[Version by external maneuvers in breech presentations. Analysis of 6 years' practice in the maternity department of Foch Hospital].
The authors report their experience over 6 years of carrying out external cephalic version (ECV) in breech presentations. The precautions that have to be observed during the manoeuvre have been described as well as the contra-indications to it. Analysing the outcome in deliveries and the state of the infants at birth after version and when version has not been carried out shows the value of this manoeuvre in terms of "economy" of the caesarean section rate and lessening in the number of breech deliveries. Evidence is shown of the good results that have been obtained and of the small level of complications. Prognostic factors for failure or of success of the version have been sought. Only multiparity has been confirmed as a factor that helps greatly. Contra-indications have to be looked at carefully to make sure that this manoeuvre stays innocuous. Finally the ways our practice and the results of attempts at ECV have been analysed throughout the 6 year period.
Cynober
E
E
Service de Gynécologie-Obstétrique, Hôpital Foch, Suresnes.
Bernard
N
N
Melchior
J
J
D001946:Breech Presentation; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy; D014710:Version, Fetal
Version par manoeuvres externes dans les présentations du siège. Analyse de 6 ans de pratique à la maternité de l'Hôpital Foch.