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

Objective: To analyze the benefits of external cephalic version (ECV) with epidural analgesia at term and labor induction just after the procedure. Materials and methods: This is a retrospective observational study with patients who did not want trying a breech vaginal delivery and decided trying an...

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Main Authors: Marcos J. Cuerva, Carlos S. Piñel, Javier Caceres, Jose A. Espinosa
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455917300888
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author Marcos J. Cuerva
Carlos S. Piñel
Javier Caceres
Jose A. Espinosa
author_facet Marcos J. Cuerva
Carlos S. Piñel
Javier Caceres
Jose A. Espinosa
author_sort Marcos J. Cuerva
collection DOAJ
description Objective: To analyze the benefits of external cephalic version (ECV) with epidural analgesia at term and labor induction just after the procedure. Materials and methods: This is a retrospective observational study with patients who did not want trying a breech vaginal delivery and decided trying an ECV with epidural analgesia at term and wanted labor induction or cesarean section after the procedure. We present the results of 40 ECV with epidural analgesia at term and labor induction or cesarean section just after the ECV. Results: ECV succeeded in 26 out of 40 (65%) patients. Among the 26 successful ECV, 6 delivered by cesarean (23.1%). 20 patients delivered vaginally (76.9%; 50% of all patients). Conclusion: 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.
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spelling doaj.art-4695cec5ddf54191b3df51b5261a5a172022-12-21T17:56:48ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592017-06-0156336636710.1016/j.tjog.2017.04.018Labor induction just after external cephalic version with epidural analgesia at termMarcos J. Cuerva0Carlos S. Piñel1Javier Caceres2Jose A. Espinosa3Obstetrics Department, Quiron San José Hospital, Madrid, SpainObstetrics Department, Quiron San José Hospital, Madrid, SpainAnesthesiology Department, Quiron San José Hospital, Madrid, SpainObstetrics Department, Quiron San José Hospital, Madrid, SpainObjective: To analyze the benefits of external cephalic version (ECV) with epidural analgesia at term and labor induction just after the procedure. Materials and methods: This is a retrospective observational study with patients who did not want trying a breech vaginal delivery and decided trying an ECV with epidural analgesia at term and wanted labor induction or cesarean section after the procedure. We present the results of 40 ECV with epidural analgesia at term and labor induction or cesarean section just after the ECV. Results: ECV succeeded in 26 out of 40 (65%) patients. Among the 26 successful ECV, 6 delivered by cesarean (23.1%). 20 patients delivered vaginally (76.9%; 50% of all patients). Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S1028455917300888Breech presentationEpidural analgesiaExternal cephalic versionInduced labor
spellingShingle Marcos J. Cuerva
Carlos S. Piñel
Javier Caceres
Jose A. Espinosa
Labor induction just after external cephalic version with epidural analgesia at term
Taiwanese Journal of Obstetrics & Gynecology
Breech presentation
Epidural analgesia
External cephalic version
Induced labor
title Labor induction just after external cephalic version with epidural analgesia at term
title_full Labor induction just after external cephalic version with epidural analgesia at term
title_fullStr Labor induction just after external cephalic version with epidural analgesia at term
title_full_unstemmed Labor induction just after external cephalic version with epidural analgesia at term
title_short Labor induction just after external cephalic version with epidural analgesia at term
title_sort labor induction just after external cephalic version with epidural analgesia at term
topic Breech presentation
Epidural analgesia
External cephalic version
Induced labor
url http://www.sciencedirect.com/science/article/pii/S1028455917300888
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