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March 10, 2026American Journal of Obstetrics and Gynecology0 citationsOpen Access

Comparative effectiveness of intravenous remifentanil, epidural anesthesia and a two-step analgesic approach for external cephalic version: a large prospective single-center cohort study

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AAAmaia AiartzaguenaLRLeire Isasa RodríguezEQEider Quintana

Key Points

  • This research aims to compare the effectiveness of different anesthesia techniques for external cephalic version.
  • Large prospective cohort design
  • Comparison of intravenous remifentanil, epidural anesthesia, and a two-step analgesic approach
  • Assessment of success rates and maternal pain control
  • Epidural anesthesia had the highest success and vaginal delivery rates
  • It provided better maternal pain control compared to other techniques
  • Epidural anesthesia was associated with higher complication rates

Abstract

In this study, a single attempt with epidural anesthesia was the most effective strategy for external cephalic version, achieving the highest success and vaginal delivery rates while providing superior maternal pain control, but with higher complications. These findings may help support more informed counseling and shared decision-making when discussing analgesic options for external cephalic version.

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Cite This Study

Aiartzaguena et al. (2026) studied this question.

synapsesocial.com/papers/69af944f70916d39fea4b557https://doi.org/10.1016/j.ajog.2026.02.048
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