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Why Do Cross Country Runners Have Skinny Legs? Is it safe? Which Teeth Are Normally Considered Anodontia? All Rights Reserved 2023 All Insurance FAQ. And when the position persists to the second stage of labor, they have a 70% greater chance of requiring forceps, vacuum assistance, or a Cesarean section. These contractions become stronger, more regular and more frequent over time. Im getting an ECV Thursday (36+4) since our babe is still breech and was wondering how long it took you to go into labor, given that it's successful? ECV is usually performed after 36 or 37 weeks of pregnancy. Two reviewers on pilot data extraction projects used piloted data extraction techniques to extract information about clinical and methodological study characteristics. Ini menimbulkan risiko dengan mengurangi oksigen dan suplai darah ke janin di dalam rahim. I just wondered if that was the case for anyone who has had their breech baby successfully turned? Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. Eat a normal breakfast before 8am. how long after ecv did labor start. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. Save my name, email, and website in this browser for the next time I comment. My SIL's doc did an ECV on her with her first and she went into labor 3 days later. Lower Prescription Medication Cost Without Insurance Does Triumeq make you gain weight? How much amniotic fluid is needed for an ECV? After the early stage of labor, comes the active stage. Premature birth. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Berapa Lama Setelah Bersarang Apakah Persalinan Dimulai (Dan Mengapa)? Certain complications can be looked for during the ECV, including: ECV complications are considered rare. Goetzinger KR, Harper LM, Tuuli MG, et al. Content is reviewed before publication and upon substantial updates. The rate of cesarean deliveries in our study is higher . How Long A Person Can Be On ECMO (And Why)? I had spd and my lo was a big baby so very uncomfortable. In rare cases, it can cause changes in your babys heart rate, tearing of the placenta, and preterm labor. A systematic review of 84 studies found that there were 60 severe adverse outcomes in 12.955 ECVs (0.5%) from 84 studies. Best of luck to you! CarrieVisintainer.com is a nutrition practice that helps to cut through the clutter. Your placenta is increasing its growth on your cervix for unspecified reasons. 2005-2023Everyday Health, Inc., a Ziff Davis company. Persalinan memiliki dua tahap. Plasenta Anda meningkatkan pertumbuhannya di leher rahim Anda untuk alasan yang tidak ditentukan. Depending on your state's laws, you may be able to request that your insurance company backdate a life insurance policy, typically up to 6 months. However, before you undergo the procedure, you should be aware of the risks, which can be both dangerous and helpful. Is it safe? Triumeq contains three active drugs: abacavir,* dolutegravir,* and lamivudine*. Pain goes away once the are done. Sebagian besar wanita yang bayinya dalam posisi sungsang dapat memiliki ECV jika kehamilannya dianggap sehat dan jumlah cairan ketuban juga normal. How will I feel after an ECV? There are several types of breech positions, including: When ECV is successful in turning the fetus, it means that delivery can proceed vaginally. paracetamol should be taken as a pain reliever to help alleviate your discomfort. A general anesthetic will be given to you when you arrive at the hospital. I didnt experience labour, My experience was exactly the same as backfor2 above. How long after ECV did your labor start? tig and stephanie notaro twins. It helps you go to sleep faster and stay asleep through the night. Moreover, with careful evaluation of individual predictors patient selection and success rates can be optimised. I'm petrified about it setting off labor. Walk, swim, or engage in another low-impact exercise. The benefit of immediate labor induction after ECV vs. expectant management is undetermined. the most helpful and trustworthy pregnancy and parenting information. objects in mirror may be closer mandela effect . External cephalic version (ECV) is a positioning procedure to turn a fetus that is in the breech position (with their bottom facing down the birth canal) or side-lying position into a head-down (vertex) position before labor starts. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Labor has two stages. This is because, in the first stage of your labor, birth will take place only when you will feel regular contractions. Anda menderita penyakit kesehatan seperti diabetes atau hipertensi tingkat tinggi. A baby is taken from a breech position to a head-down position during external cephalic version, or ECV. With IntelyCare, nurses and nursing assistants in Florida, Read More Does Intelycare Offer Health InsuranceContinue, How many months can life insurance policy normally be backdated from the date of application? SHARING IS , About Us | Contact Us | Privacy & Cookie Policy | Sitemap, We help people get the right information about everything related that takes time. I had an ECV with my second who was also Frank breech. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery i need help seeing if my lines are positive.. 3 Days Before Period, Faint First Response. Respect to Ebb for being physically able to pounce at 38 weeks. Lifelong gamer. Complications that can lead to death include emergency C-sections, vaginal bleeding, loss of amniotic fluid, and umbilical cord prolapse. If youve had a previous breech baby, you run a somewhat higher chance of subsequent babies turning out breech as well. How long after ECV did you go into labor? ECV does not usually cause labour to begin. But if the baby is still breech between weeks 36 and 38, doctors may recommend trying an ECV or a. Berapa Lama Setelah ECV Apakah Persalinan Dimulai (Dan Mengapa)? The ECV only takes a few minutes, but the entire pre- and post-assessment procedure takes about 1-3 hours. Hey just thought I'd let ppl know I went for the ecv and ill be brutally honest I wish I'd have had the c section, it's was horrible and was told if it hurts well stop, I told them they were really hurting me and they didn't listen they carried on and my belly is serverly bruised, she is now the right way but I have been having contractions since having it done none stop every 15mins for 7 days. Thank you, {{form.email}}, for signing up. It has a 66 percent success rate in general. There are several steps that a healthcare provider will take to perform an ECV, including: A person may experience discomfort during the ECV procedure, particularly if the maneuver causes the uterus to contract. In the active stage, the cervix will open and the length is 6cm to 10cm, making the contractions stronger. Satellites, drones, and real-time data sets will give insurers unprecedented visibility into the risk around facilities, leading to greater accuracy. How late in pregnancy can an ECV be done? Before an ECV can be performed, several other criteria need to be met, including: A contraindication is when a treatment, medication, or procedure is not given or performed because of the potential to cause harm. b Becks8258 Last edited 12/21/22 Hi guys! Immediate induction was associated with higher parity (2.4 vs 1.7, P = . Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. The Best Way To Boost Your Metabolism And Lose Weight, How To Boost Your Metabolism When You Have A Cold, The Metabolism-Boosting Effects Of Hunger. How often does ECV lead to a pregnant person starting labor? Ecv stories positive and negative what were your outcomes?? Dapatkan waktu yang tepat diambil untuk barang-barang Anda. There is hyperextension of the fetal head (e.g., the neck is not in the normal position with the head bent forward and chin tucked into the chest). Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The success rate increases if the mother has previous experience of pregnancy followed by childbirth. These regular contractions cause your cervix to open out also known as dilute and to soften. The last stage of labor is that special time when you will finally deliver your baby after giving a test of your patience. [*] 201 of the primary articles were excluded after further research[*] According to the systematic review, 60 articles were finally included on 39 different contraindications to ECV. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. While it didn't work for me, I'm REALLY glad I still gave it a shot 5 TIMES! It has been successfully carried out in approximately half of all cases. How late can ECV be performed? All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery. Research has shown that planned caesarean section is safer for your baby than a vaginal breech birth. I think Im going to give them one try on Thursday and if he doesnt budge that first time call it quits. Tetapi ada beberapa kasus di mana dokter Anda tidak akan merekomendasikan ECV seperti: Setelah ECV, perkiraan waktu 9 hingga 24 hari diperlukan untuk memulai persalinan, karena pada saat itu, bayi yang terbalik, dalam posisi kepala di bawah perlu beberapa waktu untuk menyesuaikan diri dengan posisi kepala di bawah. Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. If so was it successful and how long after did labor start? Proses persalinan tahap awal bisa memakan waktu berjam-jam hingga berhari-hari. Learn more about. Terbutaline, which is a tocolytic medication, is most commonly used. s. SophieM85. But by 36 weeks, the babies will not change their position frequently and will turn into a head-down position. In cases where a baby is in the breech position at or shortly before term, an external cephalic version should be provided. As a result, if a pregnant woman has a healthy pregnancy and adequate amniotic fluid, ECV is generally safe for most pregnant women. Labor is the process by which the fetus and also the placenta will exit the uterus, thereafter giving birth. How Long A Person Is Infectious After Covid (And Why)? Complications may occur if an external cephalic version is used within 24 hours. The procedure is usually performed during the 37th week of pregnancy, which gives you a better chance of delivering a vaginal birth. Twitter specialist. How long after ECV did labor start? Akan ada kram di kaki Anda. Berapa Lama Seseorang Dapat Berada Di ECMO (Dan Mengapa)? The #1 app for tracking pregnancy and baby growth. The exact answer to this question is between 9 and 24 days after ECV. Can Nipple Stimulation Be Used to Induce Labor? I had it so built up in my head that I thought I would have an emergency C from today. Penting di sini untuk menyebutkan bahwa ECV dilakukan sebagian besar setelah 37 minggu kehamilan. May 25 2022. family farm and home chickens. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000083.pub3/full, https://www.webmd.com/baby/external-cephalic-version-overview. Experts do agree that once engagement has occurred, an ECV should not be performed. This is my second - first birth was natural and easy delivery. Is there, Read More Is Quviviq Covered By InsuranceContinue, Your email address will not be published. It is done by putting pressure on the baby's bottom, which is called the sacrum, and pushing it down and around until the baby's head is in the correct position. A condition that warrants a C-section is present (e.g., placenta previa or placenta abruption). We work hard to share our most timely and active conversations with you. Biasanya sebelum minggu ke-36, bayi mempersiapkan diri untuk persalinan dan membalik posisi kepala ke bawah dan kaki ke atas mengarah ke rahim. How Long After Nesting Does Labor Start (And Why)? If You want convert kilograms to pounds, multiply the kilogram value by 2.2046226218, Thumbuddy To Love is a positive tool that teaches children how to stop thumb sucking, Low flow low gradient aortic stenosis case, 3.2. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery. Find advice, support and good company (and some stuff just for fun). Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. The baby will be turned after about 20 to 25 minutes of the injection. This poses risk by reducing oxygen and the supply of blood to the fetus inside the womb. how long after ecv did labor start. All of them presented in labour, between 9 and 24 days after ECV , and had emergency caesarean delivery. Hi, had the doc try and turn breech baby via ECV today. Cha c sn phm trong gi hng. ECV is usually done after 37 weeks of pregnancy. Others believe that the procedure should not be done before 37 weeks gestation (full-term). Melalui rentang waktu kehamilan pada seorang wanita, bayi di dalam rahim berulang kali mengubah posisinya. The process of the early stage of labor can take time from hours to days. International guidelines state that all women who have an uncomplicated breech pregnancy at term should be offered an ECV. You may be given an injection of tocolytic medicine prior to an ECV to relax your uterus and prevent uterine contractions. This process allows the baby to pass into the birth canal. Nonetheless, there is a one in 200 chance of death. I just wondered if anyone has any experience of having one? There are several criteria that must be met before an ECV will be performed. Bayi-bayi dalam posisi sungsang ini perlu dijungkirbalikkan secara manual oleh dokter, atau bidan agar lebih mudah melahirkan saat persalinan akan dimulai. But there are some cases where your doctor will not recommend an ECV like: After ECV, an estimated time of 9 to 24 days are required for labor to begin, because, by that time, the baby which is turned upside down, in a head-down position needs some time to adjust itself in the head-down position inside the womb of the mother and to prepare itself for labor. In a breech position, it is very complicated to give birth. Complications occurring within 24 hours of external cephalic version (ECV). My doctor says there is no correlation between having the procedure done and going into labor. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. I am a good candidate for an ECV. The drug is classified as terbutaline, which is given orally as an injection just beneath the skin (subcutaneously). Thanks guys, was so anxious for my ECV today but it was for nothing at all. How successful is ECV at 37 weeks? In this time, the water or the amniotic fluid will break if it hasnt broken before. Terbutaline was shown to have a significant impact on the success rate of ECV. This procedure may result in labor or preterm rupture of the membranes (PROM). Pada stadium aktif, serviks akan terbuka dan panjangnya 6 cm sampai 10 cm, membuat kontraksi semakin kuat. 20052023 BabyCenter, LLC, a Ziff Davis company. you have had vaginal bleeding in the previous 7 days. Your abdomen may feel a little bruised for a couple of days but it is safe to take paracetamol. Group Black's collective includes Essence, The Shade Room and Naturally Curly. Meskipun memiliki tingkat keberhasilan, ada beberapa risiko juga. My dr thinks bc of baby being Frank breech, 2nd pregnancy, amount of fluid, etc. Stage 1: Early labor and active labor. A 2004 study published by El-Sayed et al found that patients taking Sublingual Terbutaline had a higher success rate than patients taking IV NTGL. Read more about how MDsave works. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery. Sandeep Bhandari is the founder of ExactlyHowLong.com website. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. During the second try, epidural anesthesia might be used to promote relaxation and relieve pain. Costs range from $3,408 to $5,738. This position can cause problems for the baby during pregnancy or delivery. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. I figured the doc and I gave it our all! The takeaway It's recommended that an. The pregnancy involves multiples (such as twins or triplets). All rights reserved. This procedure may cause labor to start, or cause premature rupture of the membranes (PROM). You may feel some pain or discomfort during the procedure. ECV is usually attempted around the 37-week mark before labor begins, though sometimes a version is tried during labor before your water has broken. Is it normal to feel bruised after an ECV? During ECV, the umbilical cord gets twisted. Thank you! Doc said there's a 3% chance that baby will turn spontaneously, however i expect with baby so firmly insisting on parking it's rear deep in my pelvis that won't happen. But call your doctor right away if you have contractions , bleeding, or you don't feel your baby moving the way you did . OK that sounds really good doesn't it, actually it was 4am the next day 30 hours later, but am convinced that the combo of sweep and sex started it off. This is when a healthcare professional, such as an obstetrician, tries to turn the baby into a head-down position by applying pressure on your abdomen. Allow someone to drive you home from the procedure and stay with you the rest of the day. Out of the 67 cases of successful ECV, five (7.46%) fetuses reverted back to either breech presentation or transverse. I definitely had my husband go with me as one of the small risks is that labor could start or Baby will need to be born via csection because of distress. Results: Of 296 women after successful ECVs, 54 (18.2%) underwent immediate labor induction and 242 (81.8%) were managed expectantly. Caesarean section carries slightly more risk for you than a vaginal birth. Dalam kebanyakan kasus, ECV berhasil sebesar 58%. Berapa Lama Setelah ECV Apakah Persalinan Dimulai? You need to make an appointment. It is always a good idea to consult with your doctor before undergoing any medical procedure because, while an ECV may not be recommended, there may be other reasons. Now, How many lbs is 39 kg? ECV usually takes about 10-15 minutes. External cephalic version (ECV) is a procedure used to turn a breech baby into a head-down position before delivery. External cephalic version (ECV) to turn a breech baby How long does an ECV take? It is a maneuver that is intended to reposition a breech fetus. However, it can be performed right up until the early stages of labour. An ECV may be done if you are between 36 to 38 weeks (near term) in your pregnancy, unless there are reasons not to do it. Secara umum, setelah 36 minggu bayi biasanya berubah menjadi posisi kepala sebelum persalinan dan melahirkan. Conclusion: The use of epidural anesthesia significantly increases the success rate for ECV for breech presentation. Does Working Out Legs Increase Metabolism. Tetapi pada minggu ke 36, bayi tidak akan sering mengubah posisinya dan akan berubah menjadi posisi kepala di bawah. There will usually be an increase in heart rate with fetal movement. External Cephalic Version for Breech Position. I did go into labor after the ECV though (right after). It is a procedure where a baby is turned upside down. Use of this site is subject to our terms of use and privacy policy. Tingkat keberhasilan meningkat jika ibu memiliki pengalaman kehamilan sebelumnya diikuti dengan persalinan. Having lower levels of amniotic fluid has been linked to unsuccessful ECVs, compared with the success of an ECV when amniotic fluid levels are normal. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Setelah tahap awal persalinan, datanglah tahap aktif. Kedua kaki ditekuk di pinggul dan diluruskan di lutut. Required fields are marked *. In the case of amniotic fluid leaks, PROM is the abbreviation for fluid leaking from your amniotic sac before labor is officially begun. Berapa Lama Seseorang Berolahraga (Dan Mengapa)? Can ECV be done at 40 weeks? Im tentatively scheduled for an ECV Thursday at 36 weeks 5 days. Im not sure of dates, but my SIL has had an ECV with both her sons Im pretty sure, both stayed head down and were born via spontaneous labour (no induction or c sect required). If your baby is in a breech position at 36 weeks, youll usually be offered an external cephalic version (ECV). 34 weeks preg with 2nd baby and getting pressure and pains "down below". How successful is ECV at 37 weeks? First Response pregnancy test very faint line. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. Do Men Still Wear Button Holes At Weddings? Close fetal monitoring is necessary during a version procedure because while it is rare, there can be complications. ECV is done in the hospital and staff will let you know when and where it will be done. We keep them up because there are a ton of great conversations here and we believe you deserve to see them all. Setelah ECV, perkiraan waktu 9 hingga 24 hari diperlukan untuk memulai persalinan, karena pada saat itu, bayi yang terbalik, dalam posisi kepala di bawah perlu beberapa waktu untuk menyesuaikan diri dengan posisi kepala di bawah. Motor insurance premiums now cost an average of 600 after dropping by more than a quarter in, Read More Has Car Insurance Gone Up 2022 IrelandContinue, What is the price of Quviviq? A small number of women may experience bleeding behind the placenta and/or damage to the womb. The Successful ECV Group versus the Control Group, 3.3. How does technology impact the insurance industry? The monitoring and scans made it easy to see all was fine with Bub and the actual turning took about 10 seconds. Jawaban pasti untuk pertanyaan ini adalah antara 9 dan 24 hari setelah ECV. Thank You. External cephalic version (EVC) is a procedure performed at 36 or 37 weeks to turn a baby who's breech or lying on her side to the optimal head-down position prior to labor. If the ECV works well, a vaginal delivery is more likely. She has worked in the hospital setting and collaborated on Alzheimer's research. External cephalic version (ECV) ECV is one way to turn a baby from breech position to head down position while it's still in Explained by FAQ Blog Last Update: October 15, 2022 There is no one definitive answer to this question. The monitoring and scans made it easy to see all was fine with Bub and the actual turning took about 10 seconds. How long after ECV did labor start? If the fetal heart rate does not respond normally to activitysuch as when the heart rate drops and fetal distress is detectedthe version procedure is stopped and other measures, such as a C-section, might need to happen next. An external cephalic version (ECV) of a baby can save a life when labor is not progressing or when the baby is in distress. Walking after the C-section is important to speed recovery and pain medication may be supplied too as recovery takes place. The first stage takes more time than the other stages. Contraindications for an ECV procedure include: The overall risk of harm to the fetus and pregnant person is considered very low as long as fetal monitoring is used during the version procedure. What to Expect has thousands of open discussions happening each day. All of them presented in labour, between 9 and 24 days after ECV, and had emergency caesarean delivery. That was successful but I was so afraid that she would turn afterward so I was induced immediately following it. ECV juga dikenal sebagai versi cephalic eksternal. Read our. Sau ECV, thi gian c tnh l t 9 n 24 ngy bt u chuyn d, bi v, vo thi im , em b b ln ngc, t th ci u cn mt thi gian t iu chnh t th u ci xung. you have had vaginal bleeding in the past 7 days. About one in 200 babies need to be delivered by emergency caesarean section immediately after an ECV as a result of these complications. I will be 36+2 on fri and have been told that often baby comes within 10 days of the procedure which i'd be delighted with. We strive to provide you with a high quality community experience. After 38 weeks of pregnancy, your baby might be running out of room in the womb, which makes moving them difficult. This is done by putting pressure on the babys bottom, and sometimes adding a medication to help relax the muscles. However, it can be performed right up until the early stages of labour. What symptoms did people have just before labour began? Five out of 67 successful ECV cases (34.4%) reverted to either transverse or breech presentation. What can I expect during an ECV? Epidural analgesia is costly and invasive, but may be advised in selected patients who do want labor induction or cesarean section just after the ECV. ECV is usually attempted around the 37-week mark before labor begins, though sometimes a version is tried during labor before your water has broken. Most babies settle into this position on their own within the 32nd and 36th weeks of pregnancy. An ECV can usually be avoided by a healthy pregnant woman if she has sufficient amniotic fluid. External cephalic version (ECV). The first stage of labor and birth occurs when you begin to feel persistent contractions. The #1 app for tracking pregnancy and baby growth. I was 37 weeks, with my 3rd pg, and it worked straight away. my 10lbs. The baby will be delivered before you can fully recover from the surgery. what foods to avoid after bbl how long after ecv did labor start. Between 9 and 24 days following ECV, they all went into labor and all underwent emergency cesarean deliveries. Thanks guys, was so anxious for my ECV today but it was for nothing at all. Dari awal persalinan hingga mencapai tahap akhir persalinan, dibutuhkan waktu. This is usually done at around week 37 of pregnancy. According to researchers in Australia, in approximately 1 in 1,000 ECV procedures, the pregnant person will go into labor. Will keep posted bout mw Tomoz x. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. An ECV can be performed from 34 to 37 weeks gestation, or even during labor. For some conditions, there might be a need for a C- section. Selama ECV, tali pusat terpelintir. In auto insurance, risk will shift from drivers to the artificial intelligence (AI) and software behind self-driving cars. The doctor manually tries to turn the baby (on the outside). In rare cases, it can cause changes in your baby's heart rate, tearing of the placenta, and preterm labor. I remember that feeling so well. :). Create an account or log in to participate. ECV is usually performed after 36 or 37 weeks of pregnancy. It's not currently available in generic form. ECV is usually not painful, but you may feel pressure and some discomfort. An ECV can be performed from 34 to 37 weeks gestation, or even during labor. Factors Influencing Mode of Delivery in the ECV Group, Metronidazol 500 mg para que sirve en hombres, Como se que mi bebe es intolerante ala lactosa, How long does 4 wisdom teeth removal take. v ValerieKA Posted 10/29/18 I'm tentatively scheduled for an ECV Thursday at 36 weeks 5 days. If your baby remains breech towards the end of pregnancy, you should be given the option of a caesarean section. 2017;2017:1-6. doi:10.1155/2017/3028398. How soon after an ECV did you go into labor? I'm 35wks & baby is breech so I have an appt at 36wks to see if still breech & they will offer an ECV if it is. This procedure may cause labor to start, or cause premature rupture of the membranes (PROM). This is such a di. It reduces the number of babies in the breech position at full term, and the number of caesarean sections. I had an ECV with my second who was also Frank breech. I know ECVs don't start labor but I didn't know how long it takes for them to drop once they finally turn. A pregnant person cannot take medications (such as tocolytic medications to prevent uterine contractions) because they have a medical condition (such as a cardiac condition). I'm just so tired now. Daridorexant: a breakthrough for insomnia treatment in Europe? Its definitely not an easy decision. During the procedure, the fetal heart rate is closely monitored with an electronic fetal heart rate monitor. Is hard work induced after ECV?

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