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External cephalic version

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https://www.readbyqxmd.com/read/28600050/labor-induction-just-after-external-cephalic-version-with-epidural-analgesia-at-term
#1
Marcos J Cuerva, Carlos S Piñel, Javier Caceres, Jose A Espinosa
OBJECTIVE: To analyze the benefits of external cephalic version (ECV) with epidural analgesia at term and labor induction just after the procedure. MATERIALS AND METHODS: This is a retrospective observational study with patients who did not want trying a breech vaginal delivery and decided trying an ECV with epidural analgesia at term and wanted labor induction or cesarean section after the procedure. We present the results of 40 ECV with epidural analgesia at term and labor induction or cesarean section just after the ECV...
June 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28584004/vaginal-birth-after-two-previous-caesarean-deliveries-in-a-patient-with-uterus-didelphys-and-an-interuterine-septal-defect
#2
Njoki Ng'ang'a, Jonathan Ratzersdorfer, Yaakov Abdelhak
Uterus didelphys is a congenital abnormality characterised by double uteri, double cervices and a double or single vagina that affects 0.3% to 11% of the general female population. A 23-year-old woman, gravida 3 para 3003, with uterus didelphys, acquired an iatrogenic interuterine septal defect during an otherwise routine primary caesarean delivery for fetal malpresentation. The defect was repaired but noted to have dehisced during her second pregnancy. A repeat caesarean section was performed due to fetal malpresentation after an unsuccessful external cephalic version...
June 5, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28512470/predictors-of-cephalic-vaginal-delivery-following-external-cephalic-version-an-eight-year-single-centre-study-of-447-cases
#3
Natalie Kew, Jacobus DuPlessis, Domenic La Paglia, Katherine Williams
Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women's Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women's Hospital...
2017: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/28499551/lessons-learned-from-a-single-institution-s-retrospective-analysis-of-emergent-cesarean-delivery-following-external-cephalic-version-with-and-without-neuraxial-anesthesia
#4
A Ainsworth, H P Sviggum, M C Tolcher, A L Weaver, M A Holman, K W Arendt
OBJECTIVES: To evaluate the risk of emergent cesarean delivery with the use of neuraxial anesthesia for external cephalic version in a single practice. BACKGROUND: Randomized trials have shown increased external cephalic version success when neuraxial anesthesia is used, without additional risk. We hypothesized that in our actual clinical practice, outside the confines of randomized trials, neuraxial anesthesia could be associated with an increased risk of emergent cesarean delivery...
April 2, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28481464/finding-the-breech-influence-of-breech-presentation-on-mode-of-delivery-based-on-timing-of-diagnosis-attempt-at-external-cephalic-version-and-provider-success-with-version
#5
Suzanne Andrews, Lawrence Leeman, Nicole Yonke
BACKGROUND: Breech presentation affects 3-4% of pregnancies at term and malpresentation is the primary indication for 10-15% of cesarean deliveries. External cephalic version is an effective intervention that can decrease the need for cesarean delivery; however, timely identification of breech presentation is required. We hypothesized that women with a fetus in a breech presentation that is diagnosed after 38 weeks' estimated gestational age have a decreased likelihood of external cephalic version attempted and an increased likelihood of cesarean delivery...
May 8, 2017: Birth
https://www.readbyqxmd.com/read/28479005/-risk-of-developmental-dysplasia-of-the-hip-in-patients-subjected-to-the-external-cephalic-version
#6
Nerea Sarmiento Carrera, Eva González Colmenero, José Luis Vázquez Castelo, Ana Concheiro Guisán, Emilio Couceiro Naveira, José Ramón Fernández Lorenzo
INTRODUCTION: Developmental dysplasia of the hip (DDH) refers to the spectrum of abnormalities of maturation and development of the hip. Breech presentation is associated with DDH. This risk factor can be modified by external cephalic version (ECV). The aim of this study is to evaluate the incidence of DDH in patients who successfully underwent ECV, as well as to evaluate need for these children (breech for a period during gestation) to be included in the DDH screening protocol. MATERIAL AND METHODS: A prospective cohort study was conducted in the Hospital Universitario de Vigo from January 1, 2015 to December 31, 2015...
