ECV Hannah Breech Trial Getting it out! Potpourri No Pain, No Gain
100
What is the earliest ECV should be attempted?
36 weeks
100
What is the incidence of breech presentation
3-4%
100
What are Pipers?
These forceps are used for the aftercoming breech head.
100
What is vertex/vertex?
The most common presentation for twins
100
What is cesarean delivery or adverse events?
In the meta-analysis by Goetzinger et al, the rate of this did not differ between the groups that received regional anes. vs non-regional pain control.
200
What is the success rate for ECV?
30-70%, mean 52%
200
What is perinatal or neonatal mortality less than 28 days or one or more measures of serious neonatal morbidity?
This was the primary outcome of the Term Breech Trial
200
What is frank, complete and footling breech
Visual Jeopardy name in order A, B, C
200
What is cord prolapse?
This severe complication occurs in 11-20% of cases of compund presentation
200
What is a greater success rate of ECV with regional anesthesia?
This benefit was demonstrated in the meta-analysis but NOT all of the included RCTs.
300
What are contraindictions to ECV?
nonreassuring fetal heart tracing, HIV viral load > 1000, uterine didelphys
300
What is clinically? No objective measure, i.e. x-ray pelvimetry, was used.
This is how pelvimetry was assessed in the Term Breech Trial.
300
What is Mauriceau-Smellie-Veit?
Simple manual effort to maximize flexion of the vertex by using pressure on the fetal maxilla.
300
What is mentum anterior?
This is the mentum presentation that can delivery vaginally
300
What is "reactive" or appropriate for gestational age?
A 32y/o G1P0 at 34 weeks presents ffor a NST. She is 1 cm dilated/70% effaced/0 station. The baseline is 145, moderate variability, +accels, -decels. This is how you would describe the tracing.
400
What is the dose of terbutaline for a ECV?
0.25mg subcutaneous
400
What is an interim analysis was performed demonstrating a statistically significant difference in the primary outcome with a p value <0.002?
Enrollment in the Term Breech Trial was stopped on April 21, 2000 with 1600 patients for this reason.
400
What are Duhrssen Incisions?
three surgical incisions of an incompletely dilated cervix, corresponding roughly to 2-, 6-, and 10-o'clock, used as a means of effecting immediate delivery of the fetus when there is an entrapped head during a breech delivery.
400
What is the attitude?
This word describes the position of the fetal head with relation to the neck
400
What is respiratory alkalosis?
This is the acid-base disorder demonstrated by the following arterial blood gas:
7.47/28/90/3/99%
500
What is 600 mcg?
This is the dose of rhogam admistered for a 60 cc whole blood maternal-fetal hemorrhage.
500
What is 14?
From the results of the Term Breech Trial, this number of additional cesarean deliveries should be employed to avoid 1 baby with death or serious morbidity.
500
What is turn the arm into the body?
This is what you should do in order to reduce a nuchal arm when delivering a breech fetus.
500
What are brow presentations?
These often convert to vertex or face presentations and are managed accordingly
500
What is the pooled RR for sucess when using regional anesthesia for an external cephalic version?
1.58






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