1 / 1

North West London Hospitals NHS Trust External Cephalic Version: Success rate

North West London Hospitals NHS Trust External Cephalic Version: Success rate Ilka Tan, Hiran Samarage Department of Obstetrics & Gynaecology, North West London Hospitals NHS Trust, London, United Kingdom. INTRODUCTION

kuri
Download Presentation

North West London Hospitals NHS Trust External Cephalic Version: Success rate

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. North West London Hospitals NHS Trust External Cephalic Version: Success rate Ilka Tan, HiranSamarage Department of Obstetrics & Gynaecology, North West London Hospitals NHS Trust, London, United Kingdom INTRODUCTION External cephalic version (ECV) is advocated to reduce the incidence of breech presentation at term with the aim of lowering the need for Caesarean Section 1. The success rate reported in the literature ranges between 30 – 80%, with an average success rate of 40% for nulliparous and 60% for multiparouswomen 1. In view of the large variation in quoted success rates, the aim of our study was to assess our local success rate in ECV in order to counsel patients with unit specific outcomes when obtaining informed consent for ECV. METHODS A retrospective cohort study was conducted in a large London district general hospital. All ECVs in pregnancies delivering between 01 January 2006 and 31 December 2011 were analysed. The data was extracted from Ciconia Maternity Information System (CMiS) and entered into Microsoft Excel for statistical analysis. Figure 1. RESULTS One hundred and forty ECVs were performed in the 6 year period. Of the 140 ECVs performed, 37 were successful giving an overall success rate of 26.4%. There were no significant differences between unsuccessful and successful ECVs in the maternal age at delivery, BMI, parity, infant gender and head circumference (table 1). Of the 69 nullips, 13 (18.8%) had a successful ECV. In contrast, 24 (34.8%) of 69 multips had a successful ECV (Figure 2). This difference is significant (p=0.0345). Two cases were excluded from this analysis as parity was not recorded. Table 1. Demographics of women with successful and unsuccessful ECV. CONCLUSIONS There was a significant difference between the success rate of ECV in nullips and multips in keeping with other published data 1. The success rate of ECV in our unit however appears to be lower than that reported in the literature. Patient selection and training of operators might improve the success rate. Correspondence: ilka.tan@nhs.net Figure 2. Success rate of ECV by parity. References 1: Royal College of Obstetricians and Gynaecologists. External cephalic version and reducing the incidence of breech presentation. Green-top Guideline No. 20a. London: RCOG; 2010

More Related