Success rate and associated factorsof External cephalic version in University of Gondarteaching comprehensive specializedhospital

Abstract

ABSTRACT Introduction- Breech presentation occurs in approximately 3� of term pregnancies and there is a high cesarean birth rate for breech presentation which increases the incidence rate of perinatal morbidity and mortality and poses a challenge to obstetric management. External cephalic version Objective朤he objective of this study isto determine the success rate of ECV and itsassociated factors among pregnant women with malpresentationsat University of Gondar specialized hospital, northwest Ethiopia, 2022. Methods-An Institution based cross-sectional study was conducted From December 2021 to September 2022 with sample size of 174 participants. All pregnant women with malpresentation after 36 weeks of gestation during the study period who met the inclusion criteria was included in the study. The collected data was checked for its completeness; clarity then coded and entered using Epi data version 4.6 and exported to SPSS version 25 for analysis. Bivariate and multivariate logistic regression analysis was employed to see the association between dependent and independent variables.AOR with 95% confidence interval was reported to determine the strength of association and Variables having P-value<0.05 from the multivariate analysis was considered to have Statistical significance. Result 朤he success rate of external cephalic version was 58.6%. pregnant women with malpresentation who had lax or thin abdominal wall status were more likely to have successful external cephalic version [AOR viii technique were more likely to effect in a successful outcome of external cephalic version[AOR

Conclusion 朓n our study the success rate of external cephalic version were found to be 58.6%, which is comparable to previous studies and standard textbooks. Lax or thin abdominal wall, posterior placental location, palpable fetal head and forward roll technique of ECV were significantly associated with success of ECV. Key words: ECV, predictors of ECV success, malpresentation, ethiopia