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Re: external cephalic version From: John Robertson MD (john.robertson@obgyn.net) Sun Apr 30 01:22:50 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: Hand assisted laparoscopy" Previous message: mark decker: "Re: external cephalic version" In reply to: ainsron@msn.com: "Re: IUFD" Next in thread: John Robertson MD: "Re: Hand assisted laparoscopy" At Sat, 29 Apr 2000, Steve & Eryl Raymond wrote: snip >As a result of reading this our policy has been established as >follows: >1. Attempt ECV only if breech presentation at 37/40. >2. If unsuccessful then take to a CTG machine and give Ipradol >5mcg. (or another tocolytic) i.v. Within three to five minutes >attempt ECV again. >3. Run CTG for five minutes if unsuccessful, 20 minutes if >successful. > >My experience has been that a more than 50 % success rate can >be achieved with this procedure. It is true that there are occasions >where the procedure results in profound distress in the baby. You >need to be ready to do a C/S if the FH doesn't respond to turning >on the side and/or oxygen administration. This is excessively rare. >Had to do it once in 20 years. Timing of delivery is no different then >from your standard cephalic presentation. > >Steve Raymond Had a lady in my office the other day who had a breech on ultrasound (done because the GP felt the breech) and had a large synichea (sp?) with the body on one side, the bum below and the legs on the other side. Also questioned a clubbed foot - comments about ECV? I'll tell you what the patient decided later. John -- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV Next message: John Robertson MD: "Re: Hand assisted laparoscopy" Previous message: mark decker: "Re: external cephalic version" In reply to: ainsron@msn.com: "Re: IUFD" Next in thread: John Robertson MD: "Re: Hand assisted laparoscopy"

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