External Cephalic Version

Overview

4.4 out of 5 (5 Reviews)

Credits

1.00

Pharmacology Credits

0.0

Post Assessment Questions

6

Start Date

1 Jan 2023

Last Review Date

1 Jan 2023

Expiration Date

31 Dec 2024

Estimated Time To Finish

60 Minutes


 
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Activity Description

About 25 percent of fetuses will be in breech presentation at 28 weeks, though this decreases to roughly 3 to 4 percent at term. Most infants who are in breech presentation at the time of delivery will require a cesarean delivery. However, an alternative to immediately proceeding with cesarean section is a trial of external cephalic version. This procedure successfully brings the fetus into the vertex position, the ideal position for a vaginal birth, about 58 percent of the time. External cephalic version is performed strategically placing the hands on the gravid abdomen and applying pressure to encourage the fetus to move into the vertex position. This can be attempted for fetuses in the breech, transverse, or oblique positions and has the potential to decrease cesarean delivery rates. This activity reviews the indications, contraindications, and technique involved in performing external cephalic version and highlights the role of the interprofessional team in the care of patients undergoing this procedure.

Target Audience

This activity has been designed to meet the educational needs of nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Describe the types of breech presentation.
  • Outline the indications for external cephalic version.
  • Review the contraindications to external cephalic version.
  • Summarize a structured interprofessional team approach to provide effective care and appropriate surveillance of patients undergoing external cephalic version.

Disclosures

StatPearls requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. None of the planners of this educational activity have any relevant financial relationships to disclose.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Continuing Education Accreditation Information

Credit provided by Continuing Education, Inc, and StatPearls, LLC.

In support of improving patient care, this activity has been jointly planned and implemented by Continuing Education, Inc./University at Sea® and StatPearls, LLC. Continuing Education, Inc, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is designated for 1.00 ANCC contact hours which includes 0 hours of pharmacology.

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content in the activity.
  4. Choose the best answer to each activity test question. To receive credit, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment.
  6. Obtain a certificate.

For information on the applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Disclaimer

Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls specifically disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearlsand and Continuing Education, Inc, reserve the right to cancel any course due to unforeseen circumstances. StatPearls and Continuing Education, Inc, will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Medium or Media Used:

  • Computer Requirements: Internet Access
  • E-mail Address

Equal Opportunity

  • StatPearls and Continuing Education are Equal Opportunity/Affirmative Action/Equal Access Institutions. 

 

 
 

Reviews

Merry B. on 11/29/2021

Thomas M. on 4/8/2022

Stefanie B. on 1/25/2023

Fatima H. on 4/5/2023

September E. on 6/5/2023

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