Trendelenburg Positioning and External Cephalic Version Outcome

The Effect of Trendelenburg Positioning on External Cephalic Version Outcome

Women at term (over 37 weeks) that are candidates for external cephalic version will be positioned in the trendelenburg position 5 minutes prior to external cephalic version performance and during the procedure. The control group will not be positioned differently than usual. We will evaluate external cephalic version success and compare the 2 groups.

This is a randomized controlled trial that is designed to compare external cephalic version success between women positioned in the trendelenburg position 5 minutes prior to external cephalic version performance and during the procedure and a control group of women that will lie on their back without special positioning.

The women that are eligible for participation will receive a thorough explanation and will sign informed consent.

Inclusion Criteria:

• Women interested in having external cephalic version at a gestational age of 37+0/7 or more.

Exclusion Criteria:

• Age 18 and under.
• Women with a body mass index 35 or higher.
• Women with a previous cesarean section.
• Women with premature rupture of membranes.
• Women with vaginal bleeding.
• Women with a previously failed external cephalic version.