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Antepartum transabdominal amnioinfusion to facilitate external cephalic version after initial failure
J L Benifla1, F Goffinet, E Darai
1Service de Gynécologie Obstétrique, Hôpital Bichat, Paris, France.
Obstetrics and Gynecology
|December 1, 1994
Summary
Transabdominal amnioinfusion effectively converts breech presentations to cephalic presentation for external cephalic version. This method, using saline infusion, led to successful normal deliveries in all treated patients.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- External cephalic version (ECV) is a procedure to non-surgically turn a fetus from a breech to a cephalic presentation.
- Previous ECV attempts can be unsuccessful, necessitating alternative methods.
- Transabdominal amnioinfusion is an emerging technique to aid ECV.
Purpose of the Study:
- To evaluate the efficacy of transabdominal amnioinfusion in facilitating external cephalic version.
- To assess the outcomes of pregnancies managed with amnioinfusion prior to ECV.
Main Methods:
- The study involved six women with prior unsuccessful ECV attempts.
- Transabdominal amnioinfusion was performed by instilling 700-900 mL of 37°C saline into the uterine cavity.
- Continuous echographic monitoring was employed during the infusion.
- External cephalic version was attempted the following morning.
Main Results:
- All six patients (100%) successfully converted to cephalic presentation after amnioinfusion.
- All patients subsequently delivered normally.
- No obstetric or neonatal complications were reported in the study group.
Conclusions:
- Transabdominal amnioinfusion is a safe and effective method to facilitate external cephalic version.
- This technique offers a viable option for patients with previous failed ECV attempts.
- The procedure results in favorable obstetric and neonatal outcomes.