Breech presentation and ECV

If breech presentation is diagnosed antenatally external cephalic version should be considered in line with RCOG guidance.

• admit to labour ward - fasting not required
• check maternal pulse and BP
• tocolytics optional
• CTG and ultrasound (placental site, presentation, leg position, liquor volume and abnormality)
• recheck fetal wellbeing and fetal heartbeat by scan afterwards and undertake CTG prior to discharge from labour ward
• give anti-D if rhesus negative

This should be managed in line with RCOG guidance.

The obstetric consultant should be informed and asked to attend.

A neonatal nurse +/- paediatrician should be present for the delivery.