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External cephalic version

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https://www.readbyqxmd.com/read/27930530/a-randomized-trial-of-remifentanil-for-analgesia-in-external-cephalic-version-for-breech-presentation
#1
Xiaohua Liu, Aiqin Xue
BACKGROUND: Although external cephalic version (ECV) can be effective for correcting the fetus in a cephalic presentation, it may be painful for the mother. This study aimed to evaluate the efficacy and safety of remifentanil for pain relief during ECV in China. METHODS: In all, 152 Chinese parturients with singleton breech presentation were randomly divided into 2 groups, each with 76 patients. All 152 patients were assigned to receive either remifentanil (infused at 0...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27756155/effect-of-tocolytic-drugs-on-fetal-heart-rate-variability-a-systematic-review
#2
Kim M J Verdurmen, Alexandra D J Hulsenboom, Judith O E H van Laar, S Guid Oei
INTRODUCTION: Tocolytics may cause changes in fetal heart rate (HR) pattern, while fetal heart rate variability (HRV) is an important marker of fetal well-being. We aim to systematically review the literature on how tocolytic drugs affect fetal HRV. MATERIALS AND METHODS: We searched CENTRAL, PubMed and EMBASE up to June 2016. Studies published in English, using computerized or visual analysis to describe the effect of tocolytics on HRV in human fetuses were included...
November 8, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27748525/contribution-of-changing-risk-factors-to-the-trend-in-breech-presentation-at-term
#3
Yu Sun Bin, Christine L Roberts, Michael C Nicholl, Natasha Nassar, Jane B Ford
BACKGROUND: Recent population-wide changes in perinatal risk factors may affect rates of breech presentation at birth, and have implications for the provision of breech services and training in breech management. AIMS: To investigate whether changes in maternal and pregnancy characteristics explain the observed trend in breech presentation at term. MATERIALS AND METHODS: All singleton term (≥37 week) births in New South Wales during 2002-2012 were identified through birth and associated hospital records...
December 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27718774/external-cephalic-version-in-premature-rupture-of-membranes-a-systematic-review
#4
Johanna Quist-Nelson, Kathryn Landers, Rebekah McCurdy, Vincenzo Berghella
BACKGROUND: External cephalic version (ECV) increases the likelihood of a vaginal delivery in patients with breech presentation. Our objective was to determine the rate of cephalic vaginal delivery in women undergoing ECV after PROM. METHODS: We performed a systematic review of all case reports, case series, and clinical trials of patients undergoing an ECV after PROM ≥ 24 weeks. Maternal demographics and outcome data were obtained. The primary outcome was rate of cephalic vaginal delivery...
October 9, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27687460/survey-of-external-cephalic-version-for-breech-presentation-and-neuraxial-blockade-use
#5
Carolyn F Weiniger, Pervez Sultan, Ashley Dunn, Brendan Carvalho
STUDY OBJECTIVE: Neuraxial blockade may increase external cephalic version (ECV) success rates. This survey aimed to assess the frequency and characteristics of neuraxial blockade used to facilitate ECV. SETTING AND DESIGN: We surveyed Society for Obstetric Anesthesia and Perinatology members regarding ECV practice using a 15-item survey developed by 3 obstetric anesthesiologists and tested for face validity. The survey was e-mailed in January 2015 and again in February 2015 to the 1056 Society of Obstetric Anesthesiology and Perinatology members...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27624629/the-efficacy-and-safety-of-external-cephalic-version-after-a-previous-caesarean-delivery
#6
Yishay Weill, Raphael N Pollack
BACKGROUND: External cephalic version (ECV) in the presence of a uterine scar is still considered a relative contraindication despite encouraging studies of the efficacy and safety of this procedure. We present our experience with this patient population, which is the largest cohort published to date. AIMS: To evaluate the efficacy and safety of ECV in the setting of a prior caesarean delivery. MATERIALS AND METHODS: A total of 158 patients with a fetus presenting as breech, who had an unscarred uterus, had an ECV performed...
September 14, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27561416/this-baby-is-not-for-turning-women-s-experiences-of-attempted-external-cephalic-version
#7
N P Watts, K Petrovska, A Bisits, C Catling, C S E Homer
BACKGROUND: Existing studies regarding women's experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby remains breech. The aim of this study was to examine women's experience of an ECV which resulted in a persistent breech presentation...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27534513/external-cephalic-version-some-tricks-of-the-trade
#8
Daniel W Skupski, Alessandro Ghidini
No abstract text is available yet for this article.
