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Patient opinion of analgesia during external cephalic version at term in singleton pregnancy.
- Source :
-
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology [J Obstet Gynaecol] 2020 Aug; Vol. 40 (6), pp. 767-771. Date of Electronic Publication: 2019 Sep 05. - Publication Year :
- 2020
-
Abstract
- To assess the opinion and the level of satisfaction of patients concerning analgesia during external cephalic version (ECV), we present the results of a survey of 120 women undergoing ECV at term during a randomised controlled trial (July 2012 to February 2013) comparing remifentanil and nitrous oxide. Overall, 110 (91.7%) women said they would repeat the procedure and 111 (92.5%) that they would recommend it to another pregnant woman, with no significant differences by type of analgesia. The administration and sense of comfort were rated better in the remifentanil group ( p < .01). In conclusion, the use of analgesia during ECV is associated with a high rate of willingness among women to repeat the procedure and recommend it to other pregnant women.Impact statement What is already known on this subject? ECV is commonly a painful manoeuvre for the woman. This pain triggers maternal reactive abdominal muscle contraction and involuntary abdominal tensing, reducing the likelihood of successful version and causing some women to reject the technique. What do the results of this study add? The use of analgesia during ECV is associated with a high rate of willingness among women to repeat the procedure and recommend it to other pregnant women. The sense of comfort during ECV was also significantly better in the remifentanil group, probably because of its greater analgesic power and greater comfort during its administration. What are the implications of these findings for clinical practice and/or further research? ECV should be carried out under analgesia, when available, not only to decrease pain but also to encourage wider adoption of the technique and enable more women to benefit from it.
- Subjects :
- Adult
Analgesia, Obstetrical methods
Analgesics, Non-Narcotic therapeutic use
Analgesics, Opioid therapeutic use
Breech Presentation therapy
Female
Humans
Nitrous Oxide therapeutic use
Pain Management methods
Pain Measurement
Pain, Procedural drug therapy
Pain, Procedural etiology
Pregnancy
Remifentanil therapeutic use
Term Birth psychology
Version, Fetal adverse effects
Analgesia, Obstetrical psychology
Pain Management psychology
Pain, Procedural psychology
Patient Satisfaction statistics & numerical data
Version, Fetal psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1364-6893
- Volume :
- 40
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 32648534
- Full Text :
- https://doi.org/10.1080/01443615.2019.1647522