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Successful External Cephalic Version: Factors Predicting Vaginal Birth
المؤلفون المشاركون
Pei Shan, Lim
Kampan, Nirmala
Ng, Beng Kwang
Shafiee, Mohamad Nasir
Mohamed Ismail, Nor Azlin
Omar, Mohd Hashim
Abdullah Mahdy, Zaleha
Ali, Anizah
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-01-22
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Purpose.
To determine the maternal and fetal outcomes of successful external cephalic version (ECV) as well as factors predicting vaginal birth.
Methods.
The ECV data over a period of three years at Universiti Kebangsaan Malaysia Medical Centre (UKMMC) between 1 September 2008 and 30 September 2010 was reviewed.
Sixty-seven patients who had successful ECV were studied and reviewed for maternal, fetal, and labour outcomes.
The control group comprised patients with cephalic singletons of matching parity who delivered following the index cases.
Results.
The mean gestational age at ECV was 263 ± 6.52 days (37.5 weeks ± 6.52 days).
Spontaneous labour and transient cardiotocographic (CTG) changes were the commonest early adverse effects following ECV.
The reversion rate was 7.46%.
The mean gestational age at delivery of the two groups was significantly different ( P = 0.000 ) with 277.9 ± 8.91 days and 269.9 ± 9.68 days in the study group and control groups, respectively.
The study group needed significantly more inductions of labour.
They required more operative deliveries, had more blood loss at delivery, a higher incidence of meconium-stained liquor, and more cord around the neck.
Previous flexed breeches had a threefold increase in caesarean section rate compared to previous extended breeches (44.1% versus 15.2%, P = 0.010 ).
On the contrary, an amniotic fluid index (AFI) of 13 or more is significantly associated with a higher rate of vaginal birth (86.8% versus 48.3%, P = 0.001 ).
Conclusions.
Patients with successful ECV were at higher risk of carrying the pregnancy beyond 40 weeks and needing induction of labour, with a higher rate of caesarean section and higher rates of obstetrics complications.
Extended breech and AFI 13 or more were significantly more likely to deliver vaginally postsuccessful ECV.
This additional information may be useful to caution a patient with breech that ECV does not bring them to behave exactly like a normal cephalic, so that they have more realistic expectations.
However, these predictive factors needed further confirmation and hopefully, in the future, they would be able to further enhance counselling prior to ECV.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pei Shan, Lim& Ng, Beng Kwang& Ali, Anizah& Shafiee, Mohamad Nasir& Kampan, Nirmala& Mohamed Ismail, Nor Azlin…[et al.]. 2014. Successful External Cephalic Version: Factors Predicting Vaginal Birth. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1051376
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pei Shan, Lim…[et al.]. Successful External Cephalic Version: Factors Predicting Vaginal Birth. The Scientific World Journal No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1051376
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pei Shan, Lim& Ng, Beng Kwang& Ali, Anizah& Shafiee, Mohamad Nasir& Kampan, Nirmala& Mohamed Ismail, Nor Azlin…[et al.]. Successful External Cephalic Version: Factors Predicting Vaginal Birth. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1051376
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1051376
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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