PMID: 18711967Aug 21, 2008Paper

Is fear of external cephalic version well-founded?

Ceská gynekologie
J Nagy, E Nyklová

Abstract

External cephalic version (ECV) is often denied due to fear of complications and pain during this procedure. The aim of this study was to assess maternal pain perception during ECV and to report the incidence of complications associated with this procedure. Prospective study. Hospital of Merciful Brothers, Brno. Study included 110 women undergoing ECV. Pain was measured by visual analog scale (VAS) and descriptive part of Czech version of McGill Pain Questionnaire (MPQ). The overall pain rating index (PRI) and PRI of sensoric (S), affective (A), evaluating (E) and miscellaneuos (M) descriptors of pain was assesed. The assesment was performed in all patient and group of successful and failed ECV was compared by t-test. All complications during ECV were recorded. Incidence of operative deliveries after successful ECV was compared with control group included parturients with cephalic presentantion by odds ratio (OR) with 95% confidence interval (95% CI). Forty two ECV (38%) was successful. Mean value of VAS was 4.9, PRI 14.4 (SD = 1.9). PRI of particular qualities of pain: S = 8.0, A = 1.9, E = 2.6, M = 2.1. The significant diference between successful and failed ECV group was in VAS (4.2 vs 5.4, p = 0.001), PRI -A (1.3 vs 2.2, p ...Continue Reading

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