Experience with external cephalic version and selective vaginal breech delivery in private practice
Article Abstract:
External version of fetuses in breech presentation is a viable alternative to cesarean section in some cases. A fetus is considered to be in breech presentation if its feet, knees or buttocks, rather than its head, emerge from the uterus first. External version refers to the manipulation of the fetus so that its head will deliver first. Sixty-five women were offered the option of version if they were more than 36 weeks' pregnant, not in active labor and if there were no medical reasons not to perform the procedure. Five patients were ineligible for version. Version was successful in 53% of the remaining 60 cases. However, nine of the women who had successful procedures had cesarean sections because of fetal complications or the failure of labor to progress. The remaining 23 women delivered vaginally. Of the 28 unsuccessful version attempts, 24 resulted in cesarean sections.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1993
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Determining the clinical efficacy and cost savings of successful external cephalic version
Article Abstract:
External cephalic version can save money. External cephalic version is turning a breech or transverse fetus head downward from the outside. It saves money because breech babies are routinely delivered by cesarean section. External cephalic version succeeded in half the 203 women who had one. Cost analysis revealed a $2,460 savings per successful version. Success was more likely in women not pregnant for the first time, when the placenta was implanted at the back of the uterus, when the fetus lay transverse-oblique, and later in the pregnancy. Heavier maternal weight decreased the likelihood of success.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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A randomized trial of epidural anesthesia to improve external cephalic version success
Article Abstract:
Epidural anesthesia during attempts to reverse a fetal breech presentation in women close to term may improve the success of the procedure and result in fewer cesarean sections. External cephalic version is the medical term for this manipulation. Sixty-nine women with breech presentations received epidural anesthesia, resulting in the absence of pain in the lower body, or no anesthetic. A success rate of 69% was achieved in women with anesthesia, compared to 32% in the group with no treatment. The rate of success on the first manipulation was also improved.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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