Re: external cephalic version

From: Paul Prior MD (pprior@earthlink.net)
Sat Apr 29 22:56:10 2000


On Thu, 27 Apr 2000 21:35:47 -0500, "Kevin D. Dew MD" <kdew@bellsouth.net> wrote:

>1. What gestational age?

36-37 wks

>2. How soon afterward do you deliver?

When in labor...

>3. What do you use to relax the uterus?

Terbutaline 0.125 mg IV or 0.25mg IM (I prefer the latter, my partner the former).

>Trying to get an idea of what people are doing.

I would be interested in whether any significant number of people are using epidurals for versions. I have done both ways and not convinced either by experience or the literature that the extra cost/risk is worth it.

>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.

Would be interested in hearing more about this experience - how many attempts? How "forceful", was u/s used during the procedure?

I'm lucky if I get 50% turned. But I will try to turn most - some people with high rates get that way by only offering the procedure to the easy ones.

--
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