What Is Ecv In Pregnancy?

  • ECV is an option that may be presented to women who are nearing the end of their pregnancies and whose babies are presenting in a breech position.
  • ECV is an abbreviation for external cephalic version, which refers to the process by which skilled medical professionals attempt to convert your baby from a breech presentation to a head-first position by applying mild pressure to your belly with their hands (see below).

What is ECV and when is it performed?

What exactly is ECV? An external cephalic version, also known as an ECV, is a treatment that is performed at 36 or 37 weeks to change a baby who is breech or laying on her side into the best head-down position before to birth. This operation can be performed at home.

Will ECV affect my baby?

  • Your child will not be harmed in any way by this.
  • After that, your doctor will try to flip your baby by placing their hands on the exterior of your stomach and applying pressure.
  • The objective is to induce a little rotation of the fetus while still in the mother’s womb, with the intention of having the child deliver face-down.
  • This might take a few hours to complete.
  • Your doctor may examine the location of your baby with an ultrasound and use that information to guide the process.
  • Does ECV Hurt?

What is a breech birth with ECV?

  • These births are known as breech births, and they might make it more challenging to give delivery through the vaginal route.
  • During an ECV, your physician will position the baby such that his or her head is towards the entrance of the birth canal.
  • This posture is known as the cephalic position.
  • The Procedure of the External Cephalic Version Your obstetrician will most likely do this procedure for you.
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What is ECV (external cephalic version)?

What exactly is ECV? A fetus that is in the breech position (with their bottom looking down the birth canal) or side-lying posture can be turned into a head-down (vertex) position using a positioning surgery called external cephalic version (ECV). This treatment is performed before labor begins. There are several variations in the breech position, including the following:

Can ECV harm baby?

ECVs are generally risk-free, but you should be aware of the potential hazards. It is possible that your baby’s heart rate will alter, that the placenta will break, and that you will go into labor before your due date. In most cases, the treatment is carried out close to a delivery room in case an unexpected cesarean section is required.

How long does an ECV take?

The ECV procedure is performed in the hospital, and the personnel will inform you of the time and location of the procedure. You are required to schedule a meeting in advance. The ECV itself just takes a few minutes to complete, but the full process of pre- and post-assessment can take anywhere from one to three hours.

What are the side effects of ECV?

The most prevalent danger associated with an external cephalic version is a momentary alteration in the heart rate of your baby, which happens in around 5 percent of instances. The necessity for an emergency cesarean surgery, vaginal hemorrhage, loss of amniotic fluid, and umbilical cord prolapse are few examples of the exceedingly rare but serious problems that can arise during childbirth.

How soon after ECV do you go into labor?

  • Complications that arise during the first twenty-four hours following an external cephalic version (ECV).
  • There were 67 cases of successful ECV, although five of the fetuses went back to either breech presentation or transverse presentation.
  • This represents 7.46 percent of the total.
  • They all went into labor sometime between 9 and 24 days following the ECV, at which point they all underwent an emergency cesarean birth.
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How painful is ECV?

  • During the ECV, no analgesia nor anesthesia were administered to the patient.
  • After ECV, the ladies were asked to assess the amount of discomfort on a visual analog scale that measured 10 centimeters.
  • The findings showed that a total of 98 ECVs were carried out, with a success rate of 66 percent across the board.
  • The average level of discomfort was 5.7 out of 10.
  • (interquartile range 2.7-6.8).

Is ECV worth doing?

  • Although ECVs are generally seen as a risk-free choice, there are certain people for whom the potential downsides do not justify the potential upsides.
  • Because of these and other considerations, the majority of physicians will not do an ECV until after the baby has reached full term.
  • The first possibility is that it will start the labor process or that it will make delivery essential.
  • Two, most newborns will roll over on their own before they reach their full term.

Can baby flip back after ECV?

After a successful ECV, the likelihood of your baby reverting back to breech position is around 2–3 percent (very low).

Will I be induced after ECV?

Comparisons were made between women who had immediate labor induction following ECV and those who were treated expectantly with regard to the mode of delivery as well as other obstetrical and neonatal outcomes. Results showed that out of 296 women who had successful ECVs, 54 (18.2 percent) were immediately induced into labor, while 242 (81.8 percent) were managed expectantly.

How do you feel after ECV?

During the process, you may or may not experience any pain or discomfort. You could also have nausea, and you might throw up. The onset of labor or an early rupture of the membranes in pregnancy might be brought on by this technique (PROM). PROM is an abbreviation that stands for prelabor fluid leakage from the amniotic sac.

How can I turn my baby naturally?

Natural methods

  1. Breech tilt, also known as a pelvic tilt: Lie on your back on the floor with your knees bent and your feet planted firmly on the ground.
  2. Inversion: You may utilize gravity to help you turn the infant with a few different motions.
  3. Your child may like listening to music or particular noises
  4. Temperature: Similar to how they may respond to music, your baby may react to changes in temperature.
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How do I keep my baby’s head down after ECV?

Long, vigorous walks. utilizing a pregnant belt in one’s attire. Performing Side-lying Releases on both sides on a daily basis (at first), and then progressing to performing them twice a week after that. Continue to maintain your balance (you’ve done fantastic work, but you need to keep going so that tight muscles don’t come back and cause problems again).

Can you do ECV on yourself?

Where might I get a copy of my ECV? Even though problems from an ECV are uncommon, it is nevertheless suggested that the surgery be performed by a qualified medical practitioner in a facility that has emergency caesarean section capabilities.

Are breech babies more painful to carry?

You will have the same pain relief options available to you if you choose to give birth to your breech baby vaginally; however, this does carry a higher risk of perinatal morbidity than giving birth to a baby in the head-down position would. Breech births are not typically any more painful than head-down births (2:1000 compared to 1:1000 with a cephalic baby).

Do I need an epidural for a ECV?

The use of epidural anesthesia during ECV lead to an enhanced success rate for ECV, which resulted in a decrease in the number of women who required a cesarean section. In light of these findings, further research has to be carried out in order to make ECV procedures more trustworthy and risk-free.

How successful is an ECV at 39 weeks?

Forty tries at ECV were carried out (always after 38 weeks of the pregnancy had passed), with successful outcomes in 26 of those cases (65 percent ). Twenty of the successful ECV deliveries were accomplished through the vaginal route (76.9 percent ).