•Breech presentation complicates 3-4% of term pregnancies1.

•NICE Antenatal Care Quality Standard 11 recommends that all pregnant women with an uncomplicated singleton breech presentation at 36 weeks or later be offered an ECV.

•This was a retrospective audit of all patients who accepted a trial of ECV between 15/03/23 and 15/03/24, looking at documented counselling, written consent, administration of terbutaline and use of CTG before and after the ECV procedure.

•The audit standards were as per the previous ECV audit with the addition of the recommended use of the ECV pro forma.

•29 patients booked for ECV between 15/03/23 and 15/03/24 were identified from the booking spreadsheet and their electronic records reviewed.

•19 patients proceeded with ECV.

•A google form was used to collect data for each patient corresponding to each standard.

•This audit showed we are not compliant with written consent or use of the ECV pro-forma.

•We recommend introduction of an ECV pack including consent form, pro forma and patient information leaflet, to be added to the notes of all women who accept an ECV.

•Registrars performing ECV should be directly supervised by a consultant who can retry if the attempt fails.

1.External cephalic version and reducing the incidence of term breech presentation GTG No.20a [ March 2017].