The role of external version in the intrapartum management of the transverse lie presentation

Phelan, Jeffrey P.; Stine, Lucille E.; Edwards, Nancy B; Clark, Steven L.; Horenstein, Janet

doi:10.1016/0002-9378(85)90504-6

Cited by 22 publications

(13 citation statements)

References 3 publications

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“…There is limited available evidence as to the use of external cephalic version in the context of transverse lie, thus the potential impact of this inclusion remains unclear. 18,19 Apart from increased minor side effects associated with nifedipine compared with placebo, there was no significant difference in the rate of maternal or neonatal adverse outcomes between the study and comparison groups. However, small numbers in individual studies and different definitions that precluded pooling limit the ability to assess adverse outcomes.…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Effectiveness of nifedipine tocolysis to facilitate external cephalic version: a systematic review

Wilcox

Nassar

Roberts

2010

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

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Background The success rates of external cephalic version (ECV) are improved with the use of betamimetic tocolytics, but these drugs are associated with maternal side effects.Objectives To critically evaluate the effectiveness and advantages, if any, of nifedipine as a tocolytic for ECV.Search strategy We searched PubMed, OVID [Medline, all evidence-based medicine (EBM) reviews], Embase, the Cochrane clinical trials register and references therein.Selection criteria Randomised trials comparing nifedipine with placebo or another tocolytic agent among women with a singleton, term breech or transverse presentation.Data collection and analysis Two reviewers evaluated search results and extracted data from eligible studies using a standard data extraction form. Primary outcomes were success rates of ECV and cephalic presentation at delivery. Pooled relative risks and 95% confidence intervals were calculated for comparable studies, and where similar outcomes were assessed.Main results Three trials met the inclusion criteria. Two trials (n = 176) compared nifedipine with terbutaline and found lower rates of successful ECV among women receiving nifedipine, pooled risk ratio = 0.67 (95% CI 0.48-0.93, P = 0.016). One trial (n = 320) comparing nifedipine with placebo did not find any significant difference in ECV success rates (41.6% nifedipine versus 37.2% placebo, P = 0.43). Although minor side effects were slightly higher with nifedipine compared with placebo, there was no significant difference in the rate of adverse maternal or neonatal outcomes or maternal satisfaction between the nifedipine and terbutaline groups, and women in both groups showed a similar preference for oral administration (62% nifedipine and 71% terbutaline).Authors' conclusions This review found no evidence to support the use of nifedipine for tocolysis to facilitate external cephalic version.

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Section: Discussionmentioning

confidence: 87%

“…The numbers of women within this category were small [three women (6.8%) in the nifedipine group and one woman (2.2%) in the terbutaline group]. There is limited available evidence as to the use of external cephalic version in the context of transverse lie, thus the potential impact of this inclusion remains unclear 18,19 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of nifedipine tocolysis to facilitate external cephalic version: a systematic review

Wilcox

Nassar

Roberts

2010

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

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“…Prior to the onset of labor or rupture of membranes, external version with stabilizing induction has been practised (Phelan et al 1985). Pelosi et al (1979) employed an "intraabdominal version technique" and a transverse low segment incision.…”

Section: Discussionmentioning

confidence: 99%

Transverse lower segment uterine incision in cesarean sections for transverse lie

Segal

Gemer

Sassoon

1994

Arch Gynecol Obstet

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“…An array of various indications have been described for application of intrapartum sonography [9][10][11][12][13][14][15][16][17] . However, intrapartum ultrasound is not currently widely applied as a tool to depict precise fetal head position.…”

Section: Discussionmentioning

confidence: 99%

Intrapartum fetal head position I: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the active stage of labor

Sherer

Miodovnik

Bradley

et al. 2002

Ultrasound in Obstet & Gyne

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The role of external version in the intrapartum management of the transverse lie presentation

Cited by 22 publications

References 3 publications

Effectiveness of nifedipine tocolysis to facilitate external cephalic version: a systematic review

Effectiveness of nifedipine tocolysis to facilitate external cephalic version: a systematic review

Transverse lower segment uterine incision in cesarean sections for transverse lie

Intrapartum fetal head position I: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the active stage of labor

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