Clinical obstetrics: in the management of breech presentations Pregnancy and Childbirth Maternal care for breech presentation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women from 36 weeks and beyond about to undergo external cephalic version 2. Viable Singleton with breech presentation 3. Gestation = 36 weeks ( check for early confirmation of Gestational Age) 4. Intact membranes 5. Not in established labour ( contractions and cervix = 3cm dilated)
Exclusion criteria
Exclusion criteria: 1. Known gross fetal anomaly 2. Severe hypertension ( = 160/110 mmHg or confirmed per-eclampsia) 3. IUGR ( EFW 4 kg 8.3. Uterine anomaly (small fibroids not causing obstruction are acceptable) 8.4. Obstructive pelvic tumour
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 03/01/2013: 1. Procedure satisfaction score by Visual Numerical Rating Scale (VNRS) 2. Success rate of external cephalic version Previous primary outcome measures until 03/01/2013: 1. Procedure pain score by Visual Numerical Rating Scale (VNRS) 2. Success rate of external cephalic version | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Provider's satisfaction with powder or gel using VNRS. 2. Post ECV CTG anomalies 3. Cephalic presentation at Birth 4. Caesarean delivery rate 5. Neonatal Outcome (SCN admission, Apgar score, cord pH) 6. Mode of delivery | — |
Countries
Malaysia