O32.1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - BMI: 18.5 - 30 - Pregnant women in the 34th - 36th week of pregnancy - First-time mothers - Single pregnancy - Fetus in breech presentation - Estimated minimum foetal weight = 2500 g - Adequate foetal weight gain - Consent
Exclusion criteria
Exclusion criteria: - Lack of consent - Multiple pregnancies - Known malformations of the pelvis, spine and uterus - Previous pelvic operations - Growth retardation of the foetus (<10th percentile) - Contraindications for MRI (e.g. metal implants, claustrophobia) - Pre-existing or obstetrically relevant diseases (e.g. diabetes, pre-eclampsia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Change in pelvimetry (ITA, CVO, symphysis width, pubic bone angle) in different positions •Absolute and relative differences in the various pelvic measurements depending on the examination position •Description of the variances of the various values | — |
Secondary
| Measure | Time frame |
|---|---|
| • Mode of birth (manoeuvres, indications for interventions-sectio) • Birth process, birth posture • Fetal outcome (birth weight, head circumference, length, APGAR, birth injuries, pH) • Maternal outcome (birth injury) • Pelvic floor (pelvic floor muscles - volumes / diameter) | — |
Countries
Germany
Contacts
Goethe Universität Frankfurt am Main