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Updated: Jul 15, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Remifentanil for External Cephalic Version: A Systematic Review and Meta-Analysis
Brian T Koonce1, Jose Delfin D Castillo2, Tito D Tubog2
1Assistant Professor, Texas Wesleyan University, Fort Worth, Texas.
Remifentanil moderately improves external cephalic version (ECV) success rates and significantly reduces pain during the procedure. This anesthesia may enhance patient satisfaction and reduce fetal bradycardia, though it doesn't impact delivery method rates.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Perinatology
Background:
- Breech presentation complicates delivery, necessitating interventions like external cephalic version (ECV).
- Pain management and procedural success are key concerns during ECV.
Conclusions:
- Remifentanil may be a beneficial adjunct for ECV, enhancing success and patient comfort.
- While effective for pain and success rates, its impact on delivery mode is not significant.
- Clinical application requires consideration of study limitations.
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