Breech baby version

What Is External Cephalic Version (ECV)?

Written by Danny Bonvissuto

Reviewed by Nivin Todd, MD on August 25, 2022

What Is External Cephalic Version?

External cephalic version, or ECV, is a maneuver your doctor may use when your unborn baby is set up to come out bottom first or feet first. Those positions are called a breech birth, and they can make a vaginal birth more difficult. With an ECV, your doctor turns the baby into a headfirst, or cephalic, position toward the opening of the birth canal.

External Cephalic Version Procedure

It’s usually done by your obstetrician. Your baby's heartbeat will be monitored for about a half-hour before the ECV. In some cases, you may get medicine through an IV to relax your uterus. This won't affect your baby.

Then, by pressing their hands on the outside of your belly, your doctor will try to turn your baby. The goal is to get your baby to do a little flip in your womb and finish up head-down. This can take several hours.

Your doctor may use an ultrasound to check your baby's position and guide the process.

Does ECV Hurt?

To turn your baby, your doctor will use firm pressure. Everyone reacts differently, so you might feel discomfort or pain. Many women go through an ECV without any painkillers. But your doctor may give you an epidural or other pain medication or even put you to sleep during the procedure.

External Cephalic Version Risks

An ECV isn't right for you if you're expecting more than one baby or you need a C-section.

It also works best on women with a pear-shaped womb and not those with a heart-shaped womb, called a bicornuate uterus.

Other reasons your doctor might tell you not to get an ECV are:

You have vaginal bleeding within 7 days of the procedure.
Your baby has an abnormal heartbeat or health problems.
Your water has broken.
Your baby is larger than average.
Your amniotic fluid levels are too low or too high.
Your baby’s head is hyperextended, meaning it’s straight instead of bending forward.
You have a heart problem or a placenta previa, which can cause severe bleeding during pregnancy and delivery.

ECVs are usually safe, but there are some risks. In rare cases, it can cause changes in your baby's heart rate, tearing of the placenta, and preterm labor.

The procedure is usually done near a delivery room in case you need an emergency C-section.

External Cephalic Version Success

ECVs work about half the time. If your doctor can't get your baby to flip after the first attempt, they may try again after a week or so.

The odds of success are higher if:

The ECV is attempted soon after 36 weeks of pregnancy, before the baby grows too large.
You’ve given birth before.
There is enough amniotic fluid surrounding the baby.

Things that can lower the chances that an ECV will work include:

The baby has dropped to your pelvis.
Your uterus is tense or hard.
Your doctor has trouble touching and feeling your baby’s head.

After a successful ECV, babies flip to the headfirst position, then flip back to breech. And sometimes breech babies flip on their own before birth, though the bigger they get, the less room there is to move.

Doctors deliver most breech babies by C-section. A vaginal birth may still be possible, depending on your health, your baby's health, and their position. Ask your doctor about your options.

Are There Possible Complications From an ECV?

After a successful ECV, most women go on to have normal vaginal births. But call your doctor right away if you have contractions, bleeding, or you don't feel your baby moving the way you did before the procedure.

External Cephalic Version Alternatives

If an ECV can’t get your baby into a headfirst position, you have other options for giving birth. They may include:

Deliver the baby vaginally in breech position
Have your baby by C-section (this is less risky than a vaginal birth)

What Is External Cephalic Version (ECV)?

Written by Danny Bonvissuto

Reviewed by Nivin Todd, MD on August 25, 2022

What Is External Cephalic Version?

External Cephalic Version Procedure

Your doctor may use an ultrasound to check your baby's position and guide the process.

Does ECV Hurt?

External Cephalic Version Risks

An ECV isn't right for you if you're expecting more than one baby or you need a C-section.

It also works best on women with a pear-shaped womb and not those with a heart-shaped womb, called a bicornuate uterus.

Other reasons your doctor might tell you not to get an ECV are:

You have vaginal bleeding within 7 days of the procedure.
Your baby has an abnormal heartbeat or health problems.
Your water has broken.
Your baby is larger than average.
Your amniotic fluid levels are too low or too high.
Your baby’s head is hyperextended, meaning it’s straight instead of bending forward.
You have a heart problem or a placenta previa, which can cause severe bleeding during pregnancy and delivery.

ECVs are usually safe, but there are some risks. In rare cases, it can cause changes in your baby's heart rate, tearing of the placenta, and preterm labor.

The procedure is usually done near a delivery room in case you need an emergency C-section.

External Cephalic Version Success

ECVs work about half the time. If your doctor can't get your baby to flip after the first attempt, they may try again after a week or so.

The odds of success are higher if:

The ECV is attempted soon after 36 weeks of pregnancy, before the baby grows too large.
You’ve given birth before.
There is enough amniotic fluid surrounding the baby.

