A randomized trial of epidural anesthesia to improve external cephalic version success.
Publication/Presentation Date
11-1-1997
Abstract
OBJECTIVE: This study was designed to determine whether epidural anesthesia would improve external cephalic version success in a safe and effective manner.
STUDY DESIGN: All women > 37 weeks' gestation with breech presentation scheduled for external cephalic version at the medical center from Dec. 1, 1993, to July 31, 1996, were randomized to receive an epidural or no epidural anesthesia. Under ultrasonographic guidance up to three version attempts were performed.
RESULTS: Sixty-nine women were randomized to receive epidural (n = 35) versus no epidural (n = 34) anesthesia for external cephalic version. There were no statistically significant differences in maternal age, parity, maternal weight, gestational age, estimated fetal weight, or station of the presenting part. The success rate was better for the epidural group (relative risk 2.12, 95% confidence interval 1.24 to 3.62). Neither anterior placentation or oligohydramnios affected the success rate.
CONCLUSION: Epidural anesthesia increases success of external cephalic version without any apparent detrimental effect on the maternal-fetal unit.
Volume
177
Issue
5
First Page
1133
Last Page
1137
ISSN
0002-9378
Published In/Presented At
Schorr, S. J., Speights, S. E., Ross, E. L., Bofill, J. A., Rust, O. A., Norman, P. F., & Morrison, J. C. (1997). A randomized trial of epidural anesthesia to improve external cephalic version success. American journal of obstetrics and gynecology, 177(5), 1133–1137. https://doi.org/10.1016/s0002-9378(97)70029-2
Disciplines
Medicine and Health Sciences
PubMedID
9396908
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article