Re: [ozmidwifery] breech presentation - need help!

[Laraine Hood]

Hi Tania, I have a client on the CMP WA who has had a successful ECV  (by a very nervous but supportive Obs) after a previous N/eluscs and has just birthed vaginally about a week ago!!!!!!!!!.  She researched the ECV.  The articles were 'External cephalic version after cesarean section:a series of 38 case ' by J.B.de Meeus, F Ellia, G. Gagnin in European Journal of Obstetrics & Gyneocology and Reproductive Biology 81 (1998) 65-68. ;External cephalic version after previous cesarean section by Flamm, Fried, Lonky & saurenman Giles. Am J Obstet Gynecol, Aug 91, p370 -72  ; External cephalic version after previous cesarean section - a clinical dilemma by Schachter, Kogan, & Blickstein, Int J Gynecol Obstet, 1994, 45: p17-20.  Hope these help, Laraine ----- Original Message ----- From: Carolyn Donaghey To: [EMAIL PROTECTED] Sent: Wednesday, February 12, 2003 1:28 PM Subject: Re: [ozmidwifery] breech presentation - need help! Hi Tania I have also a page on our website that has the abstracts of studies on ECV for women with a previous cs, to put your mind at ease with the safety aspect.  The studies showed that it was a safe choice for women with a scar.  In addition contact Chris Wilkinson, as he is the one who has performed these successful ECV's that Jo refers to. Good luck, I hope she decides to do it as her chance for a successful vbac would be really good. Carolyn www.cares-sa.org.au Tom, Tania and Sam Smallwood wrote: Hi all,   I'm writing for ideas for a friend, has had a previous LSCS for failure to progress after an induction, now 39 weeks and has just found out baby is breech.  Desperately wants to try for a VBAC, now thinking it's all out the window.  What I need from you wise women, is a shortlist of what I should suggest to her, as she doesn't have much time, and going in for accupuncture treatments, or trying hands and knees might just not work in time.  Is it reasonable to suggest she try an ECV at this late stage ( I know there are increased risks associated with a previous LSCS, but she may decide that those risks are fewer than those of a repeat section).  I want to suggest to her the things which have the best chance of working, while being honest about the risks, and failure rate, so she can make up her own mind.   Thanks   Tania