September 2016: Birth
https://www.readbyqxmd.com/read/27392035/maternal-outcomes-of-term-breech-presentation-delivery-impact-of-successful-external-cephalic-version-in-a-nationwide-sample-of-delivery-admissions-in-the-united-states
#9
Carolyn F Weiniger, Deirdre J Lyell, Lawrence C Tsen, Alexander J Butwick, BatZion Shachar, William M Callaghan, Andreea A Creanga, Brian T Bateman
BACKGROUND: We aimed to define the frequency and predictors of successful external cephalic version in a nationally-representative cohort of women with breech presentations and to compare maternal outcomes associated with successful external cephalic version versus persistent breech presentation. METHODS: Using the Nationwide Inpatient Sample, a United States healthcare utilization database, we identified delivery admissions between 1998 and 2011 for women who had successful external cephalic version or persistent breech presentation (including unsuccessful or no external cephalic version attempt) at term...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27321719/mode-of-childbirth-and-neonatal-outcome-after-external-cephalic-version-a-prospective-cohort-study
#10
A N Rosman, F Vlemmix, S Ensing, B C Opmeer, S Te Hoven, J Velzel, M de Hundt, S van den Berg, H Rota, J A M van der Post, B W J Mol, M Kok
OBJECTIVE: to assess the mode of childbirth and adverse neonatal outcomes in women with a breech presentation with or without an external cephalic version attempt, and to compare the mode of childbirth among women with successful ECV to women with a spontaneous cephalic presentation. DESIGN: prospective matched cohort study. SETTING: 25 clusters (hospitals and its referring midwifery practices) in the Netherlands. Data of the Netherlands perinatal registry for the matched cohort...
August 2016: Midwifery
https://www.readbyqxmd.com/read/27306144/complications-of-external-cephalic-version-a-retrospective-analysis-of-1121-patients-at-a-tertiary-hospital-in-sydney
#11
R Rodgers, N Beik, N Nassar, I Brito, B de Vries
OBJECTIVE: To report the complication rate associated with external cephalic version (ECV) at term. DESIGN: Single-centre retrospective study. SETTING: A major tertiary hospital in Sydney, Australia. POPULATION OR SAMPLE: All women who underwent an ECV at Royal Prince Alfred Hospital from 1995-2013 were included. METHODS: ECV was attempted on all consenting women with a breech presentation at term in the absence of contraindications...
June 16, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27192534/modest-rise-in-caesarean-section-from-2000-2010-the-dutch-experience
#12
Yanjun Zhao, Jun Zhang, Chantal Hukkelhoven, Pien Offerhaus, Joost Zwart, Ank de Jonge, Caroline Geerts
BACKGROUND: The caesarean delivery (CD) rate has risen in most countries over the last decades, but it remains relatively low in the Netherlands. Our objective was to analyse the trends of CD rates in various subgroups of women between 2000 and 2010, and identify the practice pattern that is attributable to the relative stability of the Dutch CD rate. METHODS: A total of 1,935,959 women from the nationwide Perinatal Registry of the Netherlands were included. Women were categorized into ten groups based on the modified CD classification scheme...
2016: PloS One
https://www.readbyqxmd.com/read/27131581/neuraxial-analgesia-to-increase-the-success-rate-of-external-cephalic-version-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#13
REVIEW
Elena Rita Magro-Malosso, Gabriele Saccone, Mariarosaria Di Tommaso, Michele Mele, Vincenzo Berghella
BACKGROUND: External cephalic version is a medical procedure in which the fetus is externally manipulated to assume the cephalic presentation. The use of neuraxial analgesia for facilitating the version has been evaluated in several randomized clinical trials, but its potential effects are still controversial. OBJECTIVE: The objective of the study was to evaluate the effectiveness of neuraxial analgesia as an intervention to increase the success rate of external cephalic version...
September 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27125381/-impact-of-the-external-cephalic-version-on-the-obstetrical-prognosis-in-a-team-with-a-high-success-rate-of-vaginal-delivery-in-breech-presentation
#14
C Coppola, N Mottet, A S Mariet, C Baeza, E Poitrey, A Bourtembourg, R Ramanah, D Riethmuller
OBJECTIVES: To analyse the impact of external cephalic version (ECV) on caesarean section rate in a team with a high success rate of vaginal delivery in breech presentation. MATERIALS AND METHODS: Retrospective monocentric study including 298 patients with a breech presentations between 33 and 35weeks of amenorrhea followed at our university hospital and delivered after 35weeks, between 1st January 2011 and 31st December 2013. Patients were divided into 2 groups: planned ECV (n=216 patients) versus no planned ECV (n=57 patients)...
