Burgos et al developed a score for predicting the outcome following external cephalic version (ECV). The authors are from Cruces University Hospital and the University of the Basque Country in Spain.
Patient selection: pregnant woman with the fetus in breech
(2) placental location in the uterus
(3) type of breech
(4) amount of amniotic fluid
primiparity (no previous)
biparity (1 previous)
triparity or greater (2 or more)
fundal or lateral
type of breech
amount of amniotic fluid
total score =
= SUM(points for all 4 parameters)
• minimum score: 4
• maximum score 14
• The higher the score the greater the success rate.
4, 5 or 6
7 or 8
9 to 14
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Purpose: To predict the outcome of external cephalic version (ECV) using the score of Burgos et al.
Specialty: Obstetrics & Gynecology
Objective: severity, prognosis, stage, failure handling and therapy escalation, response to therapy