Erschienen in:
01.01.2013 | Editorials
Anesthesia-facilitated external cephalic version: pennywise or pound-foolish?
verfasst von:
Roanne Preston, MD, Robert Jee, MD
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
|
Ausgabe 1/2013
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Excerpt
External cephalic version (ECV) has likely been around for centuries as obstetricians (and midwives) sought to avoid the known dangers of a vaginal breech birth. Perhaps to the surprise of many anesthesiologists, the same issue applies to anesthesia assistance for ECV, as maternal pain is one of the two most common reasons to abort attempted ECV. In 1968, Ellis reported
1 on 314 cases of attempted ECV under general anesthesia. At the time, the perinatal mortality from vaginal breech birth was 8-10%. There were 262 successful versions with a perinatal mortality of just less than 1%, and “none of the mothers died or suffered significant harm”.
1 Anesthesia for the procedure typically consisted of chloroform or ether and sometimes a muscle relaxant.
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