External Cephalic Version is a hands-on procedure used to turn a breech baby into the head-down (vertex) position before labor begins. Performed by an experienced obstetrician, ECV can help reduce the need for a C-section. 1. Pre-Procedure Preparation Before the ECV begins, the medical team will: Do an ultrasound to confirm the baby’s position and check the placenta, cord, and fluid levels Monitor the baby’s heart rate Give medication (tocolytics) to relax the uterus and make the turn easier Ens