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Related Experiment Videos

Impact of a protocol for external cephalic version under tocolysis at term.

J Rabinovici, G Barkai, J Shalev

    Israel Journal of Medical Sciences
    |January 1, 1986
    PubMed
    Summary

    External cephalic version under tocolysis (EVT) is effective for turning breech babies in low-risk pregnancies. This method successfully converted breech presentations, reducing cesarean section rates without major complications.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine

    Background:

    • Breech presentation at term complicates delivery management.
    • External cephalic version (ECV) is an intervention to convert breech to cephalic presentation.
    • Tocolysis may improve ECV success rates.

    Purpose of the Study:

    • To evaluate the efficacy and safety of external cephalic version under tocolysis (EVT) in low-risk pregnancies.
    • To assess the impact of EVT on breech presentation and cesarean section rates.

    Main Methods:

    • Prospective study of 60 EVT trials in 58 women with uncomplicated, term pregnancies.
    • Fetal well-being monitored via cardiotocography and real-time ultrasound (RTUS).
    • No analgesia or anesthesia administered during the procedure.

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    Main Results:

    • Successful version in 67.2% of subjects (70.7% of trials).
    • Transient fetal bradycardia occurred in 18 women; no major complications.
    • Significant reduction in breech presentation rates and cesarean sections for low-risk breeches.

    Conclusions:

    • EVT under tocolysis is a viable alternative for managing term breech presentations in carefully selected low-risk pregnancies.
    • Avoiding analgesia/anesthesia during EVT is suggested based on this experience.
    • Further research may explore optimal protocols for EVT.