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
Parameters:
(1) parity
(2) placental location in the uterus
(3) type of breech
(4) amount of amniotic fluid
Parameter
Finding
Points
parity
primiparity (no previous)
1
biparity (1 previous)
3
triparity or greater (2 or more)
4
placental location
anterior
1
fundal or lateral
2
posterior
3
type of breech
frank incomplete
1
frank complete
2
double footling
3
amount of amniotic fluid
low
1
normal
2
abundant
4
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 4
• maximum score 14
• The higher the score the greater the success rate.
Total Score
Percent Successful
4, 5 or 6
31%
7 or 8
57%
9 to 14
77%
To read more or access our algorithms and calculators, please log in or register.
