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Re: external cephalic version From: ainsron@msn.com Fri Apr 28 17:37:52 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: Hand assisted laparoscopy" Previous message: Terrence Jones: "Re: Postpartum pre-eclampsia" In reply to: Efrain Ramirez: "Re: external cephalic version" Next in thread: Joanne Bulley, MD: "Re: external cephalic version" My experience has been similar, although I give the terbutaline SQ with a hep lock in place in case of ... In fact I just did two successful versions this afternoon, both multips at 37 weeks, patients of the midwives I back-up. On a side note, does anyone do a version prior to labor in twins with A-Breech/B-transverse or vtx? I've never tried it and never considered it to be a reasonable option. I currently have a patient at 30 weeks, A -Br, B - transverse. I've told her that if A is Breech, C/S is her only option, from my experience that holds true. This is also a midwife patient who was considering a home birth until she found out it was twins! Life's never simple, is it? >At Thu, 27 Apr 2000, Kevin D. Dew MD wrote: >> >>1. What gestational age? > >Around 37 weeks > >>2. How soon afterward do you deliver? > >As with vertex presentation > >>3. What do you use to relax the uterus? > >Terbutaline sulfate 0.25 IV > >Have had very good results - anecdotally -- easy - 75% success -- Primis >will push the success down - we could argue if on primis 36 weeks would >be Ok. > >Must look on placental location -- fundals -high recurrence for breech >Back down - hard -on primis -- maybe a waste of time more so if placenta >anterior. > >>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. > >-- >"The things you learn after you know everything are the important ones" > -- Ronald E. Ainsworth, MD Next message: John Robertson MD: "Re: Hand assisted laparoscopy" Previous message: Terrence Jones: "Re: Postpartum pre-eclampsia" In reply to: Efrain Ramirez: "Re: external cephalic version" Next in thread: Joanne Bulley, MD: "Re: external cephalic version"

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