the act of turning
; especially the manual turning of the fetus in delivery. bipolar version turning done by acting upon both poles of the fetus by either external or combined version.
How is internal podalic version done?
During internal version the
accoucheur completes a series of manoeuvres with one hand inside the uterus, usually with the aim of bringing one or both feet through a fully dilated cervix
, hence the term internal podalic version. External cephalic version is a common intervention in modern obstetrics.
What is internal podalic version mean?
Internal podalic version comprises
a series of manoeuvres performed prior to breech extraction to deliver a fetus with a persistent transverse or oblique lie
in the second stage of labour.
Is an ECV painful?
To perform an external cephalic version (ECV), the doctor needs to apply firm, steady pressure over the distended belly. Hence,
a moderate amount of pain is felt during the procedure
, which is tolerated by most women.
What happens during an ECV?
What happens during an ECV?
You will be given an injection of a medicine called Salbutamol under your skin
. This relaxes the muscles in your uterus (womb) and makes it easier to turn your baby. You may notice that your heart starts to beat faster but this is not dangerous and usually wears off after three minutes.
What is spontaneous version?
spontaneous version
one that occurs without aid from any extraneous force
.
How is a version performed?
Version procedure
The most commonly used tocolytic medicine is terbutaline. While the uterus is relaxed,
your doctor will attempt to turn the fetus
. With both hands on the surface of your abdomen—one by the fetus’s head and the other by the buttocks—the doctor pushes and rolls the fetus to a head-down position.
Who introduced Podalic version?
Internal podalic version was introduced in modern tL~es by
Pare
and, until the invention of the forceps, afforded the only means of artificially delivering unmutilated babies. The value of the procedure was recognized by Louise Bourgeois, Mauriceau, and among many others by De la J:.
What is bipolar Podalic version?
[ver ́zhun] the
act of
turning; especially the manual turning of the fetus in delivery. bipolar version turning done by acting upon both poles of the fetus by either external or combined version. cephalic version turning of the fetus so that the head is the presenting part.
What is longitudinal position?
Your baby’s spine is between his head and tailbone. Your baby will most often settle into a position in the pelvis before labor begins.
If your baby’s spine runs in the same direction (parallel) as your spine
, the baby is said to be in a longitudinal lie. Nearly all babies are in a longitudinal lie.
How will I feel after an ECV?
You
may feel some pain or discomfort during the procedure
. You may also have nausea, and you may vomit. This procedure may cause labor to start, or cause premature rupture of the membranes (PROM). PROM means fluid leaks from your amniotic sac before labor begins.
Is an ECV worth the risk?
ECVs are usually safe
, but there are some risks. In rare cases, it can cause changes in your baby’s heart rate, tearing of the placenta, and preterm labor. The procedure is usually done near a delivery room in case you need an emergency C-section.
How long does an ECV take?
During an external cephalic version, your doctor will place their hand on your belly to physically push the baby into the optimal position. The procedure usually takes
around 5 minutes
and your baby’s heart rate will be monitored before, during, and after the procedure.
Can ECV be done at 39 weeks?
An ECV may be done if you are
between 36 to 38 weeks
(near term) in your pregnancy, unless there are reasons not to do it. If the ECV works well, a vaginal delivery is more likely.
What is the success rate of ECV?
External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of
about 65 percent
.
How do I keep my baby’s head down after ECV?
- Long, brisk walks.
- Wearing a pregnancy belt.
- Doing Side-lying Releases on both sides daily (for a while), and then twice a week.
- Keep balancing (you’ve done good work, but keep going so tight muscles don’t return and create issues again)