Things that can lower the chances that an ECV will work include:

The baby has dropped to your pelvis.
Your uterus is tense or hard.
Your doctor has trouble touching and feeling your baby’s head.

Doctors deliver most breech babies by C-section. A vaginal birth may still be possible, depending on your health, your baby's health, and their position. Ask your doctor about your options.

Are There Possible Complications From an ECV?

External Cephalic Version Alternatives

If an ECV can’t get your baby into a headfirst position, you have other options for giving birth. They may include:

Deliver the baby vaginally in breech position
Have your baby by C-section (this is less risky than a vaginal birth)

Municipal state institution of additional education "Children's art school of the village of Mikhailovka" :: Cheremkhovsky district

Dear visitors!

Administration and teaching staff of the school are glad to welcome you on our page!

LEGAL PASSPORT

Type - municipal state institution of additional education.

View - Children's art school.

Organizational and legal form - institution.

Abbreviated name - MKU DO "Children's School of Arts in the village of Mikhailovka".

Legal and actual address: 665448, Irkutsk region, Cheremkhovsky district, village Mikhailovka, block 1, 11

Founder - Hotel of Culture and Library Services of the Administration of the Cheremkhovo District Municipality.

State registration certificate - No. 333 of December 22, 1999

Registration certificate - Series 38 No. 003310466, issued on February 25, 2010, PSRN 1023802214490, TIN 3843003297, KPP 385101001

License - No. 9456 series 38L01 No. 0003751, issued by the Service for Control and Supervision in the Sphere of Education of the Irkutsk Region dated October 11, 2016.

Certificate of making an entry in the Unified State Register of Legal Entities Series 38 No. 003522325 dated September 28, 2012, registration number 2123851031709

Taxpayer identification number 3843003297

"Children's School of Arts in the village of Mikhailovka" has the right to carry out educational activities on additional educational programs:

- additional pre-professional general educational program in the field of musical art "Choral singing" 8 (9) years;

- additional pre-professional general education program in the field of musical art "Folk Instruments" 8 (9) years;

- additional pre-professional general educational program in the field of musical art "Folk Instruments" 5 (6) years;

- additional pre-professional general education program in the field of fine arts "Painting" 8 (9) years;

- additional pre-professional general education program in the field of fine arts "Painting" 5 (6) years;

- Additional general developmental general education program in the field of musical art "Fundamentals of musical performance" study period 3. 4 years

Creation date MKU DO "DSHI of the village of Mikhailovka" - 1979.

Opening hours MKU DO "DSHI of the village of Mikhailovka" - daily from 8.00 to 20.00. Days off: Sunday.

We hope that it will be interesting for all students, their parents and other visitors. You will learn a lot of interesting things from the life of our institution.

Our coordinates:

E: mail: [email protected]

Site: http://mih-dshi-irk.ru/

Phone, fax: 8(395-46) 3-10-05

Municipal budgetary educational institution of additional education for children “Children's Music School No. 1 named after S.G. Dorzhina»

Welcome to the website of our music school!

In 1965, in the village of Komsomolsky, Chernozemelsky district of the Republic of Kalmykia, a children's music school was opened, where children began to study the piano and button accordion.

It was from this moment that the historical countdown of the existence of a children's musical institution began and the basic principles of future activities were born.

Almost immediately, the school became the cultural center of the village. Here not only children were trained, but also lectures and concerts were held for local residents.

The authority of the school gradually grew, its pupils successfully performed at various concert venues in the Chernozemel region and far beyond its borders.

The goal of the music school is to increase the general level of importance of culture and art in education, the formation and development of the aesthetic needs and tastes of students, the provision of services in the field of additional education in programs of artistic and aesthetic orientation.

The main tasks of the school:

Wide coverage of aesthetic education for children;
Identification of talented children, providing them with opportunities for development and improvement, for professional growth;
Differentiated approach to learning depending on musical ability and desire;
Providing students with an individual educational level;
Providing pre-professional training for students who have chosen the life path of a musician, teacher, artist.

Today a music school is a living, developing educational institution in demand by the time, where for more than 45 years every day children from 6 to 17 years old come to a unique meeting with art.

The most important components of the concept of the school are spirituality, creativity and culture.

These are three priority strategies on the basis of which pedagogical theory can be developed and educational practice improved.

School priorities:

Becoming a self-developing personality capable of open, creative interaction with people, society;
Early entry of children into artistic and aesthetic activities, their adaptation to the team, art, creativity;
Participation in the district competitions "Young talents of the Chernozemelye", "KTK - talented children", the Republican competition "Young talents of the Republic of Kalmykia" among students of children's art schools, children's music schools, the purpose of which is to identify and support talented children from rehabilitation centers and other social, medical fields and other educational institutions.
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