Version is the manipulation of the fetus to obtain a more favorable presentation of the baby. E.g. From breech to vertex
External version - Used to change the presentation in to cephalic.
Internal version - Used to make the presentation in to breech and extract the baby.
It is the direct manipulation of the fetus inside the uterus. It is usually done to convert the malpresentation of second twin. Internal version poses significant risk to the fetus and is now done only in extreme emergencies, such as profound fetal distress with a prolapsed cored or the need for the immediate delivery of a second twin when there is not enough time for caesarian delivery.
In this procedure the physician reaches up into the uterine cavity grapes feet of the fetus and draws them through the cervix and delivers the fetus as in breech presentation. Thisprocedure is extremely rare in contemporary obstetric practice.
External version is turning the fetus from a breech to a cephalic presentation after 34 weeks & before 37 weeks of gestation.
i. Separation of placenta
ii. Rupture of membrane
iii. One set of premature labor
iv. Knotting of the umbilical cord
v. Rupture of uterus
i. Ante partum hemorrhage
ii. Rh negetive mother
iii. Previous caesarian section
v. Hypertension or pre-eclamsia
vi. Premature labor
vii. Multiple pregnancy
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