[External cephalic version in the management of breech presentation near to term (author's transl)]. 1978

K H Schlensker, and G Enderer-Steinfort, and A Bolte

External cephalic version was tried in 58 from 146 cases of breech presentation after the 36th week of gestation and was successful in 55 per cent. The incidence of breech delivery was reduced from 5.3 to 4.2 per cent. With increasing weeks of gestation there was no rise in the failure rate. External version was more successful in multiparas than in primigravidas and in patients with high or low weight than in patients with normal weight and a thick muscular abdominal wall. The most frequent causes of failed versions were a thick muscular abdominal wall, extended legs and an already fixed breech in the pelvic inlet. 76 per cent of the deliveries took place within 10 days after the attempt of version. The weight of the newborns was except one over 2500 g, the average weight after successful version was 3250 g and after failed version 2930 g. Different severe fetal complications were seen after failed version but none when the attempt had been successful. On account of our own examinations and a critical analysis of the literature we came to the result that external cephalic version near to term should only be done after careful taken indication with a very precautioned technique, a thorough obstetrical examination, hospitalization and delivery shortly after.

UI MeSH Term Description Entries
D007746 Labor Presentation The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK. Fetal Presentation,Presentation, Fetal,Fetal Malpresentation,Fetal Malpresentations,Malpresentation, Fetal,Presentation, Labor
D010298 Parity The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome. Multiparity,Nulliparity,Primiparity,Parity Progression Ratio,Parity Progression Ratios,Ratio, Parity Progression,Ratios, Parity Progression
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D001724 Birth Weight The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms. Birthweight,Birth Weights,Birthweights,Weight, Birth,Weights, Birth
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D001946 Breech Presentation A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS. There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees. Fetal Presentation, Breech,Labor Presentation, Breech,Presentation, Breech,Complete Breech,Frank Breech Presentation,Incomplete Breech,Breech Fetal Presentation,Breech Labor Presentation,Breech Presentation, Frank,Breech, Complete,Breech, Incomplete,Presentation, Breech Fetal,Presentation, Breech Labor,Presentation, Frank Breech
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000009 Abdominal Muscles Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS; ABDOMINAL OBLIQUE MUSCLES, transversus abdominis, pyramidalis muscles and quadratus abdominis. Cremaster Muscle,Pyramidalis Muscle,Quadratus Abdominis,Transverse Abdominal,Transversus Abdominis,Abdominal Muscle,Abdominal, Transverse,Abdominals, Transverse,Abdomini, Quadratus,Abdominis, Quadratus,Cremaster Muscles,Muscle, Abdominal,Muscle, Cremaster,Muscle, Pyramidalis,Muscles, Abdominal,Muscles, Cremaster,Muscles, Pyramidalis,Pyramidalis Muscles,Quadratus Abdomini,Transverse Abdominals

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