WOMENS-HEALTH Messages for November, 1997: Re: *Unsuccessful* Version...vaginal breech??

Re: Unsuccessful Version...vaginal breech??

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Wed, 26 Nov 1997 00:01:29 -0600 (CST)

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In reply to: Rebecca: "*Unsuccessful* Version...vaginal breech??"

At Mon, 24 Nov 1997, Rebecca wrote: >
>Hello. Well, the external version didn't do the trick. -

Rebecca-

I entered this conversation late, but here are some "tricks" I use for versions that have initially failed:

1. Try a vibroacoustic stimulator. This is a little vibrating voicebox we use to wake up babies when doing heart rate testing. It has been shown to help some versions because the baby's movements right after the VAS apparently make it easier to turn the kid.

2. Try a version under epidural. This is another useful technique, as it theoretically makes your abdominal muscles and the uterus less "tense." This is particularly useful when patients want a c/section for a failed version. Load up the epidural, try a version, and if unsuccessful, go right to the c/section. If successful, take out the epidural and send home, or, if in labor send to the labor unit.

3. Perhaps try another physician in the group, or ask 2 of them to try the procedure. To put it another way, some doctors have better "hands" than others for procedures like this.

Good luck with everything. Please let us know how things turn out!

-- Ashley Hill D. Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://www.gate.net/~dahmd

I apologize, but I am unable to answer personal e-mail due to time constraints.

Next message: Laura: "flu shots in pregnancy"
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In reply to: Rebecca: "*Unsuccessful* Version...vaginal breech??"

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