International Journal of Clinical Obstetrics and Gynaecology

Author(s): Kevin Murphy and Kyle Avery

Abstract: This report describes a 31-year-old G3P1 patient with type 2 diabetes and a persistent transverse fetal lie who underwent four External Cephalic Versions (ECVs) at term. Through careful use of terbutaline, continuous fetal monitoring, strategic abdominal counter pressure, and a stabilization technique during amniotomy, spontaneous vaginal delivery was achieved. Avoidance of a primary cesarean section was central to the patient’s goals and served as the clinical priority throughout management. This case highlights the feasibility and potential safety of repeated ECVs and introduces a practical strategy for maintaining fetal position during membrane rupture to prevent reversion.

DOI: https://doi.org/10.33545/gynae.2025.v9.i3a.1624

Pages: 35-36 | 299 Views | 127 Downloads

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