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CC BY-NC-ND 4.0 · AJP Rep 2019; 09(04): e384-e388
DOI: 10.1055/s-0039-3401800
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

External Cephalic Version in Cases of Imminent Delivery at Preterm Gestational Ages: A Prospective Series

Meghan G. Hill
1   Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The University of Arizona, Tucson, Arizona
,
Kathryn L. Reed
1   Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The University of Arizona, Tucson, Arizona
› Institutsangaben Funding The authors have no financial support to disclose.
Weitere Informationen

Publikationsverlauf

23. Juni 2019

15. Oktober 2019

Publikationsdatum:
31. Dezember 2019 (online)

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Abstract

Objective When delivery of a breech fetus is required at a preterm gestational age, Cesarean delivery is often recommended. We performed a prospective patient series to assess the success rate and safety of performing external cephalic version (ECV) procedures on preterm fetuses as an alternative to Cesarean delivery.

Study Design We performed a prospective clinical series of patients who required delivery with a malpresenting fetus at a preterm gestational age.

Results ECV procedures were successful in singletons 50% of the time. No significant complications or cases of fetal mortality were documented.

Conclusion ECV at preterm gestational ages may be an appropriate approach to management in patients requiring delivery. Larger series are needed to further document success rates and risks of the procedure.

Keywords

preterm - external cephalic version - preterm labor - preterm birth - breech

Precis

External cephalic version may be an appropriate procedure to offer as an alternative to Cesarean delivery at preterm gestational ages.


 

