Introducing external cephalic version to clinical practice

Karantanis, E; Alcock, D; Phelan, LK; Homer, CSE; Davis, GK

Introducing external cephalic version to clinical practice

Karantanis, E Alcock, D Phelan, LK Homer, CSE

Davis, GK

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Publication Type:: Journal Article
Citation:: Australian and New Zealand Journal of Obstetrics and Gynaecology, 2001, 41 (4), pp. 395 - 397
Issue Date:: 2001-01-01

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Field	Value	Language
dc.contributor.author	Karantanis, E	en_US
dc.contributor.author	Alcock, D	en_US
dc.contributor.author	Phelan, LK	en_US
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.contributor.author	Davis, GK	en_US
dc.date.issued	2001-01-01	en_US
dc.identifier.citation	Australian and New Zealand Journal of Obstetrics and Gynaecology, 2001, 41 (4), pp. 395 - 397	en_US
dc.identifier.issn	0004-8666	en_US
dc.identifier.uri	http://hdl.handle.net/10453/21930
dc.description.abstract	A service offering external cephalic version to all women with breech presentations at 36-38 weeks' gestation was introduced at St George Hospital in July 1997. This paper describes how this service was established and reports the clinical outcomes over the first three years; 116 external cephalic versions (ECV) were attempted on 114 women and success was achieved in 58 women (51%). Of the 58 women, 43 (74%) subsequently had vaginal deliveries. There were no fetal deaths, immediate Caesarean sections, or placental abruptions as a result of the ECV procedure. There were two (2%) episodes of transient fetal bradycardia following ECV, both of which returned to normal with a subsequent normal neonatal outcome. Pre- and post-ECV Kleihauer levels were collected with no increase in levels as a result of the ECV. ECV is a procedure that can, and should, be provided as part of a public hospital service.	en_US
dc.relation.ispartof	Australian and New Zealand Journal of Obstetrics and Gynaecology	en_US
dc.relation.isbasedon	10.1111/j.1479-828X.2001.tb01315.x	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Breech Presentation	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Version, Fetal	en_US
dc.subject.mesh	Obstetrics	en_US
dc.subject.mesh	Gestational Age	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Pregnancy Trimester, Third	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Hospitals, District	en_US
dc.subject.mesh	Outcome Assessment (Health Care)	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	Introducing external cephalic version to clinical practice	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	41	en_US
utslib.for	111717 Primary Health Care	en_US
utslib.for	111006 Midwifery	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	41	en_US

Abstract:

A service offering external cephalic version to all women with breech presentations at 36-38 weeks' gestation was introduced at St George Hospital in July 1997. This paper describes how this service was established and reports the clinical outcomes over the first three years; 116 external cephalic versions (ECV) were attempted on 114 women and success was achieved in 58 women (51%). Of the 58 women, 43 (74%) subsequently had vaginal deliveries. There were no fetal deaths, immediate Caesarean sections, or placental abruptions as a result of the ECV procedure. There were two (2%) episodes of transient fetal bradycardia following ECV, both of which returned to normal with a subsequent normal neonatal outcome. Pre- and post-ECV Kleihauer levels were collected with no increase in levels as a result of the ECV. ECV is a procedure that can, and should, be provided as part of a public hospital service.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/21930