title: [Impact of the external cephalic version on the obstetrical prognosis in a team with a high success rate of vaginal delivery in breech presentation].
abstract: OBJECTIVE
  To analyse the impact of external cephalic version (ECV) on caesarean section rate in a team with a high success rate of vaginal delivery in breech presentation.
  
  
  METHODS
  Retrospective monocentric study including 298 patients with a breech presentations between 33 and 35weeks of amenorrhea followed at our university hospital and delivered after 35weeks, between 1st January 2011 and 31st December 2013. Patients were divided into 2 groups: planned ECV (n=216 patients) versus no planned ECV (n=57 patients).
  
  
  RESULTS
  Our rate of successful vaginal breech delivery over the period of the study was 61.1%. We performed 165 ECV, with a 21.8% success rate. The average term of the attempt of ECV was 36.7weeks of amenorrhea. The caesarean section rate was not significantly different in the planned ECV group, even after adjustment on age, parity and previous caesarean delivery (adjusted OR=1.67 [0.77-3.61]). Attempt of ECV did not reduce the number of breech presentation at delivery (61.1% versus 61.4% [P=0.55]).
  
  
  CONCLUSIONS
  Planned ECV in our center with a high level of breech vaginal delivery did not significantly impact our cesarean section rate.
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: C
authors.initials: C
authors.lastname: Coppola
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: N
authors.initials: N
authors.lastname: Mottet
authors.affiliation: Réseau d'aide méthodologique (ResAM), service de biostatistique et d'informatique médicale (DIM), CHU de Dijon, 21000 Dijon, France.
authors.forename: A S
authors.initials: AS
authors.lastname: Mariet
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: C
authors.initials: C
authors.lastname: Baeza
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: E
authors.initials: E
authors.lastname: Poitrey
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: A
authors.initials: A
authors.lastname: Bourtembourg
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: R
authors.initials: R
authors.lastname: Ramanah
authors.affiliation: Pôle femme-mère-enfant, CHRU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France. Electronic address: didier.riethmuller@univ-fcomte.fr.
authors.forename: D
authors.initials: D
authors.lastname: Riethmuller
mesh_terms: D000293:Adolescent; D000328:Adult; D001946:Breech Presentation / Q000453:epidemiology / Q000628:therapy*; D002585:Cesarean Section / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D011247:Pregnancy; D012189:Retrospective Studies; D014710:Version, Fetal / Q000379:methods* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Breech; Cesarean section; Césarienne; External cephalic version; Siège; Version par manœuvre externe