Document Detail

External cephalic version with an amniotic fluid index < or = 10: a systematic review.
MedLine Citation:
PMID:  16318975     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the literature and evaluate the role of the amniotic fluid index (AFI) on the success of an external cephalic version (ECV). STUDY DESIGN: A computerized search of MEDLINE and Cochrane databases were conducted using 'breech', 'version', 'external cephalic version', 'amniotic fluid', and 'amniotic fluid index'. References from the identified publications were manually searched to identify additional relevant articles. Articles from 1987 to 2004 were included. RESULTS: Of the initial 33 articles discovered, only three remained after exclusions. These articles used different AFI ranges for 'borderline' or 'low-normal' fluid measurements and therefore could not be combined for analysis. All three studies demonstrated a lower success rate of ECV with lower amniotic fluid volume estimates (AFI 5-8, <10, or <8.6), although none reached statistical significance. CONCLUSION: Due to limited and dissimilar data, it is impossible to define the lower AFI threshold for an unsuccessful ECV compared with the success of a normal AFI. Although not statistically significant, an AFI <10 may correlate with lower success rates for an ECV.
David M Haas; Everett F Magann
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  18     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-12-01     Completed Date:  2006-04-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-52     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Naval Hospital, Camp Lejeune, NC 28547, USA.
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MeSH Terms
Amniotic Fluid / metabolism*
Breech Presentation / therapy
Treatment Outcome
Version, Fetal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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