Review Article

Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate: Systematic Review and Meta-Analysis

Table 3

Summary of Central Neuraxial Blockade-Assisted ECV Trials.

Author/YearType of StudySubjectsSuccess of ECVComplications

Carlan et al. [38] (1994)Retrospective chart review at 36 weeks32 epidural; 37 control59% success and 54% vag del; 24% and 21% in control7 bradycardia, 1 abruption with epidural; 2 and 1 in control
Schorr et al. [29] (1997)Prospective randomized at 37 weeks35 epidural; 34 control69% success; 66% vaginal delivery in epidural group; 32% and 31% in controlNA
Dugoff et al. [31] (1999)Prospective randomized50 spinal; 52 control44% success in spinal group; 42% control11 bradycardia, 4 hypotension with spinal; 6 bradycardia, 1 abruption, 4 patient pain in control
Mancuso et al. [28] (2000)Prospective randomized at 37 weeks54 epidural; 54 control59% success and 54% vag del in epidural group; 33% and 30% in control ( )4% bradycardia in epidural group; 6% in control
Birnbach et al. [43] (2001)Prospective open at 36 weeks20 received spinal analgesia; 15 did not80% success in spinal group; 33% in controlFetal bradycardia requiring section in 1 pt. in control group
Delisle et al. [32] (2001)Prospective randomized99 spinal; 102 control41% success in spinal group; 30% controlUnknown
Hollard et al. [33] (2003)Prospective randomized17 spinal; 19 control52.9% success in spinal group; 52.6% control1 placenta abruption in spinal group
Weiniger et al. [30] (2007)Prospective randomized at 37 weeks36 spinal; 34 control66.7% success in spinal group; 32.4% control2 transient bradycardia, 7 hypotension
Sullivan et al. [34] (2009)Prospective randomized at 36 weeks22 CSE; 18 IV fentanyl45.8% success in CSE group; 38.3% IV fentanyl group1 bradycardia in each group needing EMCS*

CSE combined spinal and epidural. *EMCS Emergency Caesarean Section.