Patricia Cobos Baena

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 rep...

( Acta Obstet Gynecol Scand. 2016;95:547–554) One of the high-risk obstetric conditions is breech presentation, and this condition is usually associated with higher cesarean rates. External cephalic version (ECV) is used to decrease the number of breech presentations at delivery with effective results. However, ECV is a painful maneuver and this pa...

Objective: To compare the outcome of two methods of labor induction and spontaneous onset of labor in breech presentation at term. Material: A retrospective study between 2003 and 2012. We compare obstetric (indication of induction, Bishop score, cesarean rate) and perinatal outcomes (Apgar score, umbilical artery pH, base excess ≤-12 mmol/L, ad...

Introduction: Our objective was to compare the effect of two pain relief methods (remifentanil vs. nitrous oxide) on the success rate of external cephalic version (ECV) MATERIAL AND METHODS: We conducted a randomized open label parallel-group controlled single-center clinical trial with sequential design, at Cruces University Hospital, Spain. Sing...

To evaluate the impact of management of childbirth (external cephalic version (ECV) plus planned vaginal delivery (PVD)) of breech presentation at term (⩾37 weeks of gestation). This retrospective cohort study was based on data collected of singleton breech presentations at term in the Obstetrics and Gynaecology Service, Cruces University Hospital...

Objective: We sought to analyze whether maternal intravenous fluid therapy prior to external cephalic version (ECV) increases the amount of amniotic fluid and the success rate of the procedure. Study design: This was a prospective single-center cohort study of 200 women with a consecutive cohort of 100 pregnant women with a breech presentation a...

To determine if external cephalic version (ECV) can be performed with safety and efficacy in women with previous caesarean section. Prospective comparative cohort study. Cruces University Hospital (Spain). Single pregnancy with breech presentation at term. We compared 70 ECV performed in women with previous caesarean section with 387 ECV performed...

Objective: The objective of this study was to analyze the effect of using inhaled nitrous oxide (N2O) for analgesia in external cephalic version (ECV) at term on the success rate of the procedure, on pain, and on obstetric and perinatal outcomes. Methods: A prospective comparative cohort study among 300 women with singleton pregnancy in breech p...

Müllerian adenosarcoma of the cervix is a rare tumor that usually presents in young women as a bleeding cervical polyp. There is a tendency for local recurrence due to their low malignant potential. The optimal therapy for these tumors is uncertain but conservative treatment can be provided in selected patients to preserve female fertility. Long-te...

We report a case of prenatal diagnosis of complete penoscrotal transposition in a fetus at 20 weeks of gestation. Systematic exploration of all the organs, including the genitals, allowed the diagnosis of these rare malformations.

Objective: To analyse the impact of a change in the management of prolonged pregnancies from inducing labour at 42⁺⁰ to induction at 410–6. Design: Retrospective cohort study. Methods: Analysis of 3563 single pregnancies with cephalic presentation of ≥ 41 weeks of gestation delivered in Cruces University Hospital (Spain). Two cohorts were compared...

To design a score based on clinical parameters to predict the outcome of external cephalic versions (ECVs) at term. A two-phase study was conducted (analysis/design and prospective validation) regarding 1000 versions performed between March 2002 and November 2010. The variables considered in the score were selected based on the results of multiple...

External cephalic version (ECV) is an obstetric maneuver that rotates the fetus to a cephalic presentation in case of breech, oblique or transverse lie presentations. During the past 14 years, the most relevant studies (n >200 patients) reveal success rates ranging from 37% to 78.7%. The contraindications of ECV are: when a clear indication for a c...

To compare the efficacy and safety of two methods for induction of labor after previous cesarean section. To compare 247 women with a previous cesarean section who were induced with a dinoprostone vaginal insert and 279 women with a previous cesarean section induced with oxytocin, between 2001 and 2008. We evaluated vaginal delivery rate, maternal...

To determine the factors associated with the success rate of external cephalic version (ECV) for breech presentation at term. A prospective analysis of 500 ECV maneuvers. The variables maternal age, maternal weight, body mass index, previous cesarean delivery, gestational age, parity, amount of amniotic fluid, placental location, and type of breech...

To compare the success rate of external cephalic version (ECV) at term using ritodrine or atosiban as a tocolytic agent. Prospective cohort study with a sample of 236 pregnant women with a breech presentation at term, from November 2006 to March 2008. Data have been analyzed from the moment the cephalic version is performed until the time of delive...

Objective The aim was to analyse our first results in the sentinel lymph node procedure in vulvar cancer, as regards the detection rate, false negative cases and relation with cancer recurrence or not.

OBJECTIVE. To determine whether fetal weight estimated by ultrasound on the day the external cephalic version (ECV) is related to the procedure's success rate. DESIGN. Retrospective cohort study. Setting. University hospital. POPULATION OR SAMPLE. Two hundred women with a singleton pregnancy undergoing an ECV attempt between March 2002 and March 20...