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[Tocolysis for external version of breech presentation close to term (authors transl)]
Zeitschrift Fur Geburtshilfe Und Perinatologie
|February 1, 1975
Summary
External cephalic version with tocolysis is an effective method to convert breech presentation to vertex presentation, improving outcomes for mother and child. This procedure, when performed with proper medical support, successfully delivered healthy infants in most cases.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Context:
- Breech presentation poses risks to both mother and child during delivery.
- External cephalic version aims to convert breech to vertex presentation before labor.
Purpose:
- To evaluate the efficacy and safety of external cephalic version with tocolysis for term breech presentation.
- To identify factors influencing the success of external cephalic version.
Summary:
- External cephalic version using Partusisten was successful in 30 out of 37 cases of term breech presentation.
- 26 out of 26 patients with previous breech presentation delivered healthy infants after successful version.
- The procedure had minimal complications, with only one transient hemorrhage reported.
Impact:
- External cephalic version with tocolysis is a viable method to avoid cesarean delivery for breech presentation.
- Success is dependent on appropriate medical facilities, including cardiotocography and emergency cesarean section availability.
- Extended leg breech presentation may be a factor contributing to failed external cephalic version.