Cord accident after external cephalic version: Reality or mostly myth?

被引：2
作者：
Boujenah, J. [1 ,2 ]
Fleury, C. [1 ]
Pharisien, I. [1 ,2 ]
Benbara, A. [1 ]
Tigaizin, A. [1 ]
Bricou, A. [1 ,2 ]
Carbillon, L. [1 ,2 ]
机构：
[1] Grp Hosp Univ Paris Seine St Denis, Pole Femme & Enfant, Site Jean Verdier,Ave 14 Juillet, F-93140 Bondy, France
[2] Univ Paris 13, Sorbonne Paris Cite, UFR SMBH, F-93000 Bobigny, France
来源：
GYNECOLOGIE OBSTETRIQUE FERTILITE & SENOLOGIE | 2017年 / 45卷 / 01期
关键词：
Cord; External cephalic version; Cesarean; BREECH PRESENTATION; NUCHAL CORD; UMBILICAL-CORD; CESAREAN DELIVERY; TERM; SUCCESS; COMPLICATIONS; BIRTH; RISK; FACILITATORS;
D O I：
10.1016/j.gofs.2016.12.001
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objectives. - To study the occurrence of cords accident (nuchal cords, prolapse, and braces) after external cephalic version according to its failure or success. Methods. - Retrospective study between 1998-2015 comparing in the cord accident diagnosed at delivery (by midwife or doctors according to mode of delivery): Patients with attempt ECV: Group 1 cephalic presentation after successful ECV with trial of labor, and Group 2 failed ECV followed by elective cesarean or trial of labor. Patients with no attempt ECV Group 3 spontaneous cephalic presentation matching for delivery date, maternal age, parity, body mass index, and delivery history with group 1, Group 4 Breech presentation without attempt ECV with trial of labor. Results. - A total of 776 women with breech presentation were included (198 in group 1, 446 in group 2, 396 in group 3 and 118 in group 4). The prevalence of cord accident did not differ according to ECV attempt (17.08 % versus 18.9 %), to cephalic presentation (group 1: 24.7 % versus group 3: 25 %) and to breech presentation (group 2: 16.9 % versus group 4: 17.2 %). The trial of labor after failed ECV did not increase the risk of cord accident when compared with elective cesarean (17.4 % versus 16 %). A prolapse cord was only observed after trial of labor, i.e. in groups 1, 2 and 4 without difference (respectively 1, 0.8 and 1.7 %). In each group, the rate of cesarean was not different according to the presence of nuchal cord. Conclusion. - Success or failed External cephalic version is not associated with an increased risk of cord accident. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：9 / 14
页数：6
相关论文
共 39 条
[1]  
Akkaya H, 2016, J MATERN-FETAL NEO M, V1, P1
[2]   Double nuchal umbilical cord and breech presentation - The value of close follow-up [J].
Al-Kouatly, HB ;
Schuster, SS ;
Skupski, DW .
GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 2003, 56 (03) :121-123
[3]   The occurrence of breech presentation in Norway 1967-1994 [J].
Albrechtsen, S ;
Rasmussen, S ;
Dalaker, K ;
Irgens, LM .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1998, 77 (04) :410-415
[4]   Decision making on breech delivery: Information as a way to reconcile maternal autonomy and medical responsibility [J].
Azria, E. ;
Schmitz, T. ;
Bourgeois-Moine, A. ;
Goffinet, F. ;
Tsatsaris, V. ;
Mahieu-Caputo, D. .
GYNECOLOGIE OBSTETRIQUE & FERTILITE, 2009, 37 (06) :464-469
[5]   The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies [J].
Berhan, Y. ;
Haileamlak, A. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2016, 123 (01) :49-57
[6]   An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives [J].
Beuckens, A. ;
Rijnders, M. ;
Verburgt-Doeleman, G. H. M. ;
Rijninks-van Driel, G. C. ;
Thorpe, J. ;
Hutton, E. K. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2016, 123 (03) :415-423
[7]  
Broche D-E, 2005, J Gynecol Obstet Biol Reprod (Paris), V34, P781
[8]   The complications of external cephalic version: results from 805 consecutive attempts [J].
Collins, S. ;
Ellaway, P. ;
Harrington, D. ;
Pandit, M. ;
Impey, L. W. M. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (05) :636-638
[9]   Predictors of success of external cephalic version: Bi-center study [J].
Dochez, V. ;
Delbos, L. ;
Esbelin, J. ;
Volteau, C. ;
Winer, N. ;
Sentilhes, L. .
JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION, 2016, 45 (05) :509-515
[10]   Umbilical cord prolapse: A case study over 23 years [J].
Gannard-Pechin, E. ;
Ramanah, R. ;
Cossa, S. ;
Mulin, B. ;
Maillet, R. ;
Riethmuller, D. .
JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION, 2012, 41 (06) :574-583
1234