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Management of Labor After External Cephalic Version by Gabriel Levin; Amihai Rottenstreich; Raanan Meyer; Yishay Weill; Raphael N. Pollack is a Medicine article available to read on EtoBox.
What is Management of Labor After External Cephalic Version about?
## 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 (40^1/7^ vs. 38^4/7^, 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 interv
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- Author
- Gabriel Levin; Amihai Rottenstreich; Raanan Meyer; Yishay Weill; Raphael N. Pollack
- Publisher
- Walter de Gruyter GmbH
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)