Antepartum external cephalic version with tocolysis: a study of term singleton breech presentations.
External version with the use of tocolysis is cost-effective and leads to lower perinatal morbidity and a lower cesarean section rate. A study was undertaken to see if version was being practiced in a nonteaching community hospital. One hundred twenty-one breech presentations occurring at 36 or more completed weeks of gestation were reviewed from July 1, 1985 to June 30, 1986. Successful version occurred in 60% of 65 patients; 77% of patients with a successful version delivered vaginally. Six of the remaining 56 patients, who did not undergo attempted version, delivered vaginally with breech presentation. At least 21 patients who delivered by elective cesarean section would have been candidates for external version with tocolysis. Seventeen patients had a cesarean section because a breech presentation was diagnosed in labor.
Marchick
R
R
Department of Obstetrics and Gynecology, Alta Bates Hospital, Berkeley, CA.
D001946:Breech Presentation; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005323:Fetal Monitoring; D005865:Gestational Age; D006801:Humans; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D010298:Parity; D011247:Pregnancy; D014463:Ultrasonography; D014710:Version, Fetal