  • References

  • 1 American College of Obstetricians and Gynecologists Committee on Practice Bulletins - Obstetrics, Practice bulletin no. 130: Prediction and Prevention of Preterm Birth. Obstet Gynecol 2012; 120 (04) 964-973
    CrossrefPubMedGoogle Scholar
  • 2 Hill LM. Prevalence of breech presentation by gestational age. Am J Perinatol 1990; 7 (01) 92-93
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 3 Hickok DE, Gordon DC, Milberg JA, Williams MA, Daling JR. The frequency of breech presentation by gestational age at birth: a large population-based study. Am J Obstet Gynecol 1992; 166 (03) 851-852
    CrossrefPubMedGoogle Scholar
  • 4 Scheer K, Nubar J. Variation of fetal presentation with gestational age. Am J Obstet Gynecol 1976; 125 (02) 269-270
    CrossrefPubMedGoogle Scholar
  • 5 American College of Obstetricians and Gynecologists, Committee Opinion No. 745, Mode of Term Singleton Breech Delivery. Obstet Gynecol 2018; 132 (02) 531-532
    CrossrefPubMedGoogle Scholar
  • 6 O'Callaghan ME, MacLennan AH, Gibson CS. , et al; Australian Collaborative Cerebral Palsy Research Group. Epidemiologic associations with cerebral palsy. Obstet Gynecol 2011; 118 (03) 576-582
    CrossrefPubMedGoogle Scholar
  • 7 Alexander JM, Leveno KJ, Hauth J. , et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Fetal injury associated with cesarean delivery. Obstet Gynecol 2006; 108 (04) 885-890
    CrossrefPubMedGoogle Scholar
  • 8 Smith JF, Hernandez C, Wax JR. Fetal laceration injury at cesarean delivery. Obstet Gynecol 1997; 90 (03) 344-346
    CrossrefPubMedGoogle Scholar
  • 9 Aburezq H, Chakrabarty KH, Zuker RM. Iatrogenic fetal injury. Obstet Gynecol 2005; 106 (5 Pt 2): 1172-1174
    CrossrefPubMedGoogle Scholar
  • 10 Anderson GD, Bada HS, Shaver DC. , et al. The effect of cesarean section on intraventricular hemorrhage in the preterm infant. Am J Obstet Gynecol 1992; 166 (04) 1091-1099 , discussion 1099–1101
    CrossrefPubMedGoogle Scholar
  • 11 Malloy MH, Onstad L, Wright E. ; National Institute of Child Health and Human Development Neonatal Research Network. The effect of cesarean delivery on birth outcome in very low birth weight infants. Obstet Gynecol 1991; 77 (04) 498-503
    PubMedGoogle Scholar
  • 12 Richmond JR, Morin L, Benjamin A. Extremely preterm vaginal breech delivery en caul. Obstet Gynecol 2002; 99 (06) 1025-1030
    PubMedGoogle Scholar
  • 13 Liu S, Heaman M, Joseph KS. , et al; Maternal Health Study Group of the Canadian Perinatal Surveillance System. Risk of maternal postpartum readmission associated with mode of delivery. Obstet Gynecol 2005; 105 (04) 836-842
    CrossrefPubMedGoogle Scholar
  • 14 Krebs L, Langhoff-Roos J. Elective cesarean delivery for term breech. Obstet Gynecol 2003; 101 (04) 690-696
    PubMedGoogle Scholar
  • 15 Bodelon C, Bernabe-Ortiz A, Schiff MA, Reed SD. Factors associated with peripartum hysterectomy. Obstet Gynecol 2009; 114 (01) 115-123
    CrossrefPubMedGoogle Scholar
  • 16 Lydon-Rochelle M, Holt VL, Easterling TR, Martin DP. Cesarean delivery and postpartum mortality among primiparas in Washington State, 1987-1996(1). Obstet Gynecol 2001; 97 (02) 169-174
    PubMedGoogle Scholar
  • 17 Liu S, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS. ; Maternal Health Study Group of the Canadian Perinatal Surveillance System. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 2007; 176 (04) 455-460
    CrossrefPubMedGoogle Scholar
  • 18 Lydon-Rochelle M, Holt VL, Easterling TR, Martin DP. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med 2001; 345 (01) 3-8
    CrossrefPubMedGoogle Scholar
  • 19 Smith GCSPJ, Pell JP, Dobbie R. Caesarean section and risk of unexplained stillbirth in subsequent pregnancy. Lancet 2003; 362 (9398): 1779-1784
    CrossrefPubMedGoogle Scholar
  • 20 Ford J, Grewal J, Mikolajczyk R, Meikle S, Zhang J. Primary cesarean delivery among parous women in the United States, 1990-2003. Obstet Gynecol 2008; 112 (06) 1235-1241
    CrossrefPubMedGoogle Scholar
  • 21 American College of Obstetricians and Gynecologists' Committee on Practice Bulletins--Obstetrics. Practice bulletin no. 161: external cephalic version. Obstet Gynecol 2016; 127 (02) e54-e61
    CrossrefPubMedGoogle Scholar
  • 22 Cook HA. Experience with external cephalic version and selective vaginal breech delivery in private practice. Am J Obstet Gynecol 1993; 168 (6, Pt 1): 1886-1889 , discussion 1889–1890
