2016, Number 08
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Ginecol Obstet Mex 2016; 84 (08)
External cephalic version
Navarro-Santana B, Duarez-Coronado M, Plaza-Arranz J
Language: Spanish
References: 13
Page: 507-513
PDF size: 333.97 Kb.
ABSTRACT
Objetives: To analyze the rate of successful external cephalic
versions in our center and caesarean sections that would be avoided
with the use of external cephalic versions.
Material and Methods: From January 2012 to March 2016 external
cephalic versions carried out at our center, which were a total
of 52. We collected data about female age, gestational age at the time
of the external cephalic version, maternal body mass index (BMI), fetal
variety and situation, fetal weight, parity, location of the placenta,
amniotic fluid index (ILA), tocolysis, analgesia, and newborn weight
at birth, minor adverse effects (dizziness, hypotension and maternal
pain) and major adverse effects (tachycardia, bradycardia, decelerations
and emergency cesarean section).
Results: 45% of the versions were unsuccessful and 55% were
successful. The percentage of successful vaginal delivery in versions
was 84% (4% were instrumental) and 15% of caesarean sections.
With respect to the variables studied, only significant differences in
birth weight were found; suggesting that birth weight it is related to
the outcome of external cephalic version. Probably we did not find
significant differences due to the number of patients studied.
Conclusions: For women with breech presentation, we recommend
external cephalic version before the expectant management or
performing a cesarean section. The external cephalic version increases
the proportion of fetuses in cephalic presentation and also decreases
the rate of caesarean sections.
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