ECV

Question 1

Avg success rate ECV

Answer 1

50-60%

Question 2

Best Candidates for ECV

Answer 2

Completed 36 wks

Question 3

Can we do ECV in prior scar or in early labor?

Answer 3

Scant info in these cases to make recs; don’t know risk of UT rupture

Scattered/small number of reports no obvious poor outcomes and success

Question 4

Serious comps common with ECV?

Answer 4

Very rare. But still need to be in facility has ready access to c/s

Question 5

When are tocolytics helpful in ECV? What tocolytics available?

Answer 5

Nulliparous but maybe in all ECVs

Terbutaline
Ritodrine
Hexoprenaline

Question 6

Does ECV reduce c/s rate?

Answer 6

Not really

But still useful because relatively little risk and maybe great benefit to mom

Question 7

Is epidural always rec for ECV?

Answer 7

Not enough evidence to routinely rec. maybe good for those who previously failed ECV w/o epidural

Question 8

Can u try to push baby in backwards somersault?

Answer 8

Yes

Question 9

Should we induce immediately after ECV?

Answer 9

Little evidence to prove that this reduces risk of reversion

Question 10

Should Rh neg get rhogam?

Answer 10

Yes

Question 11

Cheaper to just do c/s?

Answer 11

No. Cheaper to attempt ECV even if it is unsuccessful

Question 12

Terb dose

Answer 12

0.25mg sc or iv

Question 13

How long to monitor fht

Answer 13

Monitor 1 hr after

Question 14

Are Leopolds adequate for assessing presentation?

Answer 14

Not sensitive or accurate