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Re: VBAC and External Version From: dahmd@gate.net Fri Apr 12 19:00:41 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: JeffPhili@aol.com: "Your chance to make a difference" Previous message: ENDODOK@aol.com: "Fwd: Enrollement in the List" Maybe in reply to: Wendy.Funk: "VBAC and External Version" Next in thread: mark decker: "Re: VBAC and External Version" In article hribot@obdoc.is.net writes: >Ashley and the group: >In my not particularly large anecdotal experience, I have found that epidural >(especially in nulligravidas) increases the success rate of ECV. I have tried >non-epiduralized ECVs with and without tocolytics, and I feel anesthesia - not >analgesia - contributes to successful manipulation. Hugo: I have to agree. Steve Carlin, an MFM here in Orlando, researched this with one of his residents a few years ago, And I think presented it at a regional ACOG meeting. They came up with the same results: epidural increased the success rate. I don't know if their results were published, but I suspect they were. I routinely offer epidurals to patients having versions, and find them VERY helpful. I have heard, however, that some people are reluctant to use them in patients with prior uterine scars. I don't feel a prior C/S is a contraindication to version under epidural, and a prior c/s incision does not alter my management of version patients. I agree with you, versions are bound to hurt, whether you have a c/s incision or not! Thanks, Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net Next message: JeffPhili@aol.com: "Your chance to make a difference" Previous message: ENDODOK@aol.com: "Fwd: Enrollement in the List" Maybe in reply to: Wendy.Funk: "VBAC and External Version" Next in thread: mark decker: "Re: VBAC and External Version"

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