{"id":24583,"date":"2017-11-03T12:36:27","date_gmt":"2017-11-03T11:36:27","guid":{"rendered":"https:\/\/www.drvelemir.fr\/?page_id=24583"},"modified":"2017-11-29T11:35:36","modified_gmt":"2017-11-29T10:35:36","slug":"external-cephalic-version","status":"publish","type":"page","link":"https:\/\/www.drvelemir.fr\/en\/external-cephalic-version\/","title":{"rendered":"External cephalic version"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; css_animation=&#8221;fadeInDownBig&#8221; bg_type=&#8221;image&#8221; parallax_style=&#8221;vcpb-vz-jquery&#8221; bg_image_new=&#8221;24062&#8243; bg_image_repeat=&#8221;no-repeat&#8221; parallax_sense=&#8221;50&#8243; disable_on_mobile_img_parallax=&#8221;off&#8221; parallax_content=&#8221;parallax_content_value&#8221; parallax_content_sense=&#8221;70&#8243; fadeout_row=&#8221;fadeout_row_value&#8221; fadeout_start_effect=&#8221;50&#8243; enable_overlay=&#8221;off&#8221; seperator_enable=&#8221;off&#8221; css=&#8221;.vc_custom_1508419842257{padding-top: 250px !important;padding-bottom: 160px !important;}&#8221;][vc_column]<h1 class=\"boc_heading  center  boc_animate_when_almost_visible boc_top-to-bottom\"  style=\"margin-bottom: 20px;margin-top: 0px;color: #ffffff;font-size: 56px;\"><span>External cephalic version<\/span><\/h1><div class=\"boc_divider_holder\"><div class=\"boc_divider  \"  style=\"margin-top: 24px;margin-bottom: 30px;width: 100px;margin-left: auto; margin-right: auto;height: 2px;background: rgba(255,255,255,0.3);\"><\/div><\/div><p class=\"boc_heading  center  boc_subheading boc_animate_when_almost_visible boc_fade-in\"  style=\"margin-bottom: 20px;margin-top: 0px;color: #e5e5e5;font-size: 21px;line-height: 1.7em;\"><span>The version by external maneuvers (VME) is to turn a baby who comes by the seat (buttocks down) to bring him upside down<\/span><\/p>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1508244965665{margin-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_widget_sidebar sidebar_id=&#8221;grossesse___accouchement&#8221;]<h3 class=\"boc_heading yesbold al_left  bgr_dotted  boc_animate_when_almost_visible boc_fade-in\"  style=\"margin-bottom: 0px;margin-top: 0px;color: #967d92;font-size: 21px;\"><span>Dr. Luka Velemir<\/span><\/h3><p class=\"boc_heading  al_left  boc_animate_when_almost_visible boc_fade-in\"  style=\"margin-bottom: 20px;margin-top: 0px;color: #333333;font-size: 14px;line-height: 1.7em;\"><span>Dr. Velemir can produce an external version in his office in Nice.<\/span><\/p>[vc_single_image onclick=&#8221;custom_link&#8221; css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; image=&#8221;24024&#8243; link=&#8221;https:\/\/www.drvelemir.fr\/chirurgien-gynecologue-obstetricien-nice\/&#8221;]<h3 class=\"boc_heading yesbold al_left  bgr_dotted  boc_animate_when_almost_visible boc_fade-in\"  style=\"margin-bottom: 0px;margin-top: 0px;color: #967d92;font-size: 21px;\"><span>The Santa Maria Maternity Hospital in Nice<\/span><\/h3>[vc_single_image onclick=&#8221;custom_link&#8221; css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; image=&#8221;23942&#8243; link=&#8221;https:\/\/www.drvelemir.fr\/maternite-polyclinique-santa-maria-nice\/&#8221;]<h3 class=\"boc_heading yesbold al_left  bgr_dotted  boc_animate_when_almost_visible boc_fade-in\"  style=\"margin-bottom: 0px;margin-top: 0px;color: #967d92;font-size: 21px;\"><span>Extraperitoneal caesarean section<\/span><\/h3>[vc_column_text css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; el_class=&#8221;yesjustify&#8221;]Dr. Velemir is one of the ten gynecologists-obstetricians to practice extraperitoneal caesarean section in France. The technique of extraperitoneal cesarean section is still unknown, almost confidential, it has great benefits for moms and their babies. With extraperitoneal caesarean section, the sequelae and the risk of complications are reduced.