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Related Experiment Videos

Interventions to help external cephalic version for breech presentation at term.

G J Hofmeyr1

  • 1Frere/Cecilia Makiwane Hospitals, Private Bag 9047, East London 5200, Eastern Cape, South Africa. gjh@global.co.za

The Cochrane Database of Systematic Reviews
|June 22, 2002
PubMed
Summary
This summary is machine-generated.

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Routine tocolysis effectively reduces external cephalic version (ECV) failure rates at term, potentially decreasing cesarean sections. Fetal acoustic stimulation also shows promise in ECV success.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Evidence-Based Medicine

Background:

  • Breech presentation increases fetal risks, with planned cesarean section improving outcomes compared to vaginal delivery.
  • External cephalic version (ECV) attempts to reduce breech presentation but has variable success rates.
  • Tocolytic drugs and other methods are explored to facilitate ECV at term.

Purpose of the Study:

  • To evaluate the effectiveness of routine tocolysis, fetal acoustic stimulation, epidural/spinal analgesia, and transabdominal amnioinfusion for ECV at term.
  • To assess the impact of these interventions on successful version and pregnancy outcomes.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched Cochrane Pregnancy and Childbirth Group Trials Register and Cochrane Controlled Trials Register.

Related Experiment Videos

  • Assessed eligibility and trial quality of included studies.

    • Main Results:

    • Routine tocolysis was associated with fewer ECV failures (RR 0.74) and reduced cesarean sections (RR 0.85).
    • Fetal acoustic stimulation showed a significant reduction in ECV failures (RR 0.17).
    • Evidence for epidural/spinal analgesia was inconsistent; no trials of transabdominal amnioinfusion were found.

    Conclusions:

    • Routine tocolysis appears beneficial for reducing ECV failure rates at term.
    • Further evidence is needed to confirm the efficacy of fetal acoustic stimulation and epidural/spinal analgesia for ECV.
    • No randomized trials were identified for transabdominal amnioinfusion in ECV.