This video shows an ECV to turn a breech baby to head-first. It is offered to women at 36-37 weeks and reduces the chance of needing caesarean section. It is a safe procedure and is successful about 40-50% of the time. On this occasion I used a drug to help relax the womb first. While most women find it uncomfortable, it isn't usually painful. If you have a tender uterus anyway, it is more likely to hurt. The baby in this video had a reassuring fetal monitoring right before I started the procedure and the fetal heart was checked afterwards. If a longer attempt at ECV was carried out then we check half way through too with the ultrasound. Transient changes in the baby's heart rate are not uncommon and usually settle after a few minutes. Very occasionally they don't settle and a caesarean section needs to be done. For the ECV shown, the baby does a forward somersault anticlockwise. The first step is to lift the baby's bottom out from your pelvis and move her to lying transversely. Often that is the most difficult part. Overall, it normally takes between 1 and 2 minutes to do the turn - any longer than that and the chance of success goes down. It is more likely to succeed in the following situations: - if you have had a baby before - if there is a normal amount of water around the baby - if your baby has his knees bent - if his or her bottom isn't engaged in your pelvis - if the baby's head is not right up against the placenta During an ECV uterine contractions can occur and ...
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