Induction of labor versus expectant management after successful external cephalic version.

Szczegóły
Abstrakt

Tytuł:: Induction of labor versus expectant management after successful external cephalic version.
Autorzy:: Barbash-Hazan S; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nattiv N; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Salzer-Sheelo L; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Bergel R; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Hadar E; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Osovsky M; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shmueli A; Rabin Medical Center, Helen Schneider Hospital for Women, Petach Tikva, Israel.; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Źródło:: Birth (Berkeley, Calif.) [Birth] 2019 Dec; Vol. 46 (4), pp. 623-627. Date of Electronic Publication: 2019 Oct 14.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Publication: Original Publication: [Berkeley, CA : Medical Consumer Communications, c1982-
MeSH Terms:: Breech Presentation*
Labor, Induced*
Version, Fetal*
Watchful Waiting*
Adult ; Birth Weight ; Cesarean Section/statistics & numerical data ; Delivery, Obstetric ; Female ; Humans ; Israel ; Oligohydramnios ; Parity ; Polyhydramnios ; Pregnancy ; Retrospective Studies
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Contributed Indexing:: Keywords: breech; cesarean birth; external cephalic version; induction of labor
Entry Date(s):: Date Created: 20191016 Date Completed: 20200609 Latest Revision: 20200609
Update Code:: 20240105
DOI:: 10.1111/birt.12458
PMID:: 31612564
: Czasopismo naukowe

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Background: External cephalic version (ECV) is a common procedure for women carrying a breech-presenting fetus, in an effort to avoid a cesarean birth. The benefit of immediate labor induction after ECV vs. expectant management is undetermined. We aimed to evaluate whether induction of labor immediately after a successful ECV improves the chances of a vaginal delivery compared with expectant management.
Methods: Retrospective analysis of 296 women who underwent successful ECV performed in term singleton gestations (2007-2018) in the Rabin Medical Center. Mode of delivery and other obstetrical and neonatal outcomes were compared between women undergoing immediate labor induction after ECV and those managed expectantly.
Results: Of 296 women after successful ECVs, 54 (18.2%) underwent immediate labor induction and 242 (81.8%) were managed expectantly. Immediate induction was associated with higher parity (2.4 vs 1.7, P = .03) and lower mean birthweight (3128 vs 3346 g, P < .01). Mode of delivery was similar between groups, and no other significant differences in obstetrical and neonatal adverse outcomes were noted.
Discussion: In our cohort, immediate labor induction after successful ECV apparently had no benefits in terms of obstetrical or neonatal complications, and did not reduce the risk of cesarean birth. Therefore, expectant management seems reasonable and safe.
(© 2019 Wiley Periodicals, Inc.)

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