Cephalic Version is a valuable though under used option in the management of breech presentation at term. It is a relatively safe procedure, complications were very rare, it is simple to learn and perform. Vigilance for searching breech presentation and counselling after 36 weeks is important. A proper understanding of the risk is essential for the obstetrician to allow accurate counselling. Breech presentation is associated with higher incidence of mortality and morbidity irrespective of the route of delivery as compared to cephalic presentation. Any complications associated with breech presentation can be reduced by converting it to cephalic presentation by ECV.

Keywords: External, Cephalic, Pregnancy & Antenatal.