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External cephalic version was attempted in 684 women (53.8%), with a success rate of 61.5%. External cephalic version succeeded in 19.6% of those with persistent breech presentation (44/224) compared with 82.0% (377/46 of those without persistent breech presentation (P.001). Ultimately, women with persistent breech presentation and successful ECV experienced a lower rate of vaginal delivery (27.3% vs 79%, P.001), and a higher rate of instrumental (29% vs 13%, P.001) and cesarean deliveries (43% vs 7%, P.001) compared wi