<br \/>\n<a title=\"Extraperitoneal caesarean section\" href=\"https:\/\/www.drvelemir.fr\/en\/extraperitoneal-caesarean-section\/\">Learn more about extraperitoneal caesarean section.<\/a>.[\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text css_animation=&#8221;boc_animate_when_almost_visible boc_bottom-to-top&#8221; el_class=&#8221;yesjustify&#8221;]<\/p>\n<h2>What is an external cephalic version?<\/h2>\n<p>The external cephalic version (VME) consists in turning a baby that is in the breech position (buttocks down) to bring his head down, in the usual position for a normal birth. During this manoeuvre, the hands of the obstetrician help the child to turn over, slowly and progressively manipulating his buttocks and head through the mother\u2019s womb.<\/p>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-24641\" src=\"https:\/\/www.drvelemir.fr\/wp-content\/uploads\/2017\/10\/Version-par-manoeuvre-externe.jpg\" alt=\"External cephalic version\" width=\"490\" height=\"235\" title=\"|\" srcset=\"https:\/\/www.drvelemir.fr\/wp-content\/uploads\/2017\/10\/Version-par-manoeuvre-externe.jpg 490w, https:\/\/www.drvelemir.fr\/wp-content\/uploads\/2017\/10\/Version-par-manoeuvre-externe-300x144.jpg 300w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/h2>\n<h2>What is the interest of a version?<\/h2>\n<p>At the time of birth, nearly 5% of children are in breech position. When conditions are not strictly ideal, a breech birth carries a higher risk of complications for the unborn child in case of cephalic presentation (head down). Under these conditions, a planned caesarean section is often necessary. The version is used by many teams in the world, including Dr. Velemir\u2019s, to avoid complications related to breech delivery and \/ or caesarean section. Version is done between 36 and 37 weeks of amenorrhea. His success rate is 60 to 70% depending on the case.<\/p>\n<p>Alternative techniques such as acupuncture or postural methods (Indian bridge position) may precede the VME attempt, without replacing it in case of failure.<\/p>\n<h2>What happens during the version?<\/h2>\n<p>The version is a common and well-established and simple procedure. The mother lies down on her back. She is first given a drug to relax her uterus in order to make handling easier. The obstetrician places his hands on her stomach and begins to move the baby very slowly, first lifting the buttocks then, directing the head down to the desired position. The baby\u2019s heart rate is constantly monitored by ultrasound. The version only takes a few minutes and usually causes nothing more than discomfort or pain.<\/p>\n<h2>Are there risks?<\/h2>\n<p>Very rarely, some incidents may occur during or as the version takes place: water loss, bleeding from the vagina, uterine contractions. These situations can sometimes require the patient to remain hospitalized under observation. Exceptionally, abnormal foetal heart rate may need a quick baby extraction by caesarean section. That is why the version is performed in optimal conditions of safety in the delivery room.<\/p>\n<h2>In practice<\/h2>\n<p>[\/vc_column_text]<div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">You will have an appointment at the maternity ward the day of the version<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">A blood test should be performed a few days before the version<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">The version is preceded by an ultrasound check of the foetus presentation and a recording of the foetal heart rate (RCF)<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">A treatment is given to facilitate uterus relaxation<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">The version itself lasts 5 minutes<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">A check of the RCF is then performed for at least 1 hour<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">A new check-up of the presentation and the RCF is scheduled 24 hours later<\/div>\n\t\t\t\t   <\/div><div class=\"boc_list_item  \" >\n\t\t\t\t\t<span class=\"li_icon normal \" style=\"\"><i class=\"icon icon-angle-right-circle\" style=\"\"><\/i><\/span>\n\t\t\t\t\t<div class=\"boc_list_item_text normal\">After the version, the patient is discharged the same day.