| Evaluation of the Success Rate Following Amnioinfusion in Pregnant Women Undergoing External Cephalic Version after Initial Failure |
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You Jung Shin1, Hyun Kyong Ahn1, Jung Yeol Han2 |
1The Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Republic of Korea
2Dankook University College of Medicine, Seoul, Republic of Korea |
| 외회전술 초회 실패 임신부에서 양수주입술에 따른 성공률 평가 |
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신유정1, 안현경1, 한정열2 |
1단국의대 제일병원 산부인과교실
2단국대학교 |
Correspondence:
Jung Yeol Han,
Email: hanjungyeol055@gmail.com
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| Abstract |
Purpose
To evaluate the success rate following amnioinfusion in pregnant women undergoing external cephalic version (ECV) after initial failure.
Methods
This prospective study enrolled 17 consecutive pregnant women from October 2013 to May 2015. ECV was performed with amnioinfusion after initial failure. The success rates of ECV and vaginal delivery, including pregnancy outcomes, were analyzed.
Results
ECV was performed at an average of 37.3±0.6 weeks of gestational age. Eight of seventeen patients were nulliparous. The estimated fetal weight was 2,688±279 g, and the amniotic fluid index was 6.4±2.6 cm. The overall success rate of ECV was 70.6% (12/17), and the success rates in nulliparous and multiparous women were 75.0% (6/8) and 66.7% (6/9), respectively. The rate of emergent cesarean section within 24 hours was 11.8% (2/17). Excluding one women who were lost to follow-up, the rate of normal vaginal delivery was 81.8% (9/11) among the women who had successful ECV. We did not observe any complications such as uterine rupture, placental abruption, or intrauterine fetal death.
Conclusion
Although ECV with amnioinfusion after initial failure might help increase the success rate of ECV, it needs to be further evaluated in larger studies. |
| Key Words:
external cephalic version, breech presentation, amnioinfusion |
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