This prospective study was designed to audit our provision of external cephalic version (ECV) but also to assess the relative importance of various ultrasound markers as indicators of a successful outcome. Data were collected between November 1998 and November 1999. There were 102 breech presentations at term and 47 women had an external cephalic version. We had an overall success rate of 55% with no adverse outcomes. Parity, a non-extended breech presentation and posterior placenta were all independently associated with a higher success rate. As only 49% of women with an uncomplicated breech presentation at term agreed to have an ECV the audit has prompted us to assess how we might improve the uptake of our service. Given that fetal position and placental site seem to influence outcome, we would suggest that a basic ultrasound scan should form part of the procedure. The audit has confirmed the value of ECV in reducing the incidence of breech presentation at term. With the increasing caesarean section rate for this obstetric problem it is important that all units in the United Kingdom are able to provide this service.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/01443610120085519 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prevention of Maternal Rh D Alloimmunization: A Comparative Review of Guidelines.
Obstet Gynecol Surv
December 2024
Associate Professor.
Importance: Rhesus alloimmunization refers to the sensitization of an Rh D-negative mother after exposure to D-positive fetal red blood cells, which can lead to significant fetal and neonatal morbidity and mortality.
Objective: The aim of this study was to review and compare the most recently published international guidelines on the prevention of maternal alloimmunization.
Evidence Acquisition: A comparative review of guidelines from the American College of Obstetricians and Gynecologists, the British Committee for Standards in Hematology, the International Federation of Gynecology and Obstetrics, the Royal Australian and New Zealand College of Obstetricians and Gynecologists, and the Society of Obstetricians and Gynecologists of Canada regarding the prevention of maternal Rh D alloimmunization was conducted.
"It's a breech, and what now?": A decision-aid tool to help clinicians counsel women with breech presentation near term.
Eur J Obstet Gynecol Reprod Biol
December 2024
Faculdade de Medicina, Universidade de Lisboa, Portugal; CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Portugal.
Article Synopsis
- Management options for breech presentation include vaginal delivery, cesarean delivery, and external cephalic version, which require detailed discussions about risks and recovery.
- A decision aid tool for clinicians was created through literature review and expert input, followed by evaluation with obstetricians.
- This tool received unanimous agreement from participants, demonstrating strong consensus and effectiveness in aiding shared decision-making for pregnant women with breech presentations.
Single-Center Experience in Treating Peripheral Vascular Injuries in Vietnamese Children.
Ann Vasc Dis
December 2024
Hanoi Medical University, Hanoi, Vietnam.
We report our hospital-based experience in management strategies and outcomes for pediatric extremity vascular trauma at a major trauma center. A retrospective chart review was conducted on patients under 18 with extremity vascular injuries who had surgery between May 2021 and February 2023. Among 46 children, 16 (34.
View Article and Find Full Text PDFIntranasal Outer Cortex Splinting With a Kirschner Wire to Immobilize Reduced Buckle-out Segments in Nasal Fractures.
J Craniofac Surg
October 2024
Department of Plastic Surgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
High-velocity lateral impacts to the nose sometimes cause nasal buckle-out fractures with a trapdoor buckle-out segment displaced outwards. Prolonged immobilization of a reduced buckle-out segment at risk for outward redisplacement remains challenging. Here we introduce a novel method of intranasal outer cortex splinting with a Kirshner (K)-wire to reinforce the reduced state and prevent outward re-displacement of the buckle-out segment.
View Article and Find Full Text PDFSafety of vaginal breech delivery following an unsuccessful external cephalic version: a comparative study.
Arch Gynecol Obstet
December 2024
Tel Aviv University School of Medicine, Tel Aviv, Israel.
Objective: To determine whether patients undergoing a trial of labor with a breech presentation following a failed attempt of external cephalic version (ECV) are at increased risk of adverse maternal and neonatal outcomes.
Methods: This retrospective cohort study was conducted at a single university-affiliated medical center. The study group comprised women with singleton pregnancies at term, categorized into three groups: those who underwent a failed external cephalic version (ECV) and subsequently attempted a trial of breech delivery (Breech-failed-ECV group), those who attempted an assisted vaginal breech delivery without a prior ECV attempt (Breech-no-ECV group), and those with vertex presentation following a successful ECV (Vertex-ECV).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!