Ecv Flashcards
1
Q
Risk of CS
A
1:200
2
Q
Success rates
A
40% nullips
60%multips
3
Q
Complications of ECV
A
Non-reassuring CTG Fetal bradycardia (usually transient) Abruption Rupture Feto-maternal haemorrhage Cord prolapse
4
Q
Risks with ECV
A
Transient fetal distress Abnormal CTG Vaginal bleeding Abruption Emergency c/s
5
Q
When to offer
A
36 in primips
37 in multips
6
Q
Contraindications to ECV
A
Absolute: Praevia Uterine malformation SROM Abn ctg Multiple preg C/s needed for other reasons
Relative: Active labour Previous c.s PET APH Oligo FGR Fetal abnormality Hyper extension of fetal head Maternal cardiac disease
7
Q
Baby return to breech risk
&
Spontaneous turn to cephalic after failed attempt
A
2%
&
4%
8
Q
Factors that impede success
A
Nulliparity Anterior placenta Lateral or cornual placenta Oligo LWB Descent of the breech into the pelvis Obesity Posterior fetal spine Firm abdo muscles Frank breech Ruptured membranes Tense uterus Fetal head not palpable Thinner my one trial thickness
9
Q
Risk of fetal death
A
1:5000
10
Q
Type of drug terbutaline
A
Beta-adrenergic agonists
11
Q
Risk with planned vaginal breech birth
A
RR 0.33 for perinatal mortality, neonatal mortality or serious neonatal morbidity
No differences for mum
