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IMR Press / CEOG / Volume 50 / Issue 3 / DOI: 10.31083/j.ceog5003063
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Open Access Original Research
Success Rate and Clinical Outcomes of External Cephalic Version with or without Anesthesia for Breech Presentation at Term in China
Jing Yang1,†Zhaie Lu1,†Qin Wang1Xiaobo He1,*
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1 Department of Obstetrics, Ningbo Women and Children’s Hospital, 315012 Ningbo, Zhejiang, China
2 Department of Anesthesiology, Ningbo Women and Children’s Hospital, 315012 Ningbo, Zhejiang, China
*Correspondence: hexiaobotj@163.com (Xiaobo He)
These authors contributed equally.
Clin. Exp. Obstet. Gynecol. 2023, 50(3), 63; https://doi.org/10.31083/j.ceog5003063
Submitted: 5 December 2022 | Revised: 10 January 2023 | Accepted: 16 January 2023 | Published: 13 March 2023
This is an open access article under the CC BY 4.0 license.
Abstract

Background: To determine whether neuraxial anesthesia (NA) can improve the success rate of external cephalic version (ECV), and evaluate the clinical outcomes. Methods: This study included 201 consecutive participants who had a breech presentation at term and received ECV between 2014 and 2022. Participants who received ECV without NA were included in Group 1, while participants with NA were included in Group 2. Outcomes assessed were the success rate of ECV and clinical outcomes. Results: In total, 201 participants who had a breech presentation at term and received ECV met the inclusion criteria. Totally, 134 participants performed ECV without NA were included in Group 1, while 67 participants performed the ECV with NA were included in Group 2. The success rate of ECV among the participants was 66.2% (133/201). The rate of placental abruption during or after ECV and neonatal intensive care unit (NICU) admission in Group 2 was statistically significant higher than in the Group 1 (p $<$ 0.05). Conclusions: This study suggested that the use of NA did not increase ECV success rates after 37 weeks of gestation. The recommendation of NA for the ECV may be not suitable for all pregnancies unless the participants request. A large and high-quality study should be conducted to verify the role of NA in ECV, if any.

Keywords
external cephalic version
breech presentation
neuraxial anesthesia
cesarean delivery
Funding
2021KY1057/Medical Science and Technology Project of Zhejiang Province
2010-S04/NINGBO Leading Medical & Health Discipline
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