How is the external cephalic version performed?
Before an ECV, the physician administers tocolytic medicine to relax the uterus and prevent its contraction. When the uterus is relaxed, the physician places both their hands on the surface of your abdomen. Next, the physician pushes in the required direction until the fetus flips to the cephalic position. The physician continuously monitors the fetal heart rate, and if there is a dip in the heart rate, they may stop the procedure and opt for cesarean delivery. If the first attempt was unsuccessful, the physician might repeat the maneuver by giving epidural anesthesia to reduce the pain.