Spinal Anesthesia for External Cephalic Version
Spinal Anesthesia for External Cephalic Version
This study evaluates the potential benefits of spinal anaesthesia for nulliparous mothers
 scheduled for external version of babies in breech position.
Fetuses in breech position are almost always delivered by Caesarian section (CS). If the
 fetus is in breech position by the end of pregnancy, attempts for external cephalic version
 (ECV) are usually made. The success rate of ECV in nulliparous women is lower than in
 multiparous women. There are studies showing a higher rate of successful ECV's if the mother
 received a low dose spinal anaesthesia (SA). Overall maternal satisfaction was higher with
 SA. These studies, however, did not take parity into account.

 The primary aim of this study is to see if SA can increase the rate of successful ECV's in
 nulliparous women.

 The secondary aims are to evaluate if maternal satisfaction increases and if the rate of CS
 is decreasing using SA during ECV.
Inclusion Criteria:

 -  Pregnant nulliparous women.

 -  Breech presentation of fetus, eligible for external version.

 Exclusion Criteria:

 -  Unwilling to participate.

 -  Unable to understand written and oral Swedish in the absence of interpreter.

 -  Contraindications to spinal anaesthesia.