Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate : Systematic Review and Meta-Analysis
Joint Authors
Alabi-Isama, Lillian
Bolaji, Ibrahim
Source
Obstetrics and Gynecology International
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-12-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
We review the medical literature on the success, safety and economic value of central neuraxial blockade-assisted (CNB) external cephalic version from randomized controlled studies identified from 1951 to 2009.
The result showed that more women had successful ECV with regional anaesthesia with corresponding reduction in caesarean section rate.
They were 1.5 times more likely than women not receiving anaesthesia to have a successful ECV.
The number to treat is six women needed to receive anaesthesia for 1 baby to be turned from breech to cephalic presentation.
Feto-maternal morbidity was not increased in the CNB-aided group consisting of only transient bradycardia.
Although the appropriate amount of force for safe version has not been quantified, there was no report of uterine rupture despite removal of these patients from “excessive force-pain biofeedback loop” induced through motor nerve blockade.
We can attribute 30% of cost savings amounting to £42,150.00 directly to CNB using the most up to date Health Resource Group Code (HRG4).
The initial results are encouraging but until the benefits and safety of CNB-aided ECV are substantiated by large randomized, blinded controlled trials, this practice cannot be universally recommended.
American Psychological Association (APA)
Bolaji, Ibrahim& Alabi-Isama, Lillian. 2009. Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate : Systematic Review and Meta-Analysis. Obstetrics and Gynecology International،Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-493128
Modern Language Association (MLA)
Bolaji, Ibrahim& Alabi-Isama, Lillian. Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate : Systematic Review and Meta-Analysis. Obstetrics and Gynecology International No. 2009 (2009), pp.1-8.
https://search.emarefa.net/detail/BIM-493128
American Medical Association (AMA)
Bolaji, Ibrahim& Alabi-Isama, Lillian. Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate : Systematic Review and Meta-Analysis. Obstetrics and Gynecology International. 2009. Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-493128
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493128