30-year-old Woman, in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#18794
SMLE Question #18794
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ECV-TIMING
Last updated: March 2026
A 30-year-old woman, gravida 4 para 3, is at 36 weeks of gestation in an antenatal clinic. She has had three prior uncomplicated vaginal deliveries and no uterine surgery. This pregnancy has been uncomplicated. Ultrasound shows a singleton fetus in breech presentation, normal amniotic fluid volume, and a posterior placenta. Fetal assessment is reassuring. She asks about external cephalic version (ECV) to reduce the likelihood of cesarean delivery. When is the best time to perform ECV in an uncomplicated singleton breech pregnancy?
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