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Related Experiment Videos

Fetomaternal haemorrhage after external cephalic version at term

T K Lau1, A Stock, M Rogers

  • 1Department of Obstetrics and Gynaecology, Chinese University of Hong Kong.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|May 1, 1995
PubMed
Summary

Routine screening for fetomaternal hemorrhage after external cephalic version is generally unnecessary. However, Rhesus-negative women require monitoring to ensure adequate anti-D immunoglobulin dosage, as 2% may need more than the standard dose.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine

Background:

  • External cephalic version (ECV) is a procedure to turn a breech fetus.
  • Fetomaternal hemorrhage (FMH) is a potential complication of ECV.

Purpose of the Study:

  • To determine the incidence of FMH after ECV.
  • To assess the association between FMH and ECV outcomes.
  • To evaluate the necessity of routine FMH assessment post-ECV.

Main Methods:

  • Retrospective analysis of 167 patients undergoing ECV.
  • Assessment of FMH incidence.
  • Correlation of FMH with ECV difficulty, success, and perinatal outcomes.

Main Results:

  • The incidence of FMH was 1.8% in 167 patients.

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  • No significant association found between FMH and difficult/unsuccessful ECV.
  • No association observed between FMH and adverse perinatal outcomes.

    • Conclusions:

    • Routine FMH assessment after ECV is not clinically indicated for most patients.
    • Monitoring is recommended for Rhesus-negative women to identify those requiring increased anti-D immunoglobulin prophylaxis.