April 25, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27106193/the-cost-implications-in-ontario-alberta-and%C3%A2-british-columbia-of-early-versus-delayed-external-cephalic-version-in-the-early-external-cephalic-version-2-eecv2-trial
#15
Rashid J Ahmed, Amiram Gafni, Eileen K Hutton
OBJECTIVE: According to the Early External Cephalic Version (EECV2) Trial, planning external cephalic version (ECV) early in pregnancy results in fewer breech presentations at delivery compared with delayed external cephalic version. A Cochrane review conducted after the EECV2 Trial identified an increase in preterm birth associated with early ECV. We examined whether a policy of routine early ECV (i.e., before 37 weeks' gestation) is more or less costly than a policy of delayed ECV. METHODS: We undertook this analysis from the perspective of a third-party payer (Ministry of Health)...
March 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27008239/delivery-after-external-cephalic-version-is-there-an-increased-rate-of-cesarian-section
#16
Victor Lago Leal, Tamara Pradillo Aramendi, Estefania Nicolas Montero, Vanesa Ocaña Martínez, Pablo Del Barrio Fernández, Luis Martínez-Cortés
BACKGROUND: The aim of this study was to compare the obstetric outcomes after successful external cephalic version (cases) with a group of pregnant women with a spontaneous cephalic fetal position at delivery (controls). METHODS: Retrospective review of the cohort of study was performed at the University Hospital of Getafe (Madrid, Spain) between January 2012 and January 2013. SAMPLE POPULATION: 1516 patients (48 cases; 1468 controls). We compared the type of delivery in pregnant women after ECV performed successfully (cases) with spontaneous cephalic presentations (controls)...
April 2016: Minerva Ginecologica
https://www.readbyqxmd.com/read/27004197/external-cephalic-version-experiences-in-korea
#17
Mi-Young Kim, Min-Young Park, Gwang Jun Kim
OBJECTIVE: The aim of this study was to evaluate obstetric outcomes of external cephalic version (ECV) performed at or near term. METHODS: Single pregnant woman with breech presentation at or near term (n=145), who experienced ECV by one obstetrician from November 2009 to July 2014 in our institution were included in the study. Maternal baseline characteristic and fetal ultrasonographic variables were checked before the procedure. After ECV, the delivery outcomes of the women were gathered...
March 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/26942387/practice-bulletin-no-161-external-cephalic-version
#18
(no author information available yet)
In the United States, there is a widespread belief that the overall cesarean delivery rate is higher than necessary. Efforts are being directed toward decreasing the number of these procedures, in part by encouraging physicians to make changes in their management practices. Because breech presentations are associated with a high rate of cesarean delivery, there is renewed interest in techniques such as external cephalic version (ECV) and vaginal breech delivery. The purpose of this document is to provide information about ECV by summarizing the relevant evidence presented in published studies and to make recommendations regarding its use in obstetric practice...
February 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26942380/practice-bulletin-no-161-summary-external-cephalic-version
#19
REVIEW
(no author information available yet)
In the United States, there is a widespread belief that the overall cesarean delivery rate is higher than necessary. Efforts are being directed toward decreasing the number of these procedures, in part by encouraging physicians to make changes in their management practices. Because breech presentations are associated with a high rate of cesarean delivery, there is renewed interest in techniques such as external cephalic version (ECV) and vaginal breech delivery. The purpose of this document is to provide information about ECV by summarizing the relevant evidence presented in published studies and to make recommendations regarding its use in obstetric practice...
February 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26830687/increased-pain-relief-with-remifentanil-does-not-improve-the-success-rate-of-external-cephalic-version-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Jorge Burgos, José I Pijoan, Carmen Osuna, Patricia Cobos, Leire Rodriguez, María del Mar Centeno, Rosa Serna, Antonia Jimenez, Eugenia Garcia, Luis Fernandez-Llebrez, Juan C Melchor
INTRODUCTION: Our objective was to compare the effect of two pain relief methods (remifentanil vs. nitrous oxide) on the success rate of external cephalic version. MATERIAL AND METHODS: We conducted a randomized open label parallel-group controlled single-center clinical trial with sequential design, at Cruces University Hospital, Spain. Singleton pregnancies in noncephalic presentation at term that were referred for external cephalic version were assigned according to a balanced (1:1) restricted randomization scheme to analgesic treatment with remifentanil or nitrous oxide during the procedure...
May 2016: Acta Obstetricia et Gynecologica Scandinavica
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