European Journal of Obstetrics & Gynecology and Reproductive Biology
Case reportProlapsed cord after external cephalic version in a patient with premature rupture of membranes and transverse lie
Introduction
External cephalic version (ECV) is used extensively to reduce the incidences of breech presentation at delivery and cesarean section. There has been minimal experience with the use of ECV in patients with rupture of membranes [1], [2], [3]. Two previous reports have shown success in two patients with ruptured membranes and adequate amniotic fluid volume [2], [3]. This is the first report of ECV in a patient with rupture of membranes and low amniotic fluid volume.
Section snippets
Case report
A 29-year-old G6 P3023 woman presented at 37 weeks’ gestation by last menstrual period and an 18 weeks ultrasound, having ruptured the membranes on the day she was scheduled for ECV. The ECV had been arranged for a transverse lie and her medical, surgical, and family histories were unremarkable. She had had a spontaneous abortion in 1985, two uncomplicated term spontaneous vaginal deliveries in 1987 and 1992, and one spontaneous and one therapeutic abortion in 1993. Speculum examination
Comment
This is both the first reported case of ECV at term with both rupture of the membranes and a low amniotic fluid volume and the first report of complications with ECV with term rupture of membranes. There are only three previous reports on ECV in the presence of rupture of membranes. Ferguson and Dyson [1] reported unsuccessful intrapartum ECV in seven patients with rupture of membranes, and stopped performing the procedure because of it being “uniformly unsuccessful”. Drexler et al. [2]
References (5)
- et al.
Intrapartum external cephalic version
Am. J. Obstet. Gynecol.
(1985) - et al.
The intra-abdominal version technique for delivery of transverse lie by low-segment cesarean section
Am. J. Obstet. Gynecol.
(1979)
Cited by (13)
Umbilical cord prolapse: A case study over 23 years
2012, Journal de Gynecologie Obstetrique et Biologie de la ReproductionExternal cephalic version: 1 Year study in a level 3 maternity
2011, Gynecologie Obstetrique et FertiliteSuccessful external cephalic version after amnioinfusion in a patient with preterm premature rupture of membranes
2005, American Journal of Obstetrics and GynecologyCesarean uterine scar dehiscence after unsuccessful external cephalic version
2005, Progresos de Obstetricia y GinecologiaPhysical and physiological changes of labour and the puerperium
2004, Physiotherapy in Obstetrics and Gynaecology: Second EditionExternal cephalic version (ECV)—gentle and safe
2021, Gynakologe