External cephalic version from 34 weeks under tocolysis: factors influencing success.
External cephalic version (ECV) was performed on 72 patients from 34 weeks of gestation under tocolysis, with ultrasound control and cardiotocograph surveillance. Successful ECV was associated with multiparity, decreased lower segment caesarean section (LSCS) rate, and earlier discharge home. ECV was successful in 51.4% of patients overall, with the success rate being 35% in primigravidas and 71.4% in multiparas (p < 0.005). The LSCS rate was reduced from 91.4% to 0% (p < 0.0001) on comparing the unsuccessful and the successful ECV groups, while breech presentation was reduced from 94.3% to 0% (p < 0.0001). There were no significant fetal complications.
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AJ
Department of Obstetrics and Gynaecology, John Hunter Hospital, Australia.
D000328:Adult; D001946:Breech Presentation; D015148:Cardiotocography; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D015145:Tocolysis; D016216:Ultrasonography, Prenatal; D014710:Version, Fetal / Q000009:adverse effects / Q000706:statistics & numerical data