PURPOSE:
Reorganize and optimize obstetric care in cases of non-cephalic presentations by integrating the midwife as a key support figure, contributing to professional development, and strengthening her role within the multidisciplinary team. We hope to reduce the cesarean rate, reduce clinical variability, and empower women in their decision-making, thus promoting more humane, accessible, and effective care

DISCUSSION:
The implementation of this type of consultation is an innovative and cost-effective intervention that can significantly improve obstetric care. Its development requires organizational change, specific staff training, and close collaboration with the medical team. Initial experience shows that this model contributes to reducing the rate of elective breech cesarean sections. The success rate of ECV ranges from 40% to 65% in nulliparous women and can reach 80% in multiparous women. The incidence of serious complications is low, with a minor complication rate of 6%. The vaginal delivery rate after successful ECV is 65%. Results are comparable to obstetrician-led models.

EVIDENCE WHERE RELEVANT:
· Hofmeyr GJ, Kulier R, West HM. External cephalic version for breech presentation at term. Cochrane Database of Systematic Reviews 2015, Issue 4. Art. No.: CD000083. DOI: 10.1002/14651858.CD000083.pub3. Accessed 05 January

KEY MESSAGE:
ECV is a safe and effective procedure for reducing the cesarean cesction rate in non-cephalic presentations Poster session 1 (Group A)