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[Preventive version of breech presentation--first results and complications]
Zentralblatt Fur Gynakologie
|January 1, 1977
Summary
External cephalic version using tocolytic drugs for term breech presentation is a modern practice. This study critically evaluates 23 cases, finding 17 successful versions but also noting complications.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Context:
- Term breech presentation management.
- Prophylactic external cephalic version (ECV) as a modern obstetric practice.
- Need for critical evaluation of ECV with tocolysis.
Purpose:
- To critically evaluate the efficacy and safety of external cephalic version (ECV) assisted by tocolytic drugs and insufflation anesthesia.
- To report outcomes and complications of ECV in term breech presentation.
Summary:
- A report on 23 cases of external cephalic version (ECV) performed with tocolytic drugs and insufflation anesthesia for term breech presentation.
- Successful version was achieved in 17 cases (74%).
- Three unsuccessful attempts were associated with three complications: two partial abruptio placentae and one prolapse of the arm and umbilical cord.
Impact:
- Provides critical data on the success rates and potential complications of external cephalic version.
- Informs clinical decision-making regarding the use of tocolytic drugs and anesthesia during ECV for breech presentation.
- Highlights the importance of careful patient selection and monitoring during ECV procedures.