External cephalic version Flashcards
What is external cephalic version?
External manipulation of foetus through maternal abdomen to achieve a cephalic presentation
What are the indications for ECV?
Breech presentation (persistent at 36 or 37 weeks) -> success rate = 50-60%
o Nulliparous -> offered at 36 weeks
o Multiparous -> offered at 37 weeks
Offer with tocolysis and beta agonists to improve success rate
What are the absolute contraindications for ECV?
Any requirement for C-section regardless
Abnormal CTG
APH <7 days
Major uterine abnormality
Ruptured membranes
Multiple pregnancy
What are the complications of ECV?
o Generic: procedural failure, necessity to repeat
o Placental abruption
o Uterine rupture
o Foeto-maternal haemorrhage
What are Tocolytics?
Nifedipine (CCB)
Atosiban (oxytocin receptor antagonist)
Terbutaline (beta agnosit, avoid in asthma)
