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
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
External version is turning the fetus from a breech to a cephalic
presentation after 34 weeks & before 37 weeks of gestation.
Separation of placenta
Rupture of membrane
One set of premature labor
Knotting of the umbilical cord
v. Rupture of uterus
Ante partum hemorrhage
Rh negetive mother
Previous caesarian section
Hypertension or pre-eclamsia