Skip to main content

Table 1 Estimated Probability (%) of Outcomes Utilized in Cost-Effectiveness Model

From: Cost-effectiveness of external cephalic version for term breech presentation

 

Base Case Probability

(Range)

References

Successful ECV Procedure

   

   First Trial

58%

(35-86%)

[18]

   Second Trial*

51%

(17-71%)

[22–24]

Consequence of ECV

   

   Fetus remains Vertex

-

-

 

Cephalic Delivery with Successful ECV

-

-

 

Cesarean After Successful ECV

27.60%

(8.5-30%)

[7, 43, 44]

   Fetus Spontaneously Reverts to Breech *

6%

(3-10%)

[19, 45–47]

Emergency Cesarean Needed at time of ECV

0.35%

(0-1%)

[21, 48]

Adverse Outcome from Emergency Cesarean †

1%

(0-1%)

 
  1. * Likelihood used in model base case is the weighted average of studies reviewed where the numerator and denominator across multiple studies were summed.
  2. †Ranges of 0-1% were included in the sensitivity analysis even though no literature referenced these ranges in order to see the effect of both rare but expensive adverse events.