Factors Influencing the Success of Breech External Cephalic Version and Their Impact on Delivery Mode and Maternal-Neonatal Outcomes

ECV is an effective intervention for reducing cesarean delivery rates in breech presentations. Success is associated with lower maternal BMI, a history of vaginal delivery, favorable placental location, adequate amniotic fluid, and fewer procedural attempts. These findings support the integration of patient-specific factors into clinical protocols to optimize ECV success and improve perinatal outcomes.