@article{Noreen Majeed, Shabana Kalsoom, Faiza Safdar, Shazia Rafique, Shamsa Tariq, Saana Bibi_2021, title={To determine the rate of success of external cephalic version in low risk breech presentations and possible factors affecting its success in POF hospital, Wah Cantt.}, volume={25}, url={http://www.journalrmc.com/index.php/JRMC/article/view/1507}, DOI={10.37939/jrmc.v25i2.1507}, abstractNote={<p><strong>Abstract</strong></p> <p><strong> </strong></p> <p><strong>Background</strong></p> <p>The caesarean section rate  is on the rise for various reasons. One of the reason is breech presentation . External cephalic version is a procedure to manipulate the baby from breech to cephalic presentation externally through the maternal abdomen under USG guidance . Success in ECV decreases the breech presentation and  hence caesarean section rate .</p> <p><strong>Methods</strong></p> <p>This retrospective study was conducted by Wah Medical College in POF hospital from10 Oct 2015- 10 Oct 2019 after approval from the ethical committee .</p> <p> It included 56 low risk singleton  breech presentations from 36 wks- 40 wks after taking their informed consent  While those with < than 36 wks (primis) and >40 wks gestation, refusal to ECV , with absolute contraindication to ECV& with medical and obstetric complications (ie scarred uterus, liquor <than 8 cm & > than 17 cm, fetal growth restriction, preclampsia, gestational diabetes & abnormal cardiotocography) were excluded  from the study. ECV was performed by single obstetrician in labour room with facilities  of cardiotocograph and emergency caesarean section. Cardiotocography of the fetus  for 30-40 min was done just before & after the procedure of ECV. ECV was declared successful on cofirming head of the fetus occupying the lower uterine segment on ultrasound.  .Number  of successful ECVs & specific factors  of the women & the baby (age . parity, amniotic fluid index ,type of breech, engagement of breech, position of back of baby)  were chosen to observe their effect on success of  ECV.</p> <p><strong>Results</strong></p> <p>External cephalic version was successful in 27 (48.2%)  & unsuccessful in 29 (51.8%)of women .Multiparity , unengaged breech & type of breech (complete flexed) ( with p values .001, .000 & .001 respectively) had statistically significant positive association with successful external cephalic version.</p> <p><strong>Conclusion</strong></p> <p>ECV should be offered to all  women with low risk breech presentations. Knowledge of factors predictive of ECV success can be utilized in selecting cases for ECV &counselling the women regarding the success and failure of ECV.</p> <p> </p> <p> </p>}, number={2}, journal={Journal of Rawalpindi Medical College}, author={Noreen Majeed, Shabana Kalsoom, Faiza Safdar, Shazia Rafique, Shamsa Tariq, Saana Bibi}, year={2021}, month={Jun.} }