Versión cefálica externauna técnica eficaz, segura y eficiente

Abstract

External cephalic version is a medical procedure by which turn of non-cephalic presentation into cephalic is achieved, by applying maneuvers on the mother’s abdomen. Its objective is to confront an attempt of vaginal cephalic birth. The accomplishment of this technique with some kind of anesthesia reduces pain of the maneuvers and favors its success. Success of external cephalic version is defined as the transformation of the fetal presentation into cephalic. Alternatives to external cephalic version are breech delivery, which associates greater neonatal morbi-mortality than cephalic delivery, and an elective cesarean section, which implies greater maternal morbidity and economic costs than vaginal delivery. Present study aims to demonstrate that external cephalic version is an effective procedure to reduce the rate of non-cephalic presentations at term and increase the rate of vaginal deliveries in pregnancies with breech presentation at term reducing the rate of cesarean sections, with a low rate of complications, with an excellent neonatal prognosis and cost-effective or efficient when we compare it with planned cesarean sections. In addition, we intend to evaluate differences between two anesthetic procedures (sevoflurane and spinal anesthesia) and the learning curve of external cephalic version...