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Title: External cephalic version (ECV) to turn a breech baby
Added: Aug 30, 2009
Author: drdtucker
Duration: 2:18
Description:
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 placentaDuring an ECV uterine contractions can occur and we generally just wait until they pass. Is it safe? One of the best quality research on safety comes from Oxford in the UK (incidentally, where I trained to do them) and they looked at just over 800 consecutive ECVs. The chance of needing emergency CS during or just after the ECV was 1 in 200. The risk of the placenta coming away (abruption) was 0.1% and no babies died due to the procedure. These figures are similar to other research that is available and confirm the safety of ECV. Approximately 3% of babies turn back to breech after successful ECV and 3% of unsuccessful ECVs turn spontaneously to head-first afterwards. This is the research study:http://www.ncbi.nlm.nih.gov/pubmed/17355270Thanks to the mother here who kindly gave her consent to the video being published for educational purposes.Oh, and sorry for the music - it was the only 'baby' result in my iTunes library!Dr Tuckerhttp://dannytucker.net/healthLink to this video:http://dannytucker.net/go/ecv
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Videos related to 'External cephalic version (ECV) to turn a breech baby'
Channel: Education
Tags: ecv external version turning breech baby breech pregnancy cesarean caesarean turning breech
ecv external version turning breech baby breech pregnancy cesarean caesarean turning breech
Youtube Comments: 158
DanielaDineva Says:
Nov 16, 2011 - I had one done yesterday. I read everything there is to read about it and watched videos from various hospitals and midwife practices. I ignored people who said it was very painful and there I was in a good mood looking forward to it. He tried once and our Max turned halfway, then the doctor let go to give me a break and Max immediately turned back. So he tried again 3 more times without letting go anymore to prevent him from turning back. It was agonsingly painful
seetubemetube Says:
Nov 16, 2011 - I had an ECV today and it was just fine. No crazy discomfort or pain at all. The only drug I had was the one to relax the uterus (can't remember the name just now). I only hope that the baby doesn't decide that he likes the previous position better, and turns around. If so - I'm gonna just have to have a breech birth :/
katmascara Says:
Nov 23, 2011 - Hot doc!
psyclonine9 Says:
Nov 26, 2011 - abort that little fucker! get a butchers knife cut the bitches throat open and decapitate her then drink the fetus blood of the little baby then get a hammer and bash her fucking head in and fuck her cranium skull and cum inside her skull then when they bury her in her coffin at her funeral dig her up and fuck the dead body
iloveanything778899 Says:
Dec 19, 2011 - where did her bellybutton go?
KJtheMC Says:
Jan 2, 2012 - Hello, this physician is skilled. Big ups from Latvia.
MrOwl2424 Says:
Jan 8, 2012 - wut happen if the baby get stuck side ways like in the position at 1:05?
MrOwl2424 Says:
Jan 8, 2012 - and he look like he is using all his energy to turn th child
f3cktherich Says:
Jan 14, 2012 - Hot doctor indeed!
yourpeanutsshell Says:
Jan 22, 2012 - thats soo neat!!!
SequoiaKai1 Says:
Feb 20, 2012 - Without performing an ultrasound right at labor, is there any way to tell if a baby is face up? And is there a way to turn a baby from face up to face down? I had a c-section when my son got stuck during labor. I was told it was because he was face up and it made it too hard for him to come out, since he was already a big baby. I am wanting a natural deliver soooo badly for my now 33 week pregnancy and hope he is head down/face down at labor, or it will be another miserable c-section!
flobud Says:
Feb 28, 2012 - Thank you so much for posting this - we watched it before our ECV at 40 weeks today and it was really reassuring and informative. I kept thinking about your patient's calm face and it really helped me! And, even better, the ECV was a success! Many thanks.
mamaducksc Says:
Mar 2, 2012 - I'm having an ultrasound in a few days to determine if my LO is still breech or not. If s/he is, ECV is our next step. This video was very comforting. Thanks for sharing.
hello57526 Says:
Mar 3, 2012 - thank you for this video, makes much more sense watching the procedure performed than looking a a number of pictures in a textbook
chong8272 Says:
Mar 14, 2012 - i am doing this ECV next week...is really like this i am no so scare ...thank you so much
Virginia777 Says:
Mar 15, 2012 - I've had this done but wasn't successful. It was uncomfortable but not painful. However, at the very last minute before my csection he turned. :D amazingsix (dot) blogspot (dot) com
danegal2 Says:
Apr 18, 2012 - I just had this done yesterday at 37 3/7 weeks, with no medication and there was NOTHING painful about it. It took my MD about 10 min's to flip her and it was over. They monitored me for awhile since I had a few random contractions. Now I can look forward to having a vaginal birth, because no one should take a C/S lightly. I've been to hundreds of C-sections and also have followed up with post c/s mom's and it's not a path I ever want to go down. A version should be your first option! Good luck!
nomakloggie Says:
May 10, 2012 - im 34 weeks at the moment, and baby is breech. i really do not want a section!! Im so scared that it will come to that tho! This is my second baby, and my first was a V delivery. I was 42w and had to be induced and was in labor for 39hrs, but i would rather do that all again then have a section. I have only just really heard of the option to have your baby turned and cant really find a good link to some good information. Can it hurt baby in anyway? hate the thought of baby in pain!!!
nonick4me2 Says:
May 13, 2012 - the song is so funny.. and the expressions they do :D.. congratulations.
HerrFridolf Says:
May 25, 2012 - Thank you for this video, it really helped me not to be scared when I had this procedure done. It was not successful in my case, but I didn't find it painful, more a bit uncomfortable. I had "Bricanyl" to relax my uterus but no other drugs.
rmay2012 Says:
May 25, 2012 - I don't know about this procedure, it doesn't look like the baby would like to be moved all crazy like that. I won't be doing this.
graciesmommy2009 Says:
Oct 29, 2011 - nope i had it done too it aint the painful just like a harsh period cramp no need to the ep!