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. 



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.