<\/div>\n\t\t\t\t   <\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; bg_type=&#8221;bg_color&#8221; fadeout_row=&#8221;fadeout_row_value&#8221; enable_overlay=&#8221;off&#8221; el_class=&#8221;white_text&#8221; css=&#8221;.vc_custom_1508245703891{margin-top: 40px !important;margin-bottom: 0px !important;padding-top: 24px !important;padding-bottom: 20px !important;}&#8221; bg_color_value=&#8221;#967d92&#8243;][vc_column]<div class=\"text_box no_text_transform box_no_bgr boc_animate_when_almost_visible boc_top-to-bottom\"><div class=\"text_box_content with_button\"><h2>Make an Appointment for an External Maneuver Version (VME)<\/h2>\n\t\t\t\t\t<p>The obstetrician&#8217;s hands help the child to turn around by slowly and gently manipulating his buttocks and his head through the mother&#8217;s womb.<\/p>\n\t\t\t\t<\/div><div class=\"btn_holder\"><a\thref=\"https:\/\/www.drvelemir.fr\/en\/contact\/\" \n\t\t\t\t\tclass=\"button  btn_medium_stretched btn_white btn_circled btn_outline icon_pos_after btn_icon_anim_out\"  target='_self'><span>MAKE AN APPOINTMENT <\/span> <i class='icon icon icon-angle-right2'><\/i> <\/a><\/div><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; css_animation=&#8221;fadeInDownBig&#8221; bg_type=&#8221;image&#8221; parallax_style=&#8221;vcpb-vz-jquery&#8221; bg_image_new=&#8221;24062&#8243; bg_image_repeat=&#8221;no-repeat&#8221; parallax_sense=&#8221;50&#8243; disable_on_mobile_img_parallax=&#8221;off&#8221; parallax_content=&#8221;parallax_content_value&#8221; parallax_content_sense=&#8221;70&#8243; fadeout_row=&#8221;fadeout_row_value&#8221; fadeout_start_effect=&#8221;50&#8243; enable_overlay=&#8221;off&#8221; seperator_enable=&#8221;off&#8221; css=&#8221;.vc_custom_1508419842257{padding-top: 250px !important;padding-bottom: 160px !important;}&#8221;][vc_column][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1508244965665{margin-bottom: 0px !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_widget_sidebar sidebar_id=&#8221;grossesse___accouchement&#8221;][vc_single_image onclick=&#8221;custom_link&#8221; css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; image=&#8221;24024&#8243; link=&#8221;https:\/\/www.drvelemir.fr\/chirurgien-gynecologue-obstetricien-nice\/&#8221;][vc_single_image onclick=&#8221;custom_link&#8221; css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; image=&#8221;23942&#8243; link=&#8221;https:\/\/www.drvelemir.fr\/maternite-polyclinique-santa-maria-nice\/&#8221;][vc_column_text css_animation=&#8221;boc_animate_when_almost_visible boc_fade-in&#8221; el_class=&#8221;yesjustify&#8221;]Dr. Velemir is one of the ten gynecologists-obstetricians to practice extraperitoneal caesarean section in France. The technique of extraperitoneal cesarean section is<\/p>\n<div class=\"h10\"><\/div>\n<p><a class=\"more-link2 flat\" href=\"https:\/\/www.drvelemir.fr\/en\/external-cephalic-version\/\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-24583","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages\/24583","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/comments?post=24583"}],"version-history":[{"count":0,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages\/24583\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/media?parent=24583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}