The Effect of External Cephalic Version on Fetal Circulation: A Prospective Cohort Study.
acute stress
doppler
external cephalic version
fetal circulation
placenta
umbilical artery
velocimetry
Journal
Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936
Informations de publication
Date de publication:
10 Feb 2023
10 Feb 2023
Historique:
received:
28
12
2022
revised:
18
01
2023
accepted:
09
02
2023
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
26
2
2023
Statut:
epublish
Résumé
External cephalic version (ECV) is a cost-effective and safe treatment option for breech presentation at term. Following ECV, fetal well-being is assessed via a non-stress test (NST). An alternative option to identify signs of fetal compromise is via the Doppler indices of the umbilical artery (UA), middle cerebral artery (MCA) and ductus venosus (DV). Inclusion criteria were an uncomplicated pregnancy with breech presentation at term. Doppler velocimetry of the UA, MCA and DV were performed up to 1 h before and up to 2 h after ECV. The study included 56 patients who underwent elective ECV with a success rate of 75%. After ECV, the UA S/D ratio, UA pulsatility index (PI) and UA resistance index (RI) were increased compared to before the ECV (
Identifiants
pubmed: 36832483
pii: children10020354
doi: 10.3390/children10020354
pmc: PMC9955877
pii:
doi:
Types de publication
Journal Article
Langues
eng
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