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A prospective study assessing the use of external cephalic version for the management of breech presentation in pregnancy.
The primary aim of the study is to determine the success rate of external cephalic version for breech presentation from 36 gestational weeks.
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| Measure | Description | Time Frame |
|---|---|---|
| Success rate of external cephalic version | Mean Percentage (Range 0-100) - Successfully performed external cephalic Versions / Total number of participants, | 4 hours after external cephalic version |
| Measure | Description | Time Frame |
|---|---|---|
| Sonographic Fetal Parameters: Head Circumference | Measurements in mm | 30 Minutes before external cephalic version |
| Sonographic Fetal Parameters: Abdominal Circumference | Measurements in mm |
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Inclusion Criteria:
Exclusion criteria:
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All patients presenting with breech presentation to the antenatal clinic
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Larry Hinkson, FRCOG | Contact | 0049 (0)30450564015 | Larry.Hinkson@charite.de |
| Name | Affiliation | Role |
|---|---|---|
| Larry Hinkson, FRCOG | Consultant in Obstetrics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Charité University Hospital | Recruiting | Mitte | 10117 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10796122 | Background | Hofmeyr GJ, Kulier R. External cephalic version for breech presentation at term. Cochrane Database Syst Rev. 2000;(2):CD000083. doi: 10.1002/14651858.CD000083. | |
| 26942387 | Result | American College of Obstetricians and Gynecologists' Committee on Practice Bulletins--Obstetrics. Practice Bulletin No. 161: External Cephalic Version. Obstet Gynecol. 2016 Feb;127(2):e54-61. doi: 10.1097/AOG.0000000000001312. |
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| ID | Term |
|---|---|
| D001946 | Breech Presentation |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| 30 Minutes before external cephalic version |
| Sonographic Fetal Parameters: Femur length | Measurements in mm | 30 Minutes before external cephalic version |
| Sonographic Fetal Parameters: Amniotic Fluid | Measurements in mm | 30 Minutes before external cephalic version |
| Fetal Doppler Indices middle cerebral | Index Measurements/Ratios | 30 Minutes before external cephalic version |
| Fetal Doppler Indices Umbilical Pulsatility Index | Index Measurements/Ratios | 30 Minutes before external cephalic version |
| Fetal Doppler Indices Umbilical Resistance Index | Index Measurements/Ratios | 30 Minutes after external cephalic version |
| Maternal Doppler Indices Uterine artery Right | Index Measurements/Ratios | 30 Minutes before external cephalic version |
| Maternal Doppler Indices Uterine artery Left | Index Measurements/Ratios | 30 Minutes after external cephalic version |
| Bladder volume | Volume measurement | 30 Minutes before external cephalic version |
| Distance Symphysis to Breech | mm | 30 Minutes before external cephalic version |
| Depression and Anxiety Stress scale score | A scale score with a range from 0 to 42 (0-10 is normal and 35-42 extremely severe) | 60 minutes before external cephalic version |
| Depression and Anxiety Stress scale score | A scale score with a range from 0 to 42 (0-10 is normal and 35-42 extremely severe) | 120 Minutes after external cephalic version |
| Fetal reflexes | Percentage | 30 Minutes before external cephalic version |
| Mode of delivery | Type of delivery Vaginal or Caesarean | 6 weeks after delivery |
| Incidence of fetal extended legs | Numerical percentage | 30 Minutes before external cephalic version |
| Incidence of bleeding | Numerical percentage | 30 minutes after external cephalic version |
| Incidence of ruptured membranes | Numerical percentage | 30 minutes after external cephalic version |
| Incidence of pathological Cardiotocogram | Numerical percentage | 30 minutes after external cephalic version |
| Incidence of emergency delivery | Numerical percentage | 30 minutes after external cephalic version |
| Pain scores | Numerical score. Pain scale Linkert score. (0-10 with 10 being extremely painful) | 30 minutes after external cephalic version |
| Incidence of tocolysis | Numerical percentage | 30 minutes after external cephalic version |
| Incidence of umbilical cord looping | Numerical percentage | 30 Minutes before external cephalic version |
| 28299867 | Result | External Cephalic Version and Reducing the Incidence of Term Breech Presentation: Green-top Guideline No. 20a. BJOG. 2017 Jun;124(7):e178-e192. doi: 10.1111/1471-0528.14466. Epub 2017 Mar 16. No abstract available. |
| 35344082 | Derived | Schauer M, Latartara E, Alonso-Espias M, Rossetti E, Gebert P, Henrich W, Hinkson L. Depression, anxiety and stress in women with breech pregnancy compared to women with cephalic presentation-a cross-sectional study. Arch Gynecol Obstet. 2023 Feb;307(2):409-419. doi: 10.1007/s00404-022-06509-0. Epub 2022 Mar 27. |