Breech presentation: RCT of IV remifentalanil for ECV attempt

Abstract

Introduction: Breech presentation is now an indication for cesarean delivery, however external cephalic version (ECV) maneuvers are proven therapy to reduce this event. 1 Meta-analysis review of regional anesthesia for has demonstrated a benefit of anesthesia for ECV success and maternal satisfaction. 2 However, regional anesthesia has complications and potentially IV analgesia might provide similar benefits. The objective of this study was to compare the incidence of success ECV between women receiving remifentanil intravenous (IV) analgesia and women receiving placebo.