Breech Presentation, Twin; Complicating Pregnancy
Conditions
Brief summary
A prospective study assessing the use of external cephalic version for the management of Twin A breech presentation in twin pregnancy.
Detailed description
The primary goal of the study is to determine the success rate of Twin A external Cephalic Version in our obstetric clinic and to determine new favorable sonographic criteria associated with a successful attempt that have not been investigated before.
Interventions
External Cephalic Version Twin A
Sponsors
Charite University, Berlin, Germany
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Presence of the written consent of the patients. * The patients must be over 18 years old . * No limit in the ability to consent.
Exclusion criteria
* Age under 18 * Limited ability to consent * Placenta previa * Fetal abnormalities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of external cephalic version Twin A | 4 hours after external cephalic version | Mean Percentage (Range 0-100) - Successfully performed external cephalic Versions / Total number of participants |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fetal Doppler Umbilical Pulsatility Index | 30 Minutes before external cephalic version | Index mesurent /Ratio |
| Fetal Doppler Umbilical Resistance Index | 30 Minutes before external cephalic version | Index mesurent /Ratio |
| Incidence of pathological cardiotocogramm | 60 Minutes after external cephalic version | Numerical percentage |
| Incidence of emergency delivery | 60 Minutes after external cephalic version | Numerical percentage |
| Fetal weight | 30 Minutes before external cephalic version | Measurement in grams |
| Incidence of contractions | 60 Minutes after external cephalic version | Numerical percentage |
| Incidence of rupture of membranes | 60 Minutes after external cephalic version | Numerical percentage |
| Pain scores | 60 Minutes after external cephalic version | Numerical score: Pain scale Linkert score. (0-10 with 10 being extremely painful) |
| Mode of Delivery | 6 weeks after delivery | Type of delivery (vaginal or caesarean) |
| Incidence of bleeding | 60 Minutes after external cephalic version | Numerical percentage |
Countries
Germany
Contacts
Primary ContactLarry Hinkson, FRCOG
Outcome results
None listed