A Trial Comparing Combined Spinal- Epidural Dosing Strategies for External Cephalic Version
Status:
Completed
Trial end date:
2017-01-01
Target enrollment:
Participant gender:
Summary
We plan to conduct a prospective, single blinded, randomized clinical trial to assess the
impact of combined spinal-epidural dosing on the success rate of, and patient satisfaction
during, external version for breech fetal position and the incidence of vaginal vs. Cesarean
delivery.
The research aim of this project is to determine the ideal neuraxial dosing strategy to
maximize success of external cephalic version (ECV).
The research questions, does a combined spinal-epidural (CSE) of a higher dose result in
greater success in converting a breech presentation to vertex during external cephalic
version (ECV).
The hypotheses of this project is that CSE at higher dose will result in greater ECV success
than analgesic dosing.
The research significance:Increasing the success and comfort of ECV for fetal malpresentation
may help decrease the cesarean section rate.