External cephalic version in cases of pelvic and transverse lie

Semenova E.R.

Maternity Hospital Nine, Saint Petersburg, Russia
Objective. To present 3-month own experience with external cephalic version at Saint Petersburg Maternity Hospital Nine.
Materials and methods. A total of 58 attempts at external cephalic version in cases pelvic or transverse lie were performed at Maternity Hospital Nine in December 2017 to February 2019. All women’s gestational age was 36 to 40 weeks and 4 days. In all cases, the fetal status was evaluated by ultrasonography, cardiotocography, and Doppler study.
Results. Successful attempts were achieved in 69% of the total number of pregnant women. In the successful version group, most (60%) women gave birth via vaginal delivery. Caesarean section could be avoided due to the incorrect fetal position for delivery in 24 women (41.3% of the total number of version attempts). A complication as placental abruption during the procedure occurred in one (1.7%) case.
Conclusion. External cephalic version is a safe and effective procedure to reduce the number of caesarean sections. The optimal time for this procedure is 36-37 weeks of pregnancy.

Keywords

external cephalic version
pelvic lie
transverse lie

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Received 03.06.2019

Accepted 21.06.2109

About the Authors

Elvira R. Semenova, obstetrician-gynecologist, ultrasound diagnostics doctor. SPbGBUZ “Maternity hospital №9”. Tel.: + 7 (812)7264455.
E-mail: semenovaelvira1980@yandex.ru Address: 196211 Russia, St. Petersburg, ul. Ordzhonikidze, d. 47.

For citation: Semenova E.R. External cephalic version in cases of pelvic and transverse lie.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019;(11):192-96.(in Russian).
http://dx.doi.org/10.18565/aig.2019.11.192-196
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