External cephalic version with ruptured membranes and adequate amniotic fluid volume.
The use of external cephalic version in the patient with ruptured membranes is examined and the first successful reported case is described. No difficulties or complications were encountered. We conclude that use of this procedure in the presence of ruptured membranes has been unjustly slighted and that external version may offer an important alternative to the patient with ruptured membranes, adequate amniotic fluid, and malpresentation. We caution that this should only be attempted under continuous monitoring, in patients with adequate amniotic fluid, and in facilities where immediate cesarean section is available. We believe that a larger trial is warranted, and we encourage that this be done.
Drexler
B
B
Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Oakland, CA 95401.
David
V A
VA
Newman
L A
LA
D000328:Adult; D000653:Amniotic Fluid; D001946:Breech Presentation; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D011247:Pregnancy; D014710:Version, Fetal / Q000379:methods*