Hutton EK, Kauf manK, HodnettE, Amankwah K, Hewson SA, McKay D, et al, for the Early external
cephalic version trial Group.
Women were excluded when their parity was >4; if there were contraindications for labor, vaginal delivery, external
cephalic version, or early external
cephalic version; or if the subject planned to move away during the pregnancy.
The success rate of external
cephalic version was 43% in the CSE group and 33% in the systemic analgesia group.
Predictors of External
Cephalic Version Success Odds Ratio P value Parity >0 2.25 .001 Tocolysis 1.73 .001 Amniotic fluid index >10 cm 1.56 .001 Estimated fetal weight >3,000 g 1.20 .154 Frank breech presentation 0.80 .088 Gestational age >38 weeks 0.74 .027 Maternal BMI >35 kg/[m.sup.2] 0.21 .001 Note: Results of a multivariate logistic regression analysis.
These data should be incorporated into informed consent procedures before an attempted external
cephalic version, he said.
"External
cephalic version is a safe procedure that reduces risk of cesarean delivery," wrote Ms.
(4) External
cephalic version is not universally acceptable to women.
(4) As a result, the current standard of care is to administer anti-D immunoglobulin at 28 weeks' gestation, within 72 hours of delivery of an RhD-positive fetus, and after events with risk of fetal-to-maternal transfusion (eg, spontaneous, threatened, or induced abortion; invasive prenatal diagnostic procedures such as amniocentesis; blunt abdominal trauma; external
cephalic version; second or third trimester antepartum bleeding).
Objective: To find out the effectiveness of oral nifedipine as a tocolytic agent in external
cephalic version.
The editors have updated, at obgmanagement.com, the caption for the FIGURE on page 30 of the September 2017 issue, within the article, "External
cephalic version: How to increase the chances for success" by Henry Michael Lerner, MD.
External
cephalic version (ECV) is a procedure in which the fetus is rotated from the breech to the cephalic position manually through manipulation of the mother's abdomen.
External
cephalic version and internal podalic version was done in 1 and 1 cases respectively for the third baby.