External cephalic version
Abbreviation: ECV
External cephalic version, often called ECV, is a procedure where a trained obstetrician uses firm, steady pressure on your abdomen to gently guide a breech baby into a head-down position. It is typically offered at around 36 to 37 weeks of pregnancy. ECV is performed in a hospital setting with continuous monitoring of your baby's heart rate and an ultrasound machine on standby. The success rate is roughly 50 to 60 percent. If ECV is successful, you may then be able to aim for a vaginal birth. If it does not work or is not suitable for you, a planned caesarean section is usually recommended.
What This Means for You
Understanding External cephalic version is an important part of your late pregnancy journey. When preparing for birth, understanding this term helps you discuss your birth preferences with your midwife or OB-GYN and know what to expect in the delivery room.
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In Singapore, ECV is offered at restructured hospitals including KKH and NUH, and is covered by Medisave as part of your maternity care. You will need a referral from your obstetrician, and the procedure is not suitable for everyone, for example if you have placenta praevia or have had a previous uterine scar from certain surgeries.
Related Terms
Source: https://www.acog.org/womens-health/dictionary
Always consult your healthcare provider for personalised advice.
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