Timing of Delivery After External Cephalic Version and the Risk for Cesarean Delivery

Kabiri, Doron; Elram, Tamar; Aboo-dia, Mushira; Elami-Suzin, Matan; Elchalal, Uriel; Ezra, Yossef

doi:10.1097/aog.0b013e31822545a9

Cited by 18 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar differences in caesarean section rate was also noted previously in another study (4% versus 34%) [10]. The reasons for increased need for IOL and for the increase in caesarean section remain unclear [15]. Several possible reasons include inability of a breech baby to tolerate stress during labour (in which case there would be higher rate for fetal distress which we did not show (only 2 of the 13 sections were due to fetal distress), some uterine muscle abnormality that predisposed to breech presentation in the first instance and an unmolded unengaged fetal head, both of which may predispose to dystocia.…”

Section: Discussionsupporting

confidence: 84%

“…While some [15] [16] have not seen such an increase, a meta analysis [17] of several studies has noted a two fold increase in CS rate after a successful ECV and this was independent of any increased induction rate. A recent study from Canada [18] also reported a Caesarean section rate in such women of 15% versus 6.0% in women with cephalic presentation from the onset and noted that nulliparity and induction of labour were associated with caesarean section.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

External Cephalic Version: A Single Centre Experience

Mahomed¹,

Amaranarayana²,

Ibiebele³

2014

OJOG

View full text Add to dashboard Cite

Incidence of caesarean section for breech presentation has increased markedly. External cephalic version (ECV) is effective in reducing non cephalic presentation at births and caesarean section (CS) for breech presentation. Success rates are good but there is increasing need for induction of labour (IOL) as well as for intrapartum CS for reasons that are not clear. The aim of this study was to report the experience with ECV at a single centre where ECVs were performed by or under the guidance of one senior clinician. This was a 7-year retrospective audit of 147 ECVs at a single centre in Queensland. ECV was successful in 53.7%, 34% in nulliparous and 69% in multiparous women. Of the few variables explored, nulliparity was the only variable that was associated with poor success. Among those with successful ECV, 32 (40.5%) had IOL. Intrapartum CS rate in women who had had a successful ECV was 16.5% compared to 11% for the hospital. There was no difference in early neonatal outcome between the groups. We have confirmed a success rate that is comparable with many other studies. Mothers with successful ECV do have a higher IOL and a higher CS rate especially in women whose labour is induced. We suggest a need to look at some novel methods to increase uptake further and to improve success rates in nulliparous women.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

External Cephalic Version: A Single Centre Experience

Mahomed¹,

Amaranarayana²,

Ibiebele³

2014

OJOG

View full text Add to dashboard Cite

show abstract

“…It should be mentioned that the time elapsed between ECV and delivery was not different between nulliparous and multiparous patients in the study group who had a CD, or between patients who had vaginal delivery and patients who had CD. Thus, the time duration between ECV and delivery could not explain the higher rate of CD as suggested in a previous study [49].…”

Section: Discussionmentioning

confidence: 66%

Induction of labor at term following external cephalic version in nulliparous women is associated with an increased risk of cesarean delivery

Hants

Kabiri

Elchalal

et al. 2015

Arch Gynecol Obstet

Self Cite

View full text Add to dashboard Cite

show abstract

“…A retrospective cohort study of 483 successful ECV cases showed that the incidence of cesarean delivery is increased in both primiparous and multiparous women who deliver within 96 hours of the ECV (adjusted OR, 2.54; 95% CI, 1.36-4.72). 29 The authors propose that this observation may be related to the unengaged fetal head after a successful ECV, predisposing to labor dystocia and cord prolapse during labor. 29 Furthermore, if ECV is performed in the early term period, immediate induction of labor may lead to the well-described perinatal complications associated with early term delivery and is generally discouraged.…”

Section: Management Of Fetal Malpresentation 249mentioning

confidence: 97%

Management of Fetal Malpresentation

Sharshiner

Silver

2015

Clinical Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Fetal malpresentation is an important cause of the high cesarean delivery rate in the United States and around the world. This includes breech, face, brow, and compound presentations as well as transverse lie. Risk factors include multiparity, previously affected pregnancy, polyhydramnios, and fetal and uterine anomalies. Appropriate management can reduce the need for cesarean delivery in some cases. This review discusses management options and focuses specifically on external cephalic version and vaginal breech delivery.

show abstract

Timing of Delivery After External Cephalic Version and the Risk for Cesarean Delivery

Abstract: III.

Cited by 18 publications

References 18 publications

External Cephalic Version: A Single Centre Experience

External Cephalic Version: A Single Centre Experience

Induction of labor at term following external cephalic version in nulliparous women is associated with an increased risk of cesarean delivery

Management of Fetal Malpresentation

Contact Info

Product

Resources

About