External cephalic version of the breech presentation under tocolysis

Morrison, John C.; Myatt, Ray E.; Martin, James N.; Meeks, G. Rodney; Martin, Rick W.; Bucovaz, E.T.; Wiser, Winfred L.

doi:10.1016/0002-9378(86)90480-1

Cited by 42 publications

(27 citation statements)

References 9 publications

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“…This has been proved with ritodrine, salbutamol and terbutaline or with nefidepine. 6,[8][9][10] In present study ECV was successful in 40% of primigravidae and 90% of multigravidae. Parity has been associated with an increased rate and success by most authors.…”

Section: Discussionsupporting

confidence: 55%

“…Similar complication occurred in other studies. 6,14,15 Reversion was more common in parous patients. Hutton et al found the rate of reversion of fetus to breech after a successful ECV was 4 of 34 (11.8%) in the early ECV group and 1 of 18 (5.5%) in the delayed ECV group.…”

Section: Discussionmentioning

confidence: 96%

“…Morrison et al reported that at a gestational age of 37 to 39 weeks, 179 out of 243 attempts (73%) were successful in comparison with 28 out of 61 attempts (45%) at 40 to 43 weeks (p<0.001). 6 ECV at term differs in many fundamental ways from that performed before term. These include the fact that the fetus is mature and may be delivered more readily in the event of complications, and that spontaneous version without ECV attempt or reversion after successful ECV, are less common at term.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of external cephalic version (ECV) in singleton pregnancy with uncomplicated breech presentation at term in a tertiary rural hospital

Vedpathak¹,

Nayak²,

Panigrahi³

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONBreech presentation is the most common malpresentation. The incidence of breech presentation at term is 3-4%. Management of breech presentation at term is always being a topic of controversy. Day by day ECV is becoming a loosing Art. As delivery by Elective LSCS for Breech is associated with significantly lower neonatal mortality and morbidity, many obstetricians and pregnant women choose not to deliver breech babies vaginally. This is a significant contributing factor in increasing the caesarean rate and associated maternal morbidity.ECV has been definitely proven to decrease the incidence of breech at term.1 After rigorous scientific appraisal of several randomized controlled trials there has been renewed interest in external cephalic version in the last few years.2 American College of Obstetricians and Gynaecologists (2001) recommended that efforts should be made to reduce breech presentation by external cephalic version. 3 ABSTRACTBackground: Breech presentation is the most common malpresentation. The incidence of breech presentation at term is 3-4%. Objective of present study was to evaluate the outcome of external cephalic version (ECV) in singleton pregnancy with uncomplicated breech presentation at term in tertiary rural hospital and to analyze the immediate and ultimate outcome of external cephalic version done in term pregnancy with breech presentation with gestational age ≥37 weeks. Methods: This study was conducted at MIMER Medical college and BSTR Hospital, Talegaon Dabhade. Patients with breech presentation at term were studied over duration of 2½ years. 50 patients with breech presentation ≥37 weeks fulfilling the inclusion criteria underwent External cephalic version (ECV). Further obstetric progress is studied with the perinatal outcome and results were analyzed. Results: ECV was successful in 66% cases, out of which 88% cases had vaginal delivery and 12 % cases had LSCS for obstetric indication. Perinatal outcome was not affected with ECV. Conclusions: ECV at term significantly reduces both the incidence of breech delivery and caesarean section rate for breech delivery. ECV does not adversely affect the maternal and perinatal outcome.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Outcome of external cephalic version (ECV) in singleton pregnancy with uncomplicated breech presentation at term in a tertiary rural hospital

Vedpathak¹,

Nayak²,

Panigrahi³

2017

Int J Reprod Contracept Obstet Gynecol

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“…This was probably a chance event. Previous studies designed to identify predictors of ECV success have not shown placental location to be a predictor of success, and this finding has been supported by other studies [15][16][17][18][19][20][21][22]. We performed post hoc multivariate logistic regression analyses incorporating placental location and allocated treatment as independent covariables in the analysis, with successful ECV and cesarean delivery separately as dependent outcomes.…”

Section: Discussionmentioning

confidence: 56%

Intravenous salbutamol for external cephalic version

Vani¹,

Lau²,

Lim

et al. 2008

International Journal of Gynecology & Obstetrics

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“…There were higher success rates in studies by Van Dorsten et al (68%) and Morrison et al (68%) using tocolytics. 9,10 No inhalational or regional anaesthesia was used in our study to facilitate version. The success rates by Schorr et al and Carlan et al were 51% and 59% respectively using epidural anaesthesia with 2% lidocaine and terbutaline for tocolysis.…”

Section: Possible Causes Of Low Success Ratementioning

confidence: 99%