Labor induction just after external cephalic version with epidural analgesia at term

Cuerva, Marcos Javier; Pinel, C; Cáceres, Javier F.; Espinosa, José Antonio Camacho

doi:10.1016/j.tjog.2017.04.018

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…Furthermore, it is important to note that none of the studies reported any uterine rupture so it was not possible to compare uterine rupture rate between the two methods, although this catastrophic situation should be always kept into mind [65,66]. In addition, the evidence based for cervical ripening for term induction, as well as caution of the using pharmacological agents or any mechanical methods for induction of labor should be always followed [67][68][69]. It should administer misoprostol cautiously using 25 µg every 4 h as recommended by the WHO and is also the dosage used by most of the included studies.…”

Section: Discussionmentioning

confidence: 99%

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Lee

Huang

Chen

et al. 2020

IJERPH

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Currently, there is no meta-analysis comparing intravaginal misoprostol plus intracervical Foley catheter versus intravaginal misoprostol alone for term pregnancy without identifying risk factors. Therefore, the purpose of this study is to conduct a systematic review and meta-analysis of randomized control trials (RCTs) comparing concurrent intravaginal misoprostol and intracervical Foley catheter versus intravaginal misoprostol alone for cervical ripening. We systematically searched Embase, Pubmed, and Cochrane Collaboration databases for randomized controlled trials (RCTs) comparing intracervical Foley catheter plus intravaginal misoprostol and intravaginal misoprostol alone using the search terms “Foley”, “misoprostol”, “cervical ripening”, and “induction” up to 29 January 2019. Data were extracted and analyzed by two independent reviewers including study characteristics, induction time, cesarean section (C/S), clinical suspicion of chorioamnionitis, uterine tachysystole, meconium stain, and neonatal intensive care unit (NICU) admissions. Data was pooled using random effects modeling and calculated with risk ratio (RR) and 95% confidence interval (CI). Pooled analysis from eight studies, including 1110 women, showed that labor induction using a combination of intracervical Foley catheter and intravaginal misoprostol decreased induction time by 2.71 h (95% CI −4.33 to −1.08, p = 0.001), as well as the risk of uterine tachysystole and meconium staining (RR 0.54, 95% CI 0.30–0.99 and RR 0.48, 95% CI 0.32–0.73, respectively) significantly compared to those using intravaginal misoprostol alone. However, there was no difference in C/S rate (RR 0.93, 95% CI 0.78–1.11) or clinical suspicion of chorioamnionitis rate (RR 1.22, CI 0.58–2.57) between the two groups. Labor induction with a combination of intracervical Foley catheter and intravaginal misoprostol may be a better choice based on advantages in shortening induction time and reducing the risk of uterine tachysystole and meconium staining compared to intravaginal misoprostol alone.

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Section: Discussionmentioning

confidence: 99%

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Lee

Huang

Chen

et al. 2020

IJERPH

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“…The fact that there were few parous women in our study, 23 out of 110 women, can be explained by the greater success of the external cephalic version in parous women, which reduces cesarean births because of breech presentation 30,31 …”

Section: Discussionmentioning

confidence: 86%

Influence on operative time of immediate skin‐to‐skin care in low‐risk primary cesarean births for breech presentation: Retrospective cohort study

Cuerva

Carbonell

Boria

et al. 2022

Birth

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BackgroundMultiple benefits for both, mother and baby have been reported from immediate skin‐to‐skin care (SSC). The aim of this study was to analyze the influence of SSC on operative time and blood loss in primary cesarean births for breech presentation.MethodsA SSC protocol for cesarean birth was implemented in our institution on February 25, 2019. In this single‐center retrospective cohort study, we compared the outcomes of planned primary cesarean births for breech presentation at term before and after its implementation.ResultsData from 110 women who had a cesarean birth for breech presentation at term were analyzed, 55 in each group. Group 1 were women who had immediate SSC and Group 2 were women without immediate SSC. Maternal and surgical characteristics, and neonatal outcomes were similar in both groups. The mean operative time was 3.22 minutes shorter in the immediate SSC group compared with the not immediate SSC group (37.13 ± 12.27 vs 40.35 ± 12.23 minutes; P = 0.171).ConclusionsIn conclusion, immediate SSC following a low‐risk cesarean birth for breech presentation neither prolongs the operative time nor increases blood loss during the procedure. Although we were unable to demonstrate a significant reduction in the operative time with the immediate SSC protocol, a decrease of 3 minutes was noted.

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Influence of the external cephalic version attempt on the Cesarean section rate: experience of a type 3 maternity hospital in France

Birene¹,

Ishaque²,

Chrusciel

et al. 2020

Arch Gynecol Obstet

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Labor induction just after external cephalic version with epidural analgesia at term

Abstract: Considering that a high number of cesarean deliveries can be avoided, induction of labor after ECV with epidural analgesia at term can be considered after being discussed in selected patient.

Cited by 5 publications

References 10 publications

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Influence on operative time of immediate skin‐to‐skin care in low‐risk primary cesarean births for breech presentation: Retrospective cohort study

Influence of the external cephalic version attempt on the Cesarean section rate: experience of a type 3 maternity hospital in France

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