Clinical outcomes after external cephalic version with spinal anesthesia after failure of a first attempt without anesthesia

Massalha, Manal; Garmi, Gali; Zafran, Noah; Carmeli, Julia; Gimburg, Genady; Salim, Raed

doi:10.1002/ijgo.12312

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…Our success rate of ECV without NA was 67.2%, similar to the results in Manal's report (68.1%, 145/213) [13]. The findings also show that NA cannot improve the rate of successful conversion to cephalic presentation.…”

Section: Discussionsupporting

confidence: 89%

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Yang¹,

Lu²,

Liu³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background: To determine whether neuraxial anesthesia (NA) can improve the success rate of external cephalic version (ECV), and evaluate the clinical outcomes. Methods: This study included 201 consecutive participants who had a breech presentation at term and received ECV between 2014 and 2022. Participants who received ECV without NA were included in Group 1, while participants with NA were included in Group 2. Outcomes assessed were the success rate of ECV and clinical outcomes. Results: In total, 201 participants who had a breech presentation at term and received ECV met the inclusion criteria. Totally, 134 participants performed ECV without NA were included in Group 1, while 67 participants performed the ECV with NA were included in Group 2. The success rate of ECV among the participants was 66.2% (133/201). The rate of placental abruption during or after ECV and neonatal intensive care unit (NICU) admission in Group 2 was statistically significant higher than in the Group 1 (p < 0.05). Conclusions: This study suggested that the use of NA did not increase ECV success rates after 37 weeks of gestation. The recommendation of NA for the ECV may be not suitable for all pregnancies unless the participants request. A large and high-quality study should be conducted to verify the role of NA in ECV, if any.

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Section: Discussionsupporting

confidence: 89%

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Yang¹,

Lu²,

Liu³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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“…5 After a failed attempt of ECV, using neuraxial blockade for a second attempt offered a 39% success rate and a reduction in the rate of Caesarean delivery from 100% to 64%. 6 Aside from maternal hypotension, the rate of other complications of ECV does not appear to be affected by use of a neuraxial block. 3…”

Section: Neuraxial Blockmentioning

confidence: 96%

Neuraxial block and success of external cephalic version

Weiniger

Rabkin

2020

BJA Education

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Présentation du siège. Recommandations pour la pratique clinique du CNGOF — Version par manœuvre externe et techniques de version alternatives

Ducarme

2020

Gynécologie Obstétrique Fertilité & Sénologie

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Clinical outcomes after external cephalic version with spinal anesthesia after failure of a first attempt without anesthesia

Abstract: Repeat ECV with spinal anesthesia after a failed first attempt without spinal anesthesia increased vertex presentation at birth and decreased the rate of cesarean delivery.

Cited by 6 publications

References 18 publications

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China

Neuraxial block and success of external cephalic version

Présentation du siège. Recommandations pour la pratique clinique du CNGOF — Version par manœuvre externe et techniques de version alternatives

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