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Intermediate Technical IVT

cephalic version

Pronunciation: sef-AL-ik VER-zhun

A medical procedure to manually turn a breech or transverse-positioned fetus to the head-down position before delivery.

Full Definition

Cephalic version, also known as external cephalic version (ECV), is a procedure performed by trained healthcare providers to manually manipulate a fetus from a breech or transverse presentation to the vertex (head-down) position. This technique involves applying pressure to the mother's abdomen to encourage fetal rotation, typically performed after 36 weeks of gestation. The procedure aims to reduce the likelihood of cesarean delivery by positioning the baby optimally for vaginal birth. Success rates vary depending on factors such as fetal position, amniotic fluid levels, and maternal anatomy.

Usage

Usage note: Often abbreviated as ECV in clinical notes; distinguish from internal version which is performed during delivery.

In Context

  • "The obstetrician recommended attempting cephalic version at 37 weeks to avoid a planned cesarean section." — Clinical documentation
  • "Following successful cephalic version, the patient was scheduled for a trial of labor at term." — Medical records

Also known as

external cephalic version ECV external version

Don't confuse with

internal version breech extraction

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