Breech Presentation; Before Labor
Conditions
Keywords
breech presentation, external version, spinal anaesthesia
Brief summary
This study evaluates the potential benefits of spinal anaesthesia for nulliparous mothers scheduled for external version of babies in breech position.
Detailed description
Fetuses in breech position are almost always delivered by Caesarian section (CS). If the fetus is in breech position by the end of pregnancy, attempts for external cephalic version (ECV) are usually made. The success rate of ECV in nulliparous women is lower than in multiparous women. There are studies showing a higher rate of successful ECV's if the mother received a low dose spinal anaesthesia (SA). Overall maternal satisfaction was higher with SA. These studies, however, did not take parity into account. The primary aim of this study is to see if SA can increase the rate of successful ECV's in nulliparous women. The secondary aims are to evaluate if maternal satisfaction increases and if the rate of CS is decreasing using SA during ECV.
Interventions
PROCEDURESpinal Anaesthesia
Spinal anaesthesia with Bupivacain 2.5 mg and Sufentanil 5 µg
Sponsors
Region Skane
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pregnant nulliparous women. * Breech presentation of fetus, eligible for external version.
Exclusion criteria
* Unwilling to participate. * Unable to understand written and oral Swedish in the absence of interpreter. * Contraindications to spinal anaesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| External version success rate | 1 hour | Rate of successful version as assessed by gynaecologist after maximum three attempts. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall maternal satisfaction post external version attempt | 1 hour | Evaluation of overall participant satisfaction using an online assessment questionnaire within an hour from the external version attempts. |
| Overall maternal satisfaction post partum | 3 months | Evaluation of overall participant satisfaction using an online assessment questionnaire within 3 months from the external version attempts (within 2 months post partum) |
| Caesarian section rate | 1 months | The mode of delivery, assessed from the medical charts after delivery. |
Countries
Sweden
Outcome results
None listed