100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
External cephalic version (ECV) Questions and Answers Grade A+ $9.99   Add to cart

Exam (elaborations)

External cephalic version (ECV) Questions and Answers Grade A+

 0 view  0 purchase
  • Course
  • ECV
  • Institution
  • ECV

External cephalic version (ECV) Questions and Answers Grade A+

Preview 2 out of 7  pages

  • November 5, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ECV
  • ECV
avatar-seller
ExamArsenal
1|Page | © copyright 2024/2025 | Grade A+




External cephalic version (ECV)
Questions and Answers Grade A+
Background


✓ Breech presentation complicates 3-4% of all term deliveries and a

higher proportion of preterm deliveries. It is more common where there

has been a previous breech presentation.

✓ -ECV at term reduces the incidence of noncephalic presentation at

delivery . Spontaneous version rates for nulliparous women are

approximately 8% after 36 weeks, but less than 5% after unsuccessful

ECV; success rates of ECV are 30-80%. Spontaneous reversion to

breech presentation after successful ECV occurs in less than 5%.




What is the success rate of ECV and what influences it?




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ An overal success rate of 40% for nulliparous, and 60% for multiparous

women can usually be achieved. The highest success rates are seen

with multiparous, non-white women with a relaxed uterus, where the

breech is not engaged and the head is easily palpable. Success rates

are also higher with increasing liquor volume, but, in practice, very high

liquor volume may be associated with spontaneous reversion. Maternal

weight, placental position, gestation, fetal size and position of the legs

make less difference and are probably not independent of other

factors.

✓ -The use of tocolysis with beta-sympathomimetics may be offered to

women undergoing ECV as it has been shown to increase the success

rate.The use of tocolysis should be considered where an initial attempt

at ECV without tocolysis has failed. A simple protocol is to offer a slow

intravenous or subcutaneous bolus of salbutamol or terbutaline either

routinely or if an initial ECV attempt has failed. Women should be

advised of the adverse effects of tocolysis with beta-2 agonists.

✓ -Where ECV fails the possibility of a further attempt should be discussed.




Master01 | October, 2024/2025 | Latest update

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamArsenal. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart