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Re: external cephalic version From: mark decker (mdecker@nconnect.net) Sun Apr 30 01:11:36 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: external cephalic version" Previous message: Cheri Van Hoover: "Re: Hand assisted laparoscopy" In reply to: Paul Prior MD: "Re: external cephalic version" Next in thread: Paul Prior MD: "Re: external cephalic version" Reply: Paul Prior MD: "Re: external cephalic version" Reply: Efrain Ramirez: "Re: external cephalic version" 83-86 more like 90% success - but i do them with epidurals to c-section levels and with us guidance at 37 weeks. only one section at that time due to fht dropping but that was a late consult at 41 weeks and a section without trial. no injuries to date and i have been in private practice over ten years now and using epidurals that time frame. i will try up to five times or so - a couple in each direction. some go in 5-7 seconds - yes that is correct: and most take 2-3 tries and a few take five - if a couple clockwise don't work i try a couple counter clockwise and occasionally i will lift the but out of the pelvis by ve and turn it - if that does not go i leave them to change on their own or do a vaginal breach later if they meet criteria - about 85% or close to it success rate with them as well last time i looked - should still be in that range. mdmd . At 10:56 PM 4/29/00 -0500, you wrote: >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. > >-- >Paul Prior MD Get rebates on online purchases - up to 25% cash back. >Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore >Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. >so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior Next message: John Robertson MD: "Re: external cephalic version" Previous message: Cheri Van Hoover: "Re: Hand assisted laparoscopy" In reply to: Paul Prior MD: "Re: external cephalic version" Next in thread: Paul Prior MD: "Re: external cephalic version" Reply: Paul Prior MD: "Re: external cephalic version" Reply: Efrain Ramirez: "Re: external cephalic version"

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