Cuerva Marcos J, Piñel Carlos S, Caceres Javier, Espinosa Jose A
Obstetrics Department, Quiron San José Hospital, Madrid, Spain.
Obstetrics Department, Quiron San José Hospital, Madrid, Spain.
Taiwan J Obstet Gynecol. 2017 Jun;56(3):366-367. doi: 10.1016/j.tjog.2017.04.018.
To analyze the benefits of external cephalic version (ECV) with epidural analgesia at term and labor induction just after the procedure.
This is a retrospective observational study with patients who did not want trying a breech vaginal delivery and decided trying an ECV with epidural analgesia at term and wanted labor induction or cesarean section after the procedure. We present the results of 40 ECV with epidural analgesia at term and labor induction or cesarean section just after the ECV.
ECV succeeded in 26 out of 40 (65%) patients. Among the 26 successful ECV, 6 delivered by cesarean (23.1%). 20 patients delivered vaginally (76.9%; 50% of all patients).
Considering that a high number of cesarean deliveries can be avoided, induction of labor after ECV with epidural analgesia at term can be considered after being discussed in selected patient.
分析足月时采用硬膜外镇痛进行外倒转术（ECV）以及术后即刻引产的益处。
这是一项回顾性观察研究，研究对象为那些不想尝试臀位阴道分娩、决定足月时采用硬膜外镇痛进行ECV且术后希望引产或剖宫产的患者。我们呈现了40例足月时采用硬膜外镇痛进行ECV并在术后即刻引产或剖宫产的结果。
40例患者中有26例（65%）ECV成功。在26例ECV成功的患者中，6例行剖宫产（23.1%）。20例患者经阴道分娩（76.9%；占所有患者的50%）。
考虑到可以避免大量剖宫产，在经过挑选的患者中进行讨论后，足月时采用硬膜外镇痛进行ECV术后引产是可行的。
