title: Single-institute experience, management, success rate, and outcome after external cephalic version at term.
abstract: OBJECTIVE
  To determine obstetric outcomes after external cephalic version (ECV) performed at term.
  
  
  METHODS
  In a retrospective study of ECV among pregnant women at term at Klinikum Kreuzschwestern Wels between January 1999 and June 2010, univariate and multivariate logistic regression was used to analyze factors influencing success rate.
  
  
  RESULTS
  Among 379 ECV attempts, 49.1% (95% confidence interval, 44.1-54.1) were successful. Success rate was dependent on parity, gestational age, and performing physician. Increasing parity was associated with increasing success rate (P=0.05). Gestational age had no influence until week 39, after which the success rate increased (success after completion of week 35, 48.1%; week 37, 43.7%; week 38, 43.5%; week 39, 64.9%; week 40 or more, 90.9%; P=0.19). The performing physician had a significant influence (P<0.0005). Regarding obstetric outcome, spontaneous re-version occurred in 8.1% of women, 81.1% of women delivered vaginally, 7.9% had unplanned cesarean delivery, and 4.9% had vacuum extraction. No harm to fetal or maternal health resulted from ECV.
  
  
  CONCLUSIONS
  ECV was found to be a safe procedure at term. The skill of the physician significantly affected the success rate. The rate of surgical delivery after successful ECV was low. A trial of ECV at term and beyond is feasible.
authors.affiliation: Department of Obstetrics and Gynecology I, Klinikum Kreuzschwestern Wels, Wels, Austria. gerhard.bogner@klinikum-wegr.at
authors.forename: Gerhard
authors.initials: G
authors.lastname: Bogner
authors.forename: Fang
authors.initials: F
authors.lastname: Xu
authors.forename: Christian
authors.initials: C
authors.lastname: Simbrunner
authors.forename: Alfred
authors.initials: A
authors.lastname: Bacherer
authors.forename: Klaus
authors.initials: K
authors.lastname: Reisenberger
mesh_terms: D001946:Breech Presentation; D002983:Clinical Competence; D005260:Female; D005865:Gestational Age; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome; D014710:Version, Fetal / Q000009:adverse effects / Q000379:methods*