    CrossrefPubMedGoogle Scholar
  • 23 Ferguson II JE, Armstrong MA, Dyson DC. Maternal and fetal factors affecting success of antepartum external cephalic version. Obstet Gynecol 1987; 70 (05) 722-725
    PubMedGoogle Scholar
  • 24 Donald WL, Barton JJ. Ultrasonography and external cephalic version at term. Am J Obstet Gynecol 1990; 162 (06) 1542-1545 , discussion 1545–1547
    CrossrefPubMedGoogle Scholar
  • 25 Dyson DC, Ferguson II JE, Hensleigh P. Antepartum external cephalic version under tocolysis. Obstet Gynecol 1986; 67 (01) 63-68
    CrossrefPubMedGoogle Scholar
  • 26 Boucher M, Bujold E, Marquette GP, Vezina Y. The relationship between amniotic fluid index and successful external cephalic version: a 14-year experience. Am J Obstet Gynecol 2003; 189 (03) 751-754
    CrossrefPubMedGoogle Scholar
  • 27 Newman RB, Peacock BS, VanDorsten JP, Hunt HH. Predicting success of external cephalic version. Am J Obstet Gynecol 1993; 169 (2, Pt 1): 245-249 , discussion 249–250
    CrossrefPubMedGoogle Scholar
  • 28 Dugoff L, Stamm CA, Jones III OW, Mohling SI, Hawkins JL. The effect of spinal anesthesia on the success rate of external cephalic version: a randomized trial. Obstet Gynecol 1999; 93 (03) 345-349
    PubMedGoogle Scholar
  • 29 Ranney B. The gentle art of external cephalic version. Am J Obstet Gynecol 1973; 116 (02) 239-251
    CrossrefPubMedGoogle Scholar
  • 30 Zhang J, Bowes Jr WA, Fortney JA. Efficacy of external cephalic version: a review. Obstet Gynecol 1993; 82 (02) 306-312
    PubMedGoogle Scholar
  • 31 Luterkort M, Persson PH, Weldner BM. Maternal and fetal factors in breech presentation. Obstet Gynecol 1984; 64 (01) 55-59
    CrossrefPubMedGoogle Scholar
  • 32 Macarthur JL. Reduction of the hazards of breech presentation by external cephalic version. Am J Obstet Gynecol 1964; 88: 302-306
    CrossrefPubMedGoogle Scholar
  • 33 Hibbard LT, Schumann WR. Prophylactic external cephalic version in an obstetric practice. Am J Obstet Gynecol 1973; 116 (04) 511-518
    CrossrefPubMedGoogle Scholar
  • 34 Kornman MT, Kimball KT, Reeves KO. Preterm external cephalic version in an outpatient environment. Am J Obstet Gynecol 1995; 172 (06) 1734-1738 , discussion 1738–1741
    CrossrefPubMedGoogle Scholar
  • 35 Ferguson II JE, Dyson DC. Intrapartum external cephalic version. Am J Obstet Gynecol 1985; 152 (03) 297-298
    CrossrefPubMedGoogle Scholar
  • 36 Werner EF, Janevic TM, Illuzzi J, Funai EF, Savitz DA, Lipkind HS. Mode of delivery in nulliparous women and neonatal intracranial injury. Obstet Gynecol 2011; 118 (06) 1239-1246
    CrossrefPubMedGoogle Scholar
  • 37 FDA Public Health Advisory: Need for caution when using Vacuum Assisted Delivery Devices. U.S. Department of Health and Human Services. Available at: https://www.thefreelibrary.com/FDA+Public+Health+Advisory%3A+Need+for+Caution+when+Using+Vacuum...-a056456763 . Accessed November 19, 2019
    PubMedGoogle Scholar
  • 38 Morales R, Adair CD, Sanchez-Ramos L, Gaudier FL. Vacuum extraction of preterm infants with birth weights of 1,500-2,499 grams. J Reprod Med 1995; 40 (02) 127-130
    PubMedGoogle Scholar
  • 39 Chervenak FA, Berkowitz RL. Successful external cephalic version in a massively obese patient. Obstet Gynecol 1983; 62 (3, Suppl): 8s-9s
    PubMedGoogle Scholar
  • 40 Phelan JP, Stine LE, Edwards NB, Clark SL, Horenstein J. The role of external version in the intrapartum management of the transverse lie presentation. Am J Obstet Gynecol 1985; 151 (06) 724-726
    CrossrefPubMedGoogle Scholar
  • 41 Bloomfield MM, Philipson EH. External cephalic version of twin A. Obstet Gynecol 1997; 89 (5, Pt 2): 814-815
    CrossrefPubMedGoogle Scholar
  • 42 Brost BC, Adams JD, Hester M. External cephalic version after rupture of membranes. Obstet Gynecol 2000; 95 (6, Pt 2): 1041
    PubMedGoogle Scholar
  • 43 Benifla JL, Goffinet F, Darai E, Madelenat P. Antepartum transabdominal amnioinfusion to facilitate external cephalic version after initial failure. Obstet Gynecol 1994; 84 (06) 1041-1042
    PubMedGoogle Scholar
  • 44 Adama van Scheltema PN, Feitsma AH, Middeldorp JM, Vandenbussche FP, Oepkes D. Amnioinfusion to facilitate external cephalic version after initial failure. Obstet Gynecol 2006; 108 (3, Pt 1): 591-592
    CrossrefPubMedGoogle Scholar