cephalicversion

Cephalic version is a medical procedure performed to manually turn a fetus from a breech presentation (feet or buttocks first) to a cephalic presentation (head first) in the uterus. This procedure is typically considered when a pregnant individual is close to their due date and the baby has not yet moved into the head-down position. A cephalic presentation is generally preferred for vaginal delivery as it is associated with a lower risk of complications compared to a breech presentation.

The procedure is usually performed between 36 and 37 weeks of gestation. It is done by an experienced healthcare provider, such as an obstetrician or midwife, in a clinical setting equipped for potential immediate delivery. The provider will first perform an ultrasound to confirm the baby's position, check the amount of amniotic fluid, and ensure there are no contraindications for the procedure. Ultrasound guidance is often used throughout the maneuver to monitor the baby's position and well-being.

The healthcare provider will then place their hands on the pregnant person's abdomen and gently try to guide the baby into a head-down position. This can involve pushing the baby's head down and lifting the buttocks up, or rotating the baby in a forward or backward roll. The maneuver is typically painless, though some discomfort may be experienced.

There are potential risks associated with cephalic version, including cord compression, placental abruption, and premature labor. For this reason, fetal heart rate monitoring is essential before, during, and after the procedure. If the version is successful, it increases the likelihood of a vaginal birth. If it is unsuccessful, or if there are contraindications, a cesarean section may be planned.