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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trendelenburg | Active Comparator | Women positioned in the trendelenburg position during external cephalic version. |
|
| Control | No Intervention | Women positioned on their back during external cephalic version. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trendelenburg positioning | Other | Women positioned in the trendelenburg position prior to external cephalic version |
|
| Measure | Description | Time Frame |
|---|---|---|
| External cephalic version success | The rate of successful external cephalic version | Up to 10 minutes from the beginning of external cephalic version. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | Visual analog scale scoring from 0-10 during and following the procedure. | Up to 2 hours from the beginning of external cephalic version. |
| Placental abruption | Rate of clinical placental abruption |
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Inclusion Criteria:
Exclusion Criteria:
Female
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Roy Lauterbach, MD | Contact | +972-52-9432416 | r_lauterbach@rmc.gov.il |
| Name | Affiliation | Role |
|---|---|---|
| Roy Lauterbach, MD | Rambam healthcare campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam health care campus | Recruiting | Haifa | Israel |
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| ID | Term |
|---|---|
| D018475 | Head-Down Tilt |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Up to 1 week from the beginning of external cephalic version. |
| Vaginal delivery | Rate of vaginal deliveries | Up to 4 weeks from the beginning of external cephalic version. |
| Cesarean delivery | Rate of cesarean deliveries | Up to 4 weeks from the beginning of external cephalic version. |