Saturday, June 22, 2013

Easier ECV?


A US research study, by Carvalho et al, determined that using neuraxial anesthesia during External Cephalic Version (ECV) increases the rate of success from 38% to approximately 60%. By making the uterus more lax and flexible the doctor is able to manipulate the baby's position with more ease. 
Some gentle and skilled doctors I know self-report a 50% success rate without anesthesia. 
One thought I have is that by softening the ligaments around the womb anesthesia may not be necessary. 
I suggest the Flip a Breech activities described on the Spinning Babies Website to help make the womb more balanced and flexible. With increased body balancing, the baby may flip his or herself, or make a manual external cephalic version more likely to work. It would make a nice comparison study. 



2 comments:

Jaci Cummings said...

At 35 weeks, my midwife and I discovered that my baby was breech. From there, I began to attempt all of the activities listed on this blog to encourage a flexible womb, and to encourage baby to stay out of the pelvis. I checked in for an external version and insisted that the doctor attempt the version without any sort of drug assistance. Baby was incredibly stubborn, and my womb was not as flexible as it needed to be, although I'd diligently been attempting the activities to encourage it. After nearly an hour of attempted version, we agreed to try again in a few days. Upon arriving at the second appointment, although I'd continued flexibility activities, I went ahead with the muscle relaxing drug. It was extremely uncomfortable, felt completely foreign and altered my mental processing, but the version was successful, at 37 weeks exactly. Each person is different, and decisions must be made with a clear mind, an open heart, and with baby's best interest in mind. My 5lbs, 10oz daughter was born three days later, and I was blown away with her fighting personality, despite her tiny size. A fascinating experience, and a true blessing in my life! No matter what, I will always advocate for and suggest trying every non-invasive possibility before giving into modern science! Our bodies were made to do this, and it is an incredibly empowering experience.

Blessing and peace on birth,
JRC

Jaci Cummings said...

At 35 weeks, my midwife and I discovered that my baby was breech. From there, I began to attempt all of the activities listed on this blog to encourage a flexible womb, and to encourage baby to stay out of the pelvis. I checked in for an external version and insisted that the doctor attempt the version without any sort of drug assistance. Baby was incredibly stubborn, and my womb was not as flexible as it needed to be, although I'd diligently been attempting the activities to encourage it. After nearly an hour of attempted version, we agreed to try again in a few days. Upon arriving at the second appointment, although I'd continued flexibility activities, I went ahead with the muscle relaxing drug. It was extremely uncomfortable, felt completely foreign and altered my mental processing, but the version was successful, at 37 weeks exactly. Each person is different, and decisions must be made with a clear mind, an open heart, and with baby's best interest in mind. My 5lbs, 10oz daughter was born three days later, and I was blown away with her fighting personality, despite her tiny size. A fascinating experience, and a true blessing in my life! No matter what, I will always advocate for and suggest trying every non-invasive possibility before giving into modern science! Our bodies were made to do this, and it is an incredibly empowering experience.

Blessings and peace on birth,
JRC

Changing the Earth by supporting Birth

Mothers bring forth life; medical corporations do not. Birth can be simple, powerful and loving. Fetal positioning, natural birthing and practical help for normal birth.