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

Ducarme, Guillaume

doi:10.1016/j.gofs.2019.10.024

Cited by 11 publications

(3 citation statements)

References 68 publications

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“…Early ECV can have more fetuses in noncephalic presentation at delivery than late ECV; interestingly the rate of cesarean delivery with early ECV was not significantly reduced compared to late ECV [23,24]. Meanwhile, in our study and some cohort studies, greater gestational age at procedure was associated with an increased likelihood of failed ECV [25]. The optimum block (epidural or Neuraxial) and drug dose are yet to be researched.…”

Section: Discussionmentioning

confidence: 48%

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: Discussionmentioning

confidence: 48%

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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“…However, other studies have found different results, that the BPD or HC was unrelated to the success of ECV [20][21] . A possible reason for this difference is that the accuracy of B-ultrasound in evaluating the longth of BPD or HC is still controversial [22][23] . According to our study, pregnant women with a higher ratio of HC/FL may be not suitable for ECV and can choose cesarean delivery (CD).…”

Section: Discussionmentioning

confidence: 99%

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Duan,

Chen,

et al. 2023

Preprint

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Objective To determine the factors associated with the external cephalic version (ECV) and evaluate the success rate ECV of at term in China. Methods 207 consecutive patients who attempted ECV with a breech presentation at term were included from January 2017 to January 2023. Patients with a successful ECV were divided into the ECV success group. Patients who performed ECV but had a repeat breech presentation were divided into the ECV failure group. The factors for ECV success was carried out by multiple logistic regression analyses. Results The success rate of ECV was 68.6%(142/207) among 207 pregnancies with breech presentation at term. The reasons for failed ECV were not turning at all after four to five attempts(38/65, 58.5%), followed by fetal distress(7/65, 10.8%). Three predictive factors were identified and associated with a successful ECV: larger AFI, the use of tubutaline and lower HC/FL ratio. Conclusions This ECV prediction model based on a Chinese population to predict the success of ECV that is easy to use and incorporates a limited number of objective patient characteristics. The level of AFI, use of tubutaline, and ratio of HC/FL are independent determinants of the final presentation.

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“…Pour les femmes avec un Rhésus RH-1 négatif, il est recommandé de veiller à la prophylaxie de l'allo-immunisation Rhésus RH-1, en accord avec les recommandations du CNGOF (Accord professionnel). En cas de présentation du siège, l'acupuncture, la moxibustion, les méthodes posturales (position genu-pectorale et pont indien) n'ont pas montré leur efficacité pour réduire le nombre de présentations du siège à la naissance (NP2), et ne sont pas recommandées (Grade B) [3].…”

Section: T1 Version Par Manoeuvre Externe Et Techniques Alternatives ...unclassified

Présentation du siège. Recommandations pour la pratique clinique du CNGOF–Texte court✩

Sentilhes¹,

Schmitz²,

Azria³

et al. 2021

Sages-Femmes

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

Cited by 11 publications

References 68 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

Preoperative predictors of successful External Cephalic Version with breech presentation at term: a single centre experience

Présentation du siège. Recommandations pour la pratique clinique du CNGOF–Texte court✩

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