May 3, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28467131/complete-uterine-torsion-diagnosed-during-an-elective-caesarean-section-following-failed-external-cephalic-version-a-case-report
#7
Gilad Karavani, Rackel Picard, Matan Elami-Suzin, David Mankuta
No abstract text is available yet for this article.
May 3, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28449212/predictors-of-success-of-external-cephalic-version-and-cephalic-presentation-at-birth-among-1-253-women-with-non-cephalic-presentation-using-logistic-regression-and-classification-tree-analyses
#8
Eileen K Hutton, Julia C Simioni, Lehana Thabane
INTRODUCTION: Among women with a fetus in non-cephalic presentation, external cephalic version (ECV) has been shown to reduce the rate of breech presentation at birth and cesarean birth. Compared to ECV at term, beginning ECV prior to 37 weeks gestation decreases the number of infants in a non-cephalic presentation at birth. The purpose of this secondary analysis was to investigate factors associated with a successful ECV procedure and to present this in a clinically useful format. MATERIAL AND METHODS: Data were collected as part of the Early ECV Pilot and Early ECV2 Trials, which randomised 1,776 women with a fetus in breech presentation to either early ECV (34 to 36 weeks gestation) or delayed ECV (at or after 37 weeks)...
April 27, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28437304/nitrous-oxide-utility-in-labor-and-birth-a-multipurpose-modality
#9
Michelle Collins
The use of nitrous oxide (N2O) for labor and birth has very recently emerged as a viable modality in the United States, despite a long history of use in Canada and Europe. Usually associated with dental procedures, there are significant differences between dental and parturition utility, efficacy, and staff exposure. In addition to using it for pain relief and anxiolysis, those centers utilizing it have noted it to be multipurpose and useful for such situations as: external cephalic version, manual removal of placenta, intravenous starts, during placement of urinary catheters and intracervical Foley bulbs...
April 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28414857/association-of-external-cephalic-version-before-term-with-late-preterm-birth
#10
Kristie L Poole, Sarah D McDonald, Lauren E Griffith, Eileen K Hutton
INTRODUCTION: While evidence suggests that beginning an external cephalic version (ECV) before term (34(0/7) to 36(6/7) weeks) compared with after term may be associated with an increase in late preterm birth (34(0/7) to 36(6/7) weeks), it remains unknown what might account for this risk. The objective of the present study is to further investigate the association between ECV before term and late preterm birth. MATERIAL AND METHODS: Secondary analysis of data collected from the international, multicenter Early ECV trials...
April 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28380246/matched-cohort-study-of-external-cephalic-version-in-women-with-previous-cesarean-delivery
#11
Anish Keepanasseril, Keerthana Anand, Subrahmanian Soundara Raghavan
OBJECTIVE: To evaluate the efficacy and safety of external cephalic version (ECV) among women with previous cesarean delivery. METHODS: A retrospective study was conducted using data for women with previous cesarean delivery and breech presentation who underwent ECV at or after 36 weeks of pregnancy during 2011-2016. For every case, two multiparous women without previous cesarean delivery who underwent ECV and were matched for age and pregnancy duration were included...
April 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28328063/the-baby-is-for-turning-external-cephalic-version
#12
Carolyn Paul
No abstract text is available yet for this article.
April 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28299867/external-cephalic-version-and-reducing-the-incidence-of-term-breech-presentation-green-top-guideline-no-20a
#13
(no author information available yet)
No abstract text is available yet for this article.
