Cardiotocographic changes after external cephalic version

  1. G. JUSTUS HOFMEYR Lecturer†,
  2. ERNST W. W. SONNENDECKER Associate Professor

Article first published online: 23 AUG 2005

DOI: 10.1111/j.1471-0528.1983.tb06763.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 90, Issue 10, pages 914–918, October 1983

Additional Information

How to Cite

HOFMEYR, G. J. and SONNENDECKER, E. W. W. (1983), Cardiotocographic changes after external cephalic version. BJOG: An International Journal of Obstetrics & Gynaecology, 90: 914–918. doi: 10.1111/j.1471-0528.1983.tb06763.x

Author Information

  1. Department of Obstetrics and Gynaecology, Johannesburg Hospital and University of Witwatersrand, Parktown, Johannesburg 2193, South Africa

  1. †

    Nuffield Institute for Medical Research, Oxford OX3 9DS.

Publication History

  1. Issue published online: 23 AUG 2005
  2. Article first published online: 23 AUG 2005
  3. Received 31 January 1983 Accepted 14 May 1983

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Summary. Cardiotocographic tracings before and after 53 attempts at external cephalic version (ECV) in 52 patients were analysed. Hexoprenaline (Ipradol) was used to facilitate ECV in 25 of the 53 attempts. There was a significant decrease in fetal movements and fetal heart rate (FHR) variability and reactivity after external cephalic version; temporary baseline bradycardia occurred in five patients. The most likely explanation for the changes observed is that they represent the fetal response to a period of stress caused by decreased uteroplacental blood flow during the procedure.

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