The efficacy and safety of external cephalic version after a previous caesarean delivery

被引:19
作者
Weill, Yishay [1 ,2 ]
Pollack, Raphael N. [3 ]
机构
[1] Shaare Zedek Med Ctr, Dept Ophthalmol, Jerusalem, Israel
[2] Shaare Zedek Med Ctr, Dept Obstet & Gynecol, Jerusalem, Israel
[3] Meuhedet HMO, Dept Obstet & Gynecol, Jerusalem, Israel
关键词
breech presentation; caesarean section; external cephalic version; fetal version; previous caesarean section; vaginal birth after caesarean; SECTION;
D O I
10.1111/ajo.12527
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: External cephalic version (ECV) in the presence of a uterine scar is still considered a relative contraindication despite encouraging studies of the efficacy and safety of this procedure. We present our experience with this patient population, which is the largest cohort published to date. Aims: To evaluate the efficacy and safety of ECV in the setting of a prior caesarean delivery. Materials and methods: A total of 158 patients with a fetus presenting as breech, who had an unscarred uterus, had an ECV performed. Similarly, 158 patients with a fetus presenting as breech, and who had undergone a prior caesarean delivery also underwent an ECV. Outcomes were compared. Results: ECV was successfully performed in 136/158 (86.1%) patients in the control group. Of these patients, 6/136 (4.4%) delivered by caesarean delivery. In the study group, 117/158 (74.1%) patients had a successful ECV performed. Of these patients, 12/117 (10.3%) delivered by caesarean delivery. There were no significant complications in either of the groups. Conclusions: ECV may be successfully performed in patients with a previous caesarean delivery. It is associated with a high success rate, and is not associated with an increase in complications.
引用
收藏
页码:323 / 326
页数:4
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