Can ECV Be Done At 38 Weeks?

The best time to perform an ECV is after 37 weeks of pregnancy. Prior to 37 weeks the baby can still often turn on its own. In a first pregnancy, there is a lower chance of the baby turning on its own and so ECV may be performed from 36 weeks for women in their first pregnancy.

What week is an ECV done?

Version is done most often before labor begins, typically around 37 weeks. Version is sometimes used during labor before the amniotic sac has ruptured.

At what gestational age should ECV be performed?

If your baby is still in a breech position at 36 weeks, your doctor or midwife might suggest you consider an external cephalic version, or ECV. The aim is to turn your baby so that it is head-down when labour starts. An ECV is performed after 37 weeks of pregnancy.

Should I have ECV or C-section?

It’s recommended that an external cephalic version be offered to all women who have a baby in breech position at or close to term, where there are no other complications. The procedure has been shown to be successful in around half of all cases and may lower the likelihood that a C-section will be needed.

Does ECV distress baby?

The risks associated with ECV are very small. Very occasionally the baby can become distressed. This leads to approximately one in 200 babies being delivered by emergency caesarean section immediately after an ECV due to changes in the baby’s heartbeat or bleeding from the placenta.

Can ECV hurt the baby?

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.

Where do they cut for episiotomy?

Sometimes a doctor or midwife may need to make a cut in the area between the vagina and anus (perineum) during childbirth. This is called an episiotomy. An episiotomy makes the opening of the vagina a bit wider, allowing the baby to come through it more easily.

How can I get my baby to go head down?

External cephalic version (ECV) ECV is one way to turn a baby from breech position to head down position while it’s still in the uterus. It involves the doctor applying pressure to your stomach to turn the baby from the outside. Sometimes, they use ultrasound as well.

What should I eat before ECV?

If you are scheduled for an ECV, you will be told the day and time of the procedure. You can eat a light, low-fat meal (such as toast or fruit) up until six hours before you are scheduled to arrive at the hospital.

Do you need epidural for ECV?

Conclusion: The use of epidural anesthesia significantly increases the success rate for ECV for breech presentation.

How painful is a version?

Hence, a moderate amount of pain is felt during the procedure, which is tolerated by most women. To make you comfortable and minimize the pain, the doctor may give pain medication or epidural (into your spine) anesthesia. Uterine muscle relaxants may also be given to keep the discomfort at its minimal level.

How successful is an ECV at 39 weeks?

Results. 40 attempts of ECV were performed (always after 38 weeks of gestational age), succeeding in 26 cases (65%). Vaginal delivery occurred in 20 out of the 26 successful ECV (76.9%).

Can you feel when baby turns head down?

Your baby may be head down if you can: feel their head low down in your belly. feel their bottom or legs above your belly button. feel larger movements — bottom or legs — higher up toward your rib cage.

Do breech babies come sooner?

Most babies move into the normal, head-down position in the mother’s uterus a few weeks before birth. But if this doesn’t happen, the baby’s buttocks, or buttocks and feet, will be in place to come out first during birth.

Is episiotomy better than C section?

In some emergency circumstances where a baby needs to be delivered quickly, Levy said an episiotomy can be a lifesaving procedure that is less risky than a Cesarean section delivery, which is a major surgery.

Do episiotomies make you tighter?

Regardless of whether a tear happens on its own or as a result of an episiotomy, it’s not even possible to make a vagina tighter with stitching, according to OBGYN Jesanna Cooper, MD.

Is natural tearing better than an episiotomy?

natural tearing. Research has shown that moms seem to do better without an episiotomy, with less risk of infection, blood loss (though there is still risk of blood loss and infection with natural tears), perineal pain and incontinence as well as faster healing.

How will I feel after ECV?

You may feel some pain or discomfort during the procedure. You may also have nausea, and you may vomit. This procedure may cause labor to start, or cause premature rupture of the membranes (PROM). PROM means fluid leaks from your amniotic sac before labor begins.

How do I make my ECV successful?

Results: The ECV success rate was 72.3%. Favourable factors for success were multiparity (95.5% vs 4.1%, p = 0.0001), flexed breeches (74% vs 26%, p = 0.002), posterior placenta (38.6% vs 16.4%, p = 0.0001) and anterior fetal back (53.4% vs 34.8%, p = 0.03).

Why may a doctor do a planned C-section?

A c-section may be needed to protect the health of your or your baby. In these cases, a c-section may be safer than vaginal birth. Your provider may want to schedule your c-section if there are problems during pregnancy that make vaginal birth risky.

Can breech baby turn 39 weeks?

Most babies that are breech will naturally turn by about 36 to 37 weeks so that their head is facing downwards in preparation for birth, but sometimes this does not happen.

Are breech babies more painful to carry?

Giving birth to a breech baby vaginally is not usually any more painful than a head-down position, as you’ll have the same pain relief options available to you, although it does carry a higher risk of perinatal morbidity (2:1000 compared to 1:1000 with a cephalic baby).

What is the biggest risk of a prolapse cord?

The greatest risk factors are an abnormal position of the baby within the uterus and a premature or small baby. Other risk factors include a multiple pregnancy, more than one previous delivery, and too much amniotic fluid. Whether medical rupture of the amniotic sac is a risk is controversial.