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Re: external cephalic versionFrom: Dr Sarita Bhalerao (saritabhalerao@hotmail.com)Fri Apr 28 11:08:55 2000
At Thu, 27 Apr 2000, Kevin D. Dew MD wrote: > >1. What gestational age? >2. How soon afterward do you deliver? >3. What do you use to relax the uterus? > >Trying to get an idea of what people are doing. > >Personally, I've not had a lot of success, perhaps I'm too timid! I section >all my breeches. Only one attending did these in my residency program. I >still picture the dead fetus after the abruption that resulted from >attempted ECV.
-- We attempt ECV at 36+ weeks, as an indoor procedure using intramuscular terbutaline 250 micrograms half an hour before. It is done under ultrasound guidance, with an NST before and after. It hasn`t been very successful in primigravidas, but in multigravidas it has. Haven`t had any complications so far. I think it`s worth a try!
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