title: [External cephalic version close to term in the management of breech presentation (author's transl)].
abstract: In 16 cases from a total of 36 (44%) the external cephalic version was successful. 18 times the relaxation of the uterus was performed by general anaesthesia with a successrate of 50% and 17 times by Fenoterol with a successrate of 35%. A V-para had a successful external cephalic version without any relaxation of the uterus. In average the external cephalic version was performed in the 39th week of pregnancy. From these 16, in whose case an external cephalic version was successful, there were 6 caesarian deliveries because of fetal indication. From 5 of these 6 caesarian deliveries it was discovered at the time of delivery a complication of the umbilicus. In one case of two massive fetomaternal transfusion the child died. In both cases of fetomaternal transfusion the placenta was located to the anterior wall of the uterus. Therefore we think this location of the placenta is a contraindiction for external cephalic version.
mesh_terms: D000769:Anesthesia, Inhalation; D001946:Breech Presentation; D002585:Cesarean Section; D004562:Electrocardiography / Q000379:methods; D005260:Female; D005280:Fenoterol / Q000627:therapeutic use; D005318:Fetal Heart; D005331:Fetomaternal Transfusion / Q000209:etiology; D006801:Humans; D007746:Labor Presentation; D007744:Obstetric Labor Complications / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D014463:Ultrasonography; D014470:Umbilical Cord; D014710:Version, Fetal
chemical_list: D005280:Fenoterol
vernacular_title: Die äussere Wendung aus Beckenendlage in Schädellage in Terminnähe.