90 Obstetrics and Gynecology Board Review •••
❍ Common reasons to discontinue ECV include?
- Maternal discomfort.
- Persistent abnormal fetal heart rate.
- Multiple failed attempts.
❍ Is D-immune globulin indicated for a D-negative unsensitized woman after attempted version?
Yes.
❍ Is regional anesthesia required for attempted ECV?
There is insufficient evidence to require the use of regional anesthesia during ECV.
❍ What test is performed after ECV, whether or not it was successful?
Non stress test (NST).
❍ What are possible complications associated with attempted ECV?
- Placental abruption.
- Uterine rupture.
- Fetal distress.
- Fetomaternal hemorrhage.
❍ What is the quoted overall success rate of ECV?
58%.
❍ What is the average cesarean delivery rate among those undergoing an attempted version?
37%.