Dysfunctional labor after external cephalic version.
OBJECTIVE
To determine whether there is a greater occurrence of dysfunctional labor or a higher incidence of cesarean delivery for failure to progress in women who have undergone a successful version for breech presentation.


METHODS
Using a retrospective case-control design, 76 women who had undergone a successful version from January 1988 through July 1993 were identified and their medical records reviewed. The control population was matched for delivery date, parity, and gestational age.


RESULTS
There was no difference in the cesarean delivery rates for failure to progress between women undergoing successful version (6%) and the control population (6%). The incidence of dysfunctional labor between the groups did not differ significantly. Dysfunctional labor requiring oxytocin augmentation occurred in 29.6% of women who had undergone a version and in 24.2% of the control population (P = .6530).


CONCLUSIONS
There is no significant increase in the cesarean delivery rate in women undergoing a version for breech presentation.
Egge
T
T
Department of Obstetrics and Gynecology, Gundersen, Lutheran Medical Center, La Crosse, Wisconsin.
Schauberger
C
C
Schaper
A
A
D016022:Case-Control Studies; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D011247:Pregnancy; D016896:Treatment Outcome; D014710:Version, Fetal / Q000379:methods