June 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28296735/remifentanil-analgesia-during-external-cephalic-version-for-breech-presentation-in-nulliparous-women-at-term-a-randomized-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
Zhi-Hong Wang, Yi Yang, Gui-Ping Xu
BACKGROUND: The aim of the study was to assess the efficacy and safety of remifentanil for pain relief during external cephalic version (ECV) for breech presentation in nulliparous women at term. METHODS: A total of 144 nulliparous women with singleton breech presentation were randomly divided into the intervention group and the placebo group, with 72 subjects in each group. The subjects in the intervention group received remifentanil (infused at 0.1 μg kg min with demand boluses of 0...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28279119/amnioinfusion-for-women-with-a-singleton-breech-presentation-and-a-previous-failed-external-cephalic-version-a-randomized-controlled-trial
#15
Caroline Diguisto, Norbert Winer, Celine Descriaud, Elsa Tavernier, Victoire Weymuller, Bruno Giraudeau, Franck Perrotin
Purpose Our trial aimed to assess the effectiveness of amnioinfusion for a second attempt at external cephalic version (ECV). Material and methods This open randomized controlled trial was planned with a sequential design. Women at a term ≥ 36 weeks of gestation with a singleton fetus in breech presentation and a first unsuccessful ECV were recruited in two level-3 maternity units. They were randomly allocated to transabdominal amnioinfusion with a 500-mL saline solution under ultrasound surveillance or no amnioinfusion before the second ECV attempt...
March 9, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28238321/-cord-accident-after-external-cephalic-version-reality-or-mostly-myth
#16
J Boujenah, C Fleury, I Pharisien, A Benbara, A Tigaizin, A Bricou, L Carbillon
OBJECTIVES: To study the occurrence of cords accident (nuchal cords, prolapse, and braces) after external cephalic version according to its failure or success. METHODS: Retrospective study between 1998-2015 comparing in the cord accident diagnosed at delivery (by midwife or doctors according to mode of delivery): Patients with attempt ECV: Group 1 cephalic presentation after successful ECV with trial of labor, and Group 2 failed ECV followed by elective cesarean or trial of labor...
January 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28131122/obstetric-and-anesthetic-approaches-to-external-cephalic-version
#17
REVIEW
Stephanie Lim, Jennifer Lucero
Breech presentation is the most common abnormal fetal presentation and complicates approximately 3% to 4% of all pregnancies. External cephalic version (ECV) should be recommended to women with a breech singleton pregnancy, if there is no maternal or fetal contraindication. ECV increases the chance of cephalic presentation at the onset of labor and decreases the rate of cesarean delivery by almost 40%. The success rate of ECV is approximately 60%. Review of the risks and benefits for performing an ECV and for both the timing of ECV and the number of attempts should be should be discussed with the patient...
March 2017: Anesthesiology Clinics
https://www.readbyqxmd.com/read/28126898/atosiban-versus-fenoterol-as-a-uterine-relaxant-for-external-cephalic-version-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Joost Velzel, Floortje Vlemmix, Brent C Opmeer, Jan F M Molkenboer, Corine J Verhoeven, Mariëlle G van Pampus, Dimitri N M Papatsonis, Joke M J Bais, Karlijn C Vollebregt, Liesbeth van der Esch, Joris A M Van der Post, Ben Willem Mol, Marjolein Kok
OBJECTIVE:  To compare the effectiveness of the oxytocin receptor antagonist atosiban with the beta mimetic fenoterol as uterine relaxants in women undergoing external cephalic version (ECV) for breech presentation. DESIGN:  Multicentre, open label, randomised controlled trial. SETTING:  Eight hospitals in the Netherlands, August 2009 to May 2014. PARTICIPANTS:  830 women with a singleton fetus in breech presentation and a gestational age of more than 34 weeks were randomly allocated in a 1:1 ratio to either 6...
January 26, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27930530/a-randomized-trial-of-remifentanil-for-analgesia-in-external-cephalic-version-for-breech-presentation
#19
RANDOMIZED CONTROLLED TRIAL
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
#20
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
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