Abstract
SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.
Abstract
Approximately 3% to 4% of term fetuses are in breech presentation, and this
is a common indication for cesarean delivery. Twenty percent of elective cesarean
sections are due to breech position.
External cephalic version (ECV) is an obstetric maneuver that applies external pressure
to the fetal posture through the maternal abdomen, to convert a breech presentation to a
vertex presentation. Since the risk of adverse events after an ECV is small, the
possibility of ECV should be offered in all pregnancies with breech presentation,
provided that there is no contraindication.
A standardized protocol, an experienced gynecologist and adequate analgesia can
facilitate the maneuver and improve the success rate, turning the ECV into a maneuver
with an excellent safety profile which is an interesting option to avoid a cesarean
section.
Keywords:
Analgesia, Anesthesia, Breech Presentation, Breech Delivey, Cesarean Section, External Cephalic Version, Epidural Anesthesia, Inhalational Anesthesia, Intravenous Anesthesia, Neuraxial Anesthesia, Remifentanyl, Spinal Anesthesia, Tocolytics.
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Authors:Bentham Science Books