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Re: external cephalic versionFrom: Joanne Bulley, MD (jbulley@cheshire.net)Sun Apr 30 20:31:04 2000
As stated - Not doing OB anymore, but I did a lot of ECV's...
At Thu, 27 Apr 2000, Kevin D. Dew MD wrote:
>
37/40
>2. How soon afterward do you deliver?
if successful, follow as any other pregnancy
>3. What do you use to relax the uterus?
0.25 Terb SQ
> Protocol - NST & US to check position. If Breech - Terb. At 30 (+/-) minutes, do the version, with U/S guidance. NST. Home. My success rate was about 75%. If done with Epidurals, suspect it would be 85%. One patient with abruption later that day (6+ hours) - came in with pain & bleeding, evaluated, C/S done, good outcome. She is still my Gyn patient - followed me into private practice. No other complications of ECV. At a talk at ACOG a bunch of years ago - the speaker said out of some huge number he had one show distress after ECV, turned it back to breech and then had a normal NST. Figured he had created tight cord entanglement which resolved with turning the kid back.
-- Joanne Bulley, MD Keene, NH, USA
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