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CSE minimally benefits external cephalic version.(Obstetrics)(Combined spinal-epidural )(Brief article)(Statistical data)
HOLLYWOOD, FLA. -- Combined spinal-epidural analgesia did not significantly improve the rate of successful external cephalic version, compared with systemic opioid analgesia for breech presentation, but it did improve maternal pain and satisfaction, Dr. John T. Sullivan reported at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
A total of 86 women with singleton breech presentation were randomized to receive combined spinal-epidural (CSE) analgesia (2.5-mg intrathecal bupivacaine) plus 15-mcg fentanyl, followed by a 45-mg lidocaine and 15-mcg epinephrine epidural test dose, or 50 mcg of IV fentanyl.
Patients received analgesic intervention and terbutaline timed to provide peak analgesic and uterine relaxant effect at the time of external cephalic version, said Dr. Sullivan of Northwestern University, Chicago.
The success rate of external cephalic version was 43% in the CSE group and 33% in the systemic analgesia group. Vaginal deliveries occurred in 36% of those in the CSE group and 24% of those in the systemic ...
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Question Does earlier external cephalic version reduce breech presentation...at the time of birth. External cephalic version (ECV) at term is an...trend for women undergoing external cephalic version for breech presentation...
Source: HighBeam Research, CSE minimally benefits external cephalic...