Investigating Women's Views on the Management of a Breech Pregnancy

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02082795

Enrollment

Registered

2014-03-10

Start date

2014-03-31

Completion date

2014-08-31

Last updated

2014-03-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Presentation; Breech, Complicating Pregnancy

Keywords

Breech presentation, External cephalic version, Anaesthesia, Qualitative, Pregnancy

Brief summary

The investigators aim to perform a qualitative study to explore the views of women with a breech presentation on their management in general, and the use of anaesthesia or analgesia for ECV in particular.

Detailed description

Background Women undergo external cephalic version (ECV) in order to turn a baby in a breech (bottom, or feet down) presentation to a head down position. The procedure traditionally has about a 40% success rate and may be painful, issues that recent literature suggests puts some women off. Pain relief using a short acting morphine-like painkiller, called remifentanil, can significantly reduce the pain experienced but does not seem to improve ECV success rates. Alternatively, a spinal anaesthetic (similar to that used for a caesarean section) can be used. This increases success rates to around 60% and very effectively reduces pain; however, it is an invasive procedure with potential complications and requires a hospital stay of at least half a day. Aims and objectives The investigators aim to perform a qualitative study to explore the views of women with a breech presentation on their management in general, and the use of anaesthesia or analgesia for ECV in particular. Methods The investigators will use a semi-structured interview to explore the views of 10-15 expectant mothers recruited from the Breech Clinic at Chelsea and Westminster Hospital. Interviews will be recorded and then transcribed for thematic analysis by two researchers. Dissemination of output To our knowledge, this will be the first report on how women view the use of regional anaesthesia and remifentanil analgesia for ECV. In addition, we will add the views of our patient population to the existing literature concerning the management of ECV in general. The investigators anticipate that this information will be used to plan services and to guide future research.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Breech presentation * eligible for an external cephalic version attempt

Exclusion criteria

* Multiple pregnancy * Previous caesarean section * English not sufficient to carry out the interview

Design outcomes

Primary

Measure	Time frame	Description
Mothers' opinions on anaesthesia for external cephalic version	Immediate	This is a qualitative study using information gathered during a semi-structured interview. All information will be gathered at the time of the interview. There will be no other followup.

Secondary

Measure	Time frame	Description
Mothers' opinions on management of breech presentation	Immediate	This is a qualitative study using information gathered during a semi-structured interview. All information will be gathered at the time of the interview. There will be no other followup.

Countries

United Kingdom

Contacts

Primary ContactAngus Rivers, MBBS BSc

angusrivers@outlook.com

Outcome results