Anesthesia facilitation of external cephalic version: A meta-analysis

Alison J. MacArthur; Sophie Gagnon; Luminita M. Tureanu; Kristi N. Downey

doi:10.1016/j.ajog.2004.02.068

Anesthesia facilitation of external cephalic version: A meta-analysis

Alison J. MacArthur^*, Sophie Gagnon, Luminita M. Tureanu, Kristi N. Downey

^*Corresponding author for this work

Anesthesiology

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Objectives This study was undertaken to systematically review the medical literature to determine whether anesthesia facilitates the external cephalic version maneuver (ECV) for breech presentations. Study design A meta-analytic review of medical databases for randomized clinical trials comparing anesthesia with no anesthesia given for ECV attempts. The primary outcome was the immediate success of the ECV attempt. Results The literature search revealed only 4 articles that met inclusion criteria. Four hundred eighty women participated in the studies and the use of anesthesia increased the success of ECV attempts (119/238 with anesthesia; 82/242 without anesthesia). The relative risk for this beneficial effect was 1.5 (95% CI 1.12-1.98) and number needed to treat was 7 (95% CI 4-14). Conclusion Further study is required to assess maternal and neonatal safety with anesthesia administered for ECV maneuvers.

Original language	English (US)
Pages (from-to)	1219-1224
Number of pages	6
Journal	American journal of obstetrics and gynecology
Volume	191
Issue number	4
DOIs	https://doi.org/10.1016/j.ajog.2004.02.068
State	Published - Oct 2004

Keywords

Breech presentation
Facilitation of external cephalic version
Obstetric anesthesia

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2004.02.068

Cite this

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title = "Anesthesia facilitation of external cephalic version: A meta-analysis",

abstract = "Objectives This study was undertaken to systematically review the medical literature to determine whether anesthesia facilitates the external cephalic version maneuver (ECV) for breech presentations. Study design A meta-analytic review of medical databases for randomized clinical trials comparing anesthesia with no anesthesia given for ECV attempts. The primary outcome was the immediate success of the ECV attempt. Results The literature search revealed only 4 articles that met inclusion criteria. Four hundred eighty women participated in the studies and the use of anesthesia increased the success of ECV attempts (119/238 with anesthesia; 82/242 without anesthesia). The relative risk for this beneficial effect was 1.5 (95% CI 1.12-1.98) and number needed to treat was 7 (95% CI 4-14). Conclusion Further study is required to assess maternal and neonatal safety with anesthesia administered for ECV maneuvers.",

keywords = "Breech presentation, Facilitation of external cephalic version, Obstetric anesthesia",

author = "MacArthur, {Alison J.} and Sophie Gagnon and Tureanu, {Luminita M.} and Downey, {Kristi N.}",

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T1 - Anesthesia facilitation of external cephalic version

T2 - A meta-analysis

AU - MacArthur, Alison J.

AU - Gagnon, Sophie

AU - Tureanu, Luminita M.

AU - Downey, Kristi N.

PY - 2004/10

Y1 - 2004/10

N2 - Objectives This study was undertaken to systematically review the medical literature to determine whether anesthesia facilitates the external cephalic version maneuver (ECV) for breech presentations. Study design A meta-analytic review of medical databases for randomized clinical trials comparing anesthesia with no anesthesia given for ECV attempts. The primary outcome was the immediate success of the ECV attempt. Results The literature search revealed only 4 articles that met inclusion criteria. Four hundred eighty women participated in the studies and the use of anesthesia increased the success of ECV attempts (119/238 with anesthesia; 82/242 without anesthesia). The relative risk for this beneficial effect was 1.5 (95% CI 1.12-1.98) and number needed to treat was 7 (95% CI 4-14). Conclusion Further study is required to assess maternal and neonatal safety with anesthesia administered for ECV maneuvers.

AB - Objectives This study was undertaken to systematically review the medical literature to determine whether anesthesia facilitates the external cephalic version maneuver (ECV) for breech presentations. Study design A meta-analytic review of medical databases for randomized clinical trials comparing anesthesia with no anesthesia given for ECV attempts. The primary outcome was the immediate success of the ECV attempt. Results The literature search revealed only 4 articles that met inclusion criteria. Four hundred eighty women participated in the studies and the use of anesthesia increased the success of ECV attempts (119/238 with anesthesia; 82/242 without anesthesia). The relative risk for this beneficial effect was 1.5 (95% CI 1.12-1.98) and number needed to treat was 7 (95% CI 4-14). Conclusion Further study is required to assess maternal and neonatal safety with anesthesia administered for ECV maneuvers.

KW - Breech presentation

KW - Facilitation of external cephalic version

KW - Obstetric anesthesia

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Anesthesia facilitation of external cephalic version: A meta-analysis

Abstract

Keywords

ASJC Scopus subject areas

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