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Related Experiment Videos

Reattempting failed external cephalic version under epidural anesthesia

R Neiger1, M D Hennessy, M Patel

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Tennessee Medical Center, Knoxville, TN 37920, USA.

American Journal of Obstetrics and Gynecology
|November 20, 1998
PubMed
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Repeating external cephalic version (ECV) under epidural anesthesia after an initial failed attempt can improve success rates. This approach may help reduce cesarean delivery rates for breech presentations.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • External cephalic version (ECV) is a procedure to turn a fetus from breech to cephalic presentation.
  • Failed ECV attempts may lead to cesarean delivery.

Purpose of the Study:

  • To evaluate the efficacy of repeat external cephalic version attempts under epidural anesthesia following an initial failed procedure.
  • To determine if repeat ECV under epidural anesthesia can lower the cesarean delivery rate.

Main Methods:

  • A prospective study involving 108 women with term singleton breech pregnancies.
  • Initial ECV attempts were performed without anesthesia. Failed attempts offered a repeat attempt under epidural anesthesia.
  • Fetal position was monitored, and breech presentations proceeded to elective cesarean section.

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Main Results:

  • The initial ECV success rate without anesthesia was 60% (50/83).
  • Of 33 women with failed initial ECV, 16 underwent repeat ECV under epidural anesthesia, achieving a 56% success rate (9/16).
  • The overall success rate, including repeat attempts, was 71%.

Conclusions:

  • Repeat external cephalic version under epidural anesthesia is a viable option after an initial failed attempt.
  • This strategy can increase the overall success rate of ECV and potentially reduce the rate of cesarean deliveries.