title: Delivery after external cephalic version, is there an increased rate of cesarian section?
abstract: BACKGROUND
  The aim of this study was to compare the obstetric outcomes after successful external cephalic version (cases) with a group of pregnant women with a spontaneous cephalic fetal position at delivery (controls).
  
  
  METHODS
  Retrospective review of the cohort of study was performed at the University Hospital of Getafe (Madrid, Spain) between January 2012 and January 2013.
  
  
  METHODS
  1516 patients (48 cases; 1468 controls). We compared the type of delivery in pregnant women after ECV performed successfully (cases) with spontaneous cephalic presentations (controls). Pregnancies with vaginal delivery contraindicated, elective cesarean section (CS) justified by maternal disease, multiple pregnancies, or pregnancies below 37 weeks were excluded. Maternal age, BMI, parity, gestational age at delivery, and onset of labor (spontaneous or induced) were controlled.
  
  
  RESULTS
  Prevalence of CS and operative delivery in both groups. Women who underwent a successful ECV had a significantly higher CS rate compared with the women of the control group (12/48 [25%] vs. 202/1468 [13.76%]; P=0.028). There was no difference in the rate of operative delivery (6/48 [12.5%] vs. 177/1468 [12.05%] P=0.92).
  
  
  CONCLUSIONS
  Deliveries following a successful ECV are associated with an increased CS rate compared with deliveries of fetuses with spontaneous cephalic presentations.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Getafe, Madrid, Spain - victor.lago.leal@hotmail.com.
authors.forename: Victor
authors.initials: V
authors.lastname: Lago Leal
authors.forename: Tamara
authors.initials: T
authors.lastname: Pradillo Aramendi
authors.forename: Estefania
authors.initials: E
authors.lastname: Nicolas Montero
authors.forename: Vanesa
authors.initials: V
authors.lastname: Ocaña Martínez
authors.forename: Pablo
authors.initials: P
authors.lastname: Del Barrio Fernández
authors.forename: Luis
authors.initials: L
authors.lastname: Martínez-Cortés
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D013030:Spain; D014710:Version, Fetal / Q000379:methods*