MyMedR

Fulltext Successful external cephalic version: factors predicting vaginal birth

Lim PS, Ng BK, Ali A, Shafiee MN, Kampan NC, Mohamed Ismail NA, et al.

ScientificWorldJournal, 2014;2014:860107.

PMID: 24587759 DOI: 10.1155/2014/860107

To determine the maternal and fetal outcomes of successful external cephalic version (ECV) as well as factors predicting vaginal birth.

Matched MeSH terms: Version, Fetal/methods*

Fulltext Effect of learning curve on the outcome of external cephalic version

Teoh TG

Singapore Med J, 1997 Aug;38(8):323-5.

PMID: 9364883

The aim of this study was to find out the effect of learning curve on the outcome of external cephalic version (ECV) at term, using tocolytics. The effect of various factors affecting the outcome of ECV was also studied in relation to the learning curve.

Matched MeSH terms: Version, Fetal*

Fulltext Introducing routine external cephalic version for the management of the malpresenting fetus near term

Devendra K

Med J Malaysia, 2002 Dec;57(4):454-9.

PMID: 12733170

The aim of this study was to assess the efficacy and safety of external cephalic version (ECV) when its use was introduced in the routine management of breech presentation and transverse lie after 36 weeks by obstetricians with limited prior experience with the procedure. The influence of various factors on the outcome of ECV was also studied.

Matched MeSH terms: Version, Fetal/adverse effects*

Outcome of external cephalic version: our experience

Teoh T

J Obstet Gynaecol Res, 1996 Aug;22(4):389-94.

PMID: 8870425

The aim is to assess the outcome of external cephalic version (ECV) for term breech in our clinical setting and the factors involved. Patients with no contraindications and who consented to ECV were recruited into this prospective study. Terbutalin infusion was used. There were 42 ECV attempts of which 21 (50%) were successful. Seventeen of the patients with successful ECV delivered vaginally and 4 had cesarean section for various indications. Only 5 of the 21 unsuccessful ECV delivered vaginally. Thirteen had elective cesarean section and 2 had emergency cesarean during trial of breech. One patient from the unsuccessful ECV group was lost to follow-up. There were 31 (74%) primipara. The birth weight of the babies was not a significant factor in the outcome of ECV. The type of breech and parity did influence the success rate. External cephalic version should be included in the routine management of our breech presentation.

Matched MeSH terms: Version, Fetal/methods*

Fulltext Outcome of 80 cases of external cephalic version

Teoh TGK

Med J Malaysia, 1996 Dec;51(4):469-74.

PMID: 10968036

This is a prospective observational study of the outcome of 80 cases of external cephalic version (ECV) at term using terbutaline infusion. There were 55 primiparas and 25 multiparas. The successful ECV rate was 44% and 85% respectively. The majority (82%) of the patients with successful ECV delivered vaginally. Parity and type of breech were the two significant factors in the success of the procedure.

Matched MeSH terms: Version, Fetal*

Intravenous salbutamol for external cephalic version

Vani S, Lau SY, Lim BK, Omar SZ, Tan PC

Int J Gynaecol Obstet, 2009 Jan;104(1):28-31.

PMID: 18922525 DOI: 10.1016/j.ijgo.2008.08.014

To evaluate the success of external cephalic version (ECV) using an adjusted bolus dose of intravenous salbutamol compared with no tocolysis.

Matched MeSH terms: Version, Fetal/methods*

Introducing external cephalic version in a Malaysian setting

Yong SP

Hong Kong Med J, 2007 Feb;13(1):40-5.

PMID: 17277391

To assess the outcome of external cephalic version for routine management of malpresenting foetuses at term.

Matched MeSH terms: Version, Fetal*

Tocolysis in term breech external cephalic version

Nor Azlin MI, Haliza H, Mahdy ZA, Anson I, Fahya MN, Jamil MA

Int J Gynaecol Obstet, 2005 Jan;88(1):5-8.

PMID: 15617697

To study the effect of ritodrine tocolysis on the success of external cephalic version (ECV) and to assess the role of ECV in breech presentation at our centre.

Matched MeSH terms: Version, Fetal*

Fulltext Early versus late ecv in primigravidae with breech presentation: a pilot study

Nor Azlin, M.I., Norliza, H., Norzilawati, M.N., Mahdy, Z.A., Shuhaila, A., Jamil, M.A.

Malaysian Journal of Public Health Medicine, 2013;13(1):20-27.

MyJurnal

This was a pilot study comparing the success between early versus late external cephalic version (ECV) involving primigravidae with singleton breech pregnancy. They were randomised into early (34–36 weeks) and late (37-40 weeks) ECV groups. A total of 44 women were initially randomised into 22 women for each group. The overall ECV success rate was acceptable in both groups although insignificantly higher in the late ECV group (55.6% versus 46.7%, p= 0.732.) Caesarean
section in the early ECV group was higher (80% versus 72.2%). Early ECV group had women with higher BMI (29.5 versus 26.8 kg/m2, p=0.107), anterior placentation (60% versus 38.9%) and extended breech presentation (55.6% versus 44.4%; p= 0.296). In conclusion, early ECV in primigravidae showed no better success rate than late ECV. Maternal obesity, anterior placentation and extended breech presentation should alert to failure risk.

Matched MeSH terms: Version, Fetal

Fulltext Oral nifepidine versus subcutaneous terbutaline tocolysis for external cephalic version: a double-blind randomised trial

Collaris R, Tan PC

BJOG, 2009 Jan;116(1):74-80; discussion 80-1.

PMID: 19087079 DOI: 10.1111/j.1471-0528.2008.01991.x

To evaluate oral nifedipine versus subcutaneous terbutaline tocolysis for external cephalic version (ECV).

Matched MeSH terms: Version, Fetal/methods*

Fulltext Talcum powder or aqueous gel to aid external cephalic version: a randomised controlled trial

Vallikkannu N, Nadzratulaiman WN, Omar SZ, Si Lay K, Tan PC

BMC Pregnancy Childbirth, 2014 Jan 28;14:49.

PMID: 24468078 DOI: 10.1186/1471-2393-14-49

BACKGROUND: External cephalic version (ECV) is offered to reduce the number of Caesarean delivery indicated by breech presentation which occurs in 3-4% of term pregnancies. ECV is commonly performed aided by the application of aqueous gel or talcum powder to the maternal abdomen. We sought to compare gel with powder during ECV on achieving successful version and increasing tolerability.

METHOD: We enrolled 95 women (≥ 36 weeks gestation) on their attendance for planned ECV. All participants received terbutaline tocolysis. Regional anaesthesia was not used. ECV was performed in the standard fashion after the application of the allocated aid. If the first round (maximum of 2 attempts) of ECV failed, crossover to the opposing aid was permitted.

RESULTS: 48 women were randomised to powder and 47 to gel. Self-reported procedure related median [interquartile range] pain scores (using a 10-point visual numerical rating scale VNRS; low score more pain) were 6 [5-9] vs. 8 [7-9] P = 0.03 in favor of gel. ECV was successful in 21/48 (43.8%) vs. 26/47 (55.3%) RR 0.6 95% CI 0.3-1.4 P = 0.3 for powder and gel arms respectively. Crossover to the opposing aid and a second round of ECV was performed in 13/27 (48.1%) following initial failure with powder and 4/21 (19%) after failure with gel (RR 3.9 95% CI 1.0-15 P = 0.07). ECV success rate was 5/13 (38.5%) vs. 1/4 (25%) P = 0.99 after crossover use of gel or powder respectively. Operators reported higher satisfaction score with the use of gel (high score, greater satisfaction) VNRS scores 6 [4.25-8] vs 8 [7-9] P = 0.01.

CONCLUSION: Women find gel use to be associated with less pain. The ECV success rate is not significantly different.

TRIAL REGISTRATION: The trial is registered with ISRCTN (identifier ISRCTN87231556).

Matched MeSH terms: Version, Fetal/methods*

Nifedipine versus terbutaline for tocolysis in external cephalic version

Mohamed Ismail NA, Ibrahim M, Mohd Naim N, Mahdy ZA, Jamil MA, Mohd Razi ZR

Int J Gynaecol Obstet, 2008 Sep;102(3):263-6.

PMID: 18554601 DOI: 10.1016/j.ijgo.2008.04.010

To study the efficacy of nifedipine compared with terbutaline as a tocolytic agent in external cephalic version (ECV).

Matched MeSH terms: Version, Fetal

Displaying all 12 publications