Reducing the cesarean delivery rates for breech presentations: administration of spinal anesthesia facilitates manipulation to cephalic presentation, but is it cost saving?

Table 2 Vaginal delivery rates following ECV with neuraxial block for breech presentation (analgesia or anesthesia dose) in previously published randomized trials

Authors	Analgesia/Anesthesia	Effect size in treatment group	Effect size in control group	Vaginal cephalic delivery in treatment group	Vaginal cephalic delivery in control group
Dugoff [22]	Analgesia	22/50 (44%)	22/52 (42%)	16/50^‡ (32.0%)	25/52^‡ (48.1%)
Mancuso [20]	Anesthesia	32/54 (59%)	18/54 (33.3%)	28/54^a (51.9%)	13/54^a (24.1%)
Schorr [19]	Anesthesia	24/35 (69%)	11/34 (32.4%)	23/35 (65.7%)	7/34 (20.6%)
Sullivan [21]	Analgesia	22/47 (47%)	15/48 (31.3%)	17/47 (36.2%)	12/48 (25%)
Weiniger [16]	Anesthesia	24/36 (67%)	11/34 (32.4%)	16/36 (44.4%)	8/34 (23.5%)
Weiniger [15]	Anesthesia	27/31 (87%)	19/33 (57.6%)	25/31^b (80.%)	19/33^b (57.6%)

adata presented are vaginal cephalic delivery only.
Effect size = ECV success rate.
^bexcludes vaginal breech delivery and repeat ECV.
^‡Following unsuccessful ECV five patients overall had spontaneous version to cephalic presentation with vaginal delivery.

ISSN: 2045-4015