External cephalic version (ECV) can be more challenging with transverse lie babies compared to those in a breech or vertex position. The success rate of ECV is generally lower for transverse lie because the fetus does not have a clear orientation for turning to the head-down position. Factors such as amniotic fluid volume and uterine tone can also influence the success of ECV in these cases. Ultimately, the decision to attempt ECV should be individualized based on each specific situation.
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