Intrapartum intervention rates and perinatal outcomes following successful external cephalic version

Basu, A., Flatley, C. and Kumar, S. (2016) Intrapartum intervention rates and perinatal outcomes following successful external cephalic version. Journal of Perinatology, 36 6: 439-442. doi:10.1038/jp.2015.220


Author Basu, A.
Flatley, C.
Kumar, S.
Title Intrapartum intervention rates and perinatal outcomes following successful external cephalic version
Journal name Journal of Perinatology   Check publisher's open access policy
ISSN 1476-5543
0743-8346
Publication date 2016-06
Sub-type Article (original research)
DOI 10.1038/jp.2015.220
Open Access Status Not Open Access
Volume 36
Issue 6
Start page 439
End page 442
Total pages 4
Place of publication London, United Kingdom
Publisher Nature Publishing Group
Collection year 2017
Language eng
Formatted abstract
Objective: To determine intrapartum and perinatal outcomes following successful external cephalic version for breech presentation at term.
Study Design: This was a retrospective cohort study of outcomes following successful external cephalic version in 411 women at an Australian tertiary maternity unit between November 2008 and March 2015. The study cohort was compared with a control group of 1236 women with cephalic presentation who underwent spontaneous labor. Intrapartum intervention rates and adverse neonatal outcomes were compared between both groups.
Results: The success rate of external cephalic version (ECV) was 66.4%. The spontaneous vaginal delivery rate in the study cohort was 59.4% (224/411) vs 72.8% (900/1236) in the control cohort (P<0.001). Intrapartum intervention rates (emergency cesarean section (CS) and instrumental delivery) were higher in the ECV group (38% vs 27.2%, P<0.001). Rates of emergency CS for non-reassuring fetal status (9.5%, 39/411 vs 4.4%, 54/1236, P0.001) and failure to progress (13.4%, 55/411 vs 4.1%, 51/1236, P<0.001) were higher in the study cohort. Neonatal outcomes were worse in the study cohort—Apgar score <7 at 5 min (2.2%, 9/411 vs 0.6%, 8/1236, P<0.001) and abnormal cord gases (8.5%, 35/411 vs 0.2%, 3/1236, P<0.001). Rates for resuscitation at birth and admission to the neonatal intensive care unit were higher in the study cohort (6.1% vs 4.1% and 1.9% vs 1.1%, respectively) but these were not statistically significant.
Conclusion: Labor following successful ECV is more likely to result in increased intrapartum intervention rates and poorer neonatal outcomes.
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Document type: Journal Article
Sub-type: Article (original research)
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