Doctors Lounge - Gynecology Answers
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Forum Name: Obstetrics
Question: Placenta Praevie and ECV
|a7808 - Wed Apr 08, 2009 9:54 pm||
My wife is having low placenta for this 2nd baby.(Placenta cover the cervix based on DR's info) but Baby is sitting with the head down for many weeks already, seems like waiting to be delivered. Current week is around 34 week. Our 1st baby is under C-section due to breech. Thus i wish she can go for natural deliver for this round.
Is it safe for her to do ECV (External cephalic version ) in this condition?
Many Thanks for your kind advice. Cheers
|Debbie Miller, RN - Fri Apr 17, 2009 10:14 pm||
This will depend on many factors. If the placenta is covering the cervix, a vaginal delivery will not be possible. The doctor should be able to tell by ultrasound if this is the case so you will know in advance. Some doctors are comfortable with external version; others are not. If your wife has it, she wants to be sure she is with a doctor skilled in this delicate procedure. Some doctor do not want to attempt version after cesarean so it will depend entirely on the doctor's judgment. Medicine is part science; part art and intuition with knowledge of the patient's history and physical condition.
A version is normally done in the hospital with close monitoring in case the baby gets into distress and immediate delivery is required. If the placenta is merely sitting low at this point, it would not necessarily interfere with the procedure but it would have to be the doctor's judgment on exam at the time of the version. At this point the baby could also very well turn on its own.
Good luck to your wife on the delivery.
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