External cephalic version in nonvertex second twin-Success rate, mode of delivery, and safety: A systematic review.

ABSTRACT:

Introduction

One of the key challenges regarding the management of twins involves choosing the optimal mode of delivery, which is strongly influenced by the final presentation of both fetuses. In cases of vertex-nonvertex pregnancies attempting the trial of vaginal delivery, external cephalic version (ECV) is one of possible management options. The main objective of this review was to collect and summarize available data in terms of the application of ECV in the population of nonvertex second twins.

Material and methods

Using the PRISMA guidelines, we searched for original, English-language studies investigating ECV in nonvertex second twins. The PubMed/MEDLINE, SCOPUS, and COCHRANE databases were searched until May 2024. Reviews, case reports, editorials, and conference pap

SUBMITTER: Dymon M 

PROVIDER: S-EPMC11919783 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature