Extracephalic versions are recommended by the American College of Obstetricians and Gynecologists for breech presentation to reduce the incidence of cesarean delivery. While that recommendation is clear, there is less consensus regarding anesthetic management, specifically whether or not an anesthetic should be performed to facilitate the procedure, and if so, of which type. In this infographic, we review a recent network meta-analysis that identifies high-quality studies performed to evaluate the impact of anesthetic choice on clinical outcomes for extracephalic versions.
1. American College of Obstetricians and Gynecologists. External cephalic version. ACOG Practice Bulletin No. 221. Obstet Gynecol. 2020;135:e203–e212.
2. Hao Q, Hu Y, Zhang L, et al. A systematic review and meta-analysis of clinical trials of neuraxial, intravenous and inhalational anesthesia for external cephalic version. Anesth Analg. 2020;131:1800–1811.