Management of labor after external cephalic version
-
Gabriel Levin
,
Amihai Rottenstreich
Abstract
Objectives
Current literature evaluating the role of induction of labor (IOL) following successful external cephalic version (ECV) attempt as compared to expectant management is limited. We aim to assess the risk of cesarean delivery in those undergoing immediate IOL following successful ECV as compared to those who were expectantly managed.
Methods
A retrospective cohort study of successful external cephalic versions. The study group included 57 women that were induced after procedure in the lack of maternal or fetal indications for induction of labor. These women were compared to 341 expectantly managed women. Maternal and fetal characteristics and outcomes were compared.
Results
Gestation age at delivery was higher among the expectant management group (401/7 vs. 384/7, median, p=0.002) as compared to the induction group. Cesarean delivery rates were similar between both groups (28 [8.2%] vs. 3 [5.3%], p=0.44). In a multivariate logistic regression analysis, only nulliparity was significantly associated with cesarean delivery (adjusted odds ratio 3.42, confidence interval 1.61–7.24, p=0.001). No correlation was found between the version-to-delivery interval and the risk for cesarean delivery.
Conclusions
Induction of labor after successful ECV was not shown to influence cesarean delivery rates. As immediate IOL may result in higher rate of early-term deliveries, and in light of the lack of clinical benefit, we advocate against elective IOL following successful ECV.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: Institutional Review Board approval waiving informed consent was obtained for this retrospective study by the Helsinki committee of the Institutional Review Board of our Medical Center (IORG0001519).
References
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Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/jpm-2020-0290).
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Global approach of the cesarean section rates
- Review
- Cesarean section one hundred years 1920–2020: the Good, the Bad and the Ugly
- Original Articles – Obstetrics
- Non-adherence to labor guidelines in cesarean sections done for failed induction and arrest of dilation
- Retrospective study of maternal and neonatal outcomes after induction compared to spontaneous start of labour in women with one previous birth in uncomplicated pregnancies ≥ 41+3
- Management of labor after external cephalic version
- Evaluation of the labour process with serial transperineal ultrasonography and prediction of the type of birth
- Comparative study regarding effect of pH on Misoprostol in induction of labor in full term primigravida pregnant women, a double blind randomized controlled trial
- Comparison of the rates of preterm birth and low birth weight of vanishing twin and primary pregnancies conceived with assisted reproductive technology
- Obstetric outcomes of pregnancy complicated by urolithiasis: a retrospective cohort study
- Serum kallistatin level is decreased in women with preeclampsia
- An observational study to assess Italian obstetrics providers’ knowledge about preventive practices and diagnosis of congenital cytomegalovirus
- Predictive values of clinical parameters and biophysical and biochemical markers in the first trimester for the detection of small-for-gestational age fetuses
- Original Articles – Newborns
- Antenatal and perinatal outcomes of refugees in high income countries
- Individualized sex-specific birth weight percentiles for gestational age based on maternal height and weight
- Inhaled nitric oxide (iNO) for preventing prematurity-related bronchopulmonary dysplasia (BPD): 7-year follow-up of the European Union Nitric Oxide (EUNO) trial
- Erratum
- Risk factors associated with adverse fetal outcomes in pregnancies affected by Coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19
- Acknowledgment
- Acknowledgment
Articles in the same Issue
- Frontmatter
- Editorial
- Global approach of the cesarean section rates
- Review
- Cesarean section one hundred years 1920–2020: the Good, the Bad and the Ugly
- Original Articles – Obstetrics
- Non-adherence to labor guidelines in cesarean sections done for failed induction and arrest of dilation
- Retrospective study of maternal and neonatal outcomes after induction compared to spontaneous start of labour in women with one previous birth in uncomplicated pregnancies ≥ 41+3
- Management of labor after external cephalic version
- Evaluation of the labour process with serial transperineal ultrasonography and prediction of the type of birth
- Comparative study regarding effect of pH on Misoprostol in induction of labor in full term primigravida pregnant women, a double blind randomized controlled trial
- Comparison of the rates of preterm birth and low birth weight of vanishing twin and primary pregnancies conceived with assisted reproductive technology
- Obstetric outcomes of pregnancy complicated by urolithiasis: a retrospective cohort study
- Serum kallistatin level is decreased in women with preeclampsia
- An observational study to assess Italian obstetrics providers’ knowledge about preventive practices and diagnosis of congenital cytomegalovirus
- Predictive values of clinical parameters and biophysical and biochemical markers in the first trimester for the detection of small-for-gestational age fetuses
- Original Articles – Newborns
- Antenatal and perinatal outcomes of refugees in high income countries
- Individualized sex-specific birth weight percentiles for gestational age based on maternal height and weight
- Inhaled nitric oxide (iNO) for preventing prematurity-related bronchopulmonary dysplasia (BPD): 7-year follow-up of the European Union Nitric Oxide (EUNO) trial
- Erratum
- Risk factors associated with adverse fetal outcomes in pregnancies affected by Coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19
- Acknowledgment
- Acknowledgment
