| Maternal experience of pain during external cephalic version at term. | |
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MedLine Citation:
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PMID: 16026399 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study was designed to investigate maternal pain perception during external cephalic version (ECV). METHODS: This prospective study included 97 pregnant women with singleton breech presentation at or above 36 weeks of gestation undergoing ECV. No analgesia or anesthesia were used during ECV. The women were asked to rate the degree of pain on a 10-cm visual analog scale after ECV. RESULTS: Ninety-eight ECVs were performed and the overall success rate was 66%. The median pain score was 5.7 (interquartile range 2.7-6.8). The visual analog pain score was significantly lower among those with a successful ECV than those with a failed procedure (median score 4.6 vs. 6.8, p < 0.001). Similarly, those procedures rated as easy by the operator were associated with a significantly lower pain score (3.4 vs. 6.4, p < 0.001). However, the pain score was not found to be related to the operator, parity or placental site. Among the five subjects with a pain score of 8.5 and beyond, the ECV procedure was still successful in four (80%). CONCLUSION: ECV performed without analgesia was associated with a moderate degree of pain that was well tolerated by the majority of patients because of its short duration. |
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Authors:
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Wing Yee Fok; Lin Wai Chan; Tak Yeung Leung; Tze Kin Lau |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 84 ISSN: 0001-6349 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-07-19 Completed Date: 2005-08-30 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 748-51 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. angelfok@cuhk.edu.hk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Breech Presentation* Cohort Studies Female Fetal Monitoring / methods Hong Kong Humans Pain / etiology, physiopathology* Pain Measurement Parity Pregnancy Pregnancy Outcome* Pregnancy Trimester, Third Probability Prospective Studies Risk Assessment Statistics, Nonparametric Ultrasonography, Prenatal Version, Fetal / methods* |
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