Do you need epidural for ECV?
Many women go through an ECV without any painkillers. But your doctor may give you an epidural or other pain medication or even put you to sleep during the procedure.
What injection is given for ECV?
The drug used is called terbutaline and the injection is given into the arm, just under the skin (subcutaneously). 20 – 25 minutes after the injection the obstetrician will attempt to turn the baby. The ECV can be uncomfortable, because of the pressure on your tummy, but should not be painful.
How long after ECV did labor start?
Complications occurring within 24 hours of external cephalic version (ECV). Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery.
Is ECV painful for baby?
An ultrasonography machine can be used during this process to monitor the turning of the baby. There will be mild to moderate pain while doing an external cephalic version (ECV). Throughout the procedure, the doctor will keep asking you whether you can bear the pain.
How painful is turning a breech baby?
Giving birth to a breech baby vaginally is not usually any more painful than a head-down position, as you’ll have the same pain relief options available to you, although it does carry a higher risk of perinatal morbidity (2:1000 compared to 1:1000 with a cephalic baby).
Will they induce me after ECV?
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).
How successful is ECV at 37 weeks?
Most women who are 37 weeks pregnant with a baby in the breech position are candidates for an external cephalic version. The procedure has been found to be successful in turning these babies into a head-down position in around 50 percent of cases.
Can ECV cause stillbirth?
Umbilical cord complications (0.054% of all ECVs) were reported to lead to an emergency cesarean in three cases and probably caused one stillbirth. The total number of cesareans caused directly by version-related complications amounted to 43, of which 32 (0.43%) were emergency procedures.
Is it common to go into labor after an ECV?
Although complications from an ECV are rare, it is recommended that the procedure is done by an experienced health professional, in a hospital where there are facilities for emergency caesarean section. About 1 in 1,000 women go into labour after an ECV.
Should I do ECV or C-section?
It’s recommended that an external cephalic version be offered to all women who have a baby in breech position at or close to term, where there are no other complications. The procedure has been shown to be successful in around half of all cases and may lower the likelihood that a C-section will be needed.
Should I have ECV or C-section?
Is ECV worth the risk?
While ECVs are considered a safe option for some, the risks may not outweigh the benefits for others. Most providers will not perform an ECV before full term for a couple reasons. One, it could cause labor to begin or delivery could become necessary. Two, many babies turn on their own before being full-term.