External Cephalic Version (ECV) Support
ECV Support
What is an ECV or External Cephalic Version?
ECV, or External Cephalic Version, is a medical procedure where a healthcare provider manually turns a baby from a breech (feet or buttocks first) or sideways position to a head-down (cephalic) position, increasing the chances for a vaginal birth. Typically done near term (around 37 weeks), it involves applying firm pressure on the mother's abdomen, often after relaxing the uterus with medication, and monitoring the baby's heart rate, with the goal of avoiding a C-section.
How does it work?
You'll have an ultrasound to check the baby's position, and monitors will track your baby's heart rate. You may be given a medicine (like salbutamol) to relax your uterus. The doctor then uses their hands on your abdomen to gently guide the baby into a head-down position, sometimes using an ultrasound for guidance. The process can take around 10 minutes, but monitoring afterwards can last longer.
The average success rate is arounf 50%, and it’s higher for those who have had babies before.
What does an ECV support person do?
I will walk you through every scenario of how the procedure might unfold. Our meetings typically last about an hour.
I will be by your side throughout the procedure, offering support and reassurance. We will use relaxation techniques together, including Voice Visualization, foot reflexology, and trigger point techniques. I will help you and your partner feel comfortable and navigate the room with confidence.
I will stay with you until you have recovered and are ready to rest, usually for 4–5 hours after the procedure.
