Whom should a healthcare provider consider offering external cephalic version (ECV)?

Offering external cephalic version (ECV) is particularly indicated for a term singleton breech fetus. ECV is a procedure performed to turn a baby that is in a breech position (feet or buttocks down) into a head-down position before labor begins. Research has shown that performing ECV in this context can result in a higher likelihood of a vaginal delivery, as breech presentation is often a primary indicator for cesarean delivery.

The rationale behind considering ECV for a term singleton breech fetus lies in the relatively low risks associated with the procedure compared to the potential complications of a breech birth. If successful, ECV can facilitate a safer delivery process and minimize the risks associated with cesarean sections, such as infection and longer recovery times.

In contrast, other choices present scenarios where ECV is either contraindicated or less beneficial. For example, executing ECV on a multiple pregnancy is generally not advisable due to the complexities involved and increased risks. Similarly, performing ECV in the setting of a history of previous cesarean delivery or in cases where maternal medical conditions require monitoring could pose additional risks, making these options less favorable for ECV.