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External version with the use of tocolysis in low-risk patients has been shown to be relatively safe and effective. A retrospective analysis was undertaken to see if version was practical for a smaller community-based hospital. Thirty-two antepartum external cephalic versions with ritodrine tocolysis during a 4-year period were reviewed. Successful version occurred in 59.4% of attempts. Of patients with a successful version, 68.4% delivered vaginally. One successful version occurred spontaneously with ritodrine tocolysis alone. A stillbirth due to abruptio placentae occurred 20 hours after a failed version attempt.
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L Y. Chan, J L. Tang, K F. Tsoi, W Y. Fok, L W. Chan, and T K. Lau Intrapartum Cesarean Delivery After Successful External Cephalic Version: A Meta-Analysis Obstet. Gynecol., July 1, 2004; 104(1): 155 - 160. [Abstract] [Full Text] [PDF] |
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