Lessons learned from a single institution’s retrospective analysis of emergent cesarean delivery following external cephalic version with and without neuraxial anesthesia

Patient characteristics associated with complications of external cephalic version

“…It is plausible that the wide variation in reported complication rates may be attributable to the differences in patient characteristics or procedural techniques between study populations. Although some data have suggested that the use of neuraxial analgesia may be associated with ECV complications, 30 this association has not been confirmed in multiple metaanalyses. 34,35 Our data do not provide evidence for an association between ECV complications and neuraxial analgesia; however, there is a reasonable degree of uncertainty around this conclusion as evidenced by the wide CI (Table 2).…”

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

“…Several previous randomized controlled trials (RCT) reported that ECV with neuraxial anesthetic (NA) blockade either the intrathecal or epidural route leads to a higher success rate because of reducing the pain, although the best practice has not been clarified [8,9]. Meanwhile, some publications found a significant difference for pain levels from the surgery between the two groups, but the same success rate [10,11]. However, evidence about the efficacy of analgesia to improve the success of ECV is insufficient and lack of systematic empirical investigation at present, especially in China [12].…”