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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (2): 310-311    DOI: 10.12891/ceog4096.2018
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Should external cephalic version be attempted in the presence of a nuchal cord?
R.N. Pollack1, Y. Weill2, *()
1 Meuhedet Health Fund, Department of Obstetrics & Gynecology, Jerusalem, Israel
2 Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel
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Abstract  
Objective: The efficacy and safety of external cephalic version (ECV) for breech presentation in the presence of a nuchal cord has not been studied. Here the authors report two cases of failed ECV in the presence of nuchal cord. Case Report: A 28-year-old, G4P3A0, presented at term with breech presentation. Umbilical cord was demonstrated ultrasonographically to be wrapped twice around the neck. External cephalic version was attempted three times with no success. A 25-year-old, G1P0A0, was diagnosed with breech presentation at 36 weeks’ gestation. A nuchal cord was wrapped twice around the fetal neck. ECV was performed three times unsuccessfully. No complications were noted during or after the procedures in both cases. Conclusion: The present findings could suggest a new relative contraindication that should be further investigated.
Key words:  Breech presentation      Cesarean section      External cephalic version      Fetal malpresentation      Fetal version      Nuchal cord     
Published:  10 April 2018     
*Corresponding Author(s):  Y. WEILL     E-mail:  yishayweill@gmail.com

Cite this article: 

R.N. Pollack, Y. Weill. Should external cephalic version be attempted in the presence of a nuchal cord?. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(2): 310-311.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4096.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I2/310

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