WOMENS-HEALTH Messages for April, 1998: Re: external version

Re: external version

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Thu, 30 Apr 1998 20:54:15 -0500 (CDT)

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Previous message: Kelly Shanahan, MD: "Re: postpartum complications"
In reply to: Kirsten: "external version"

At Thu, 30 Apr 1998, Kirsten wrote: >
>I am 34 weeks pregnant and my doctor (a family physician) says my baby
>is in a breech position. If the baby hasn't turned by 36 weeks, he will
>send me to visit the obstetricians in another town to discuss external
>version.
>
>He says when they attempt external version, the ob's will give me an
>epidural,

I do not use epidurals when doing external versions. The reason is, if I am using too much force, I want your pain to be an indication of htat; with an epidural, you won't have pain, and I won't have a gauge to know whether I'm applying too much force that could hurt the baby or you

attempt to turn the baby, and if successful, induce labor with >Pitocin. 1. Is it necessary to induce labor?

I usually don't, unless you are already dilated, are greater than 38 weeks, or unless we succesfully flipped the baby befor, only to have him/her scoot right back inot breech position.

>
>2. I've read that ECV has a greater success rate if performed before 37
>weeks. What is your experience with this?

I usually do them around 36 - 37 weeks. Anybody can flip a kid earlier, but most of those kids will flip right back. If we do it at 36 or 37 weeks, more kids wil stay where we want htem

>
>I've read Suzanne's recommended exercises and will try them. Thank you
>for your time.

Knee-chest position and hypnosis seem to work really well >

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

Previous message: Kelly Shanahan, MD: "Re: postpartum complications"
In reply to: Kirsten: "external version"

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