Breech Presentation in Pregnancy, External Cephalic Version
Conditions
Keywords
Breech presentation, Pregnancy, External cephalic version, Mindfulness intervention
Brief summary
The study is a randomized controlled trial examining the effectiveness of a short mindfulness-based intervention on the success rate of external cephalic version in pregnant women with breech presentation. It is hypothesized that this intervention will increase the ECV success rate and decrease the pain experienced after the ECV.
Interventions
The intervention includes a short mindfulness-based intervention with a duration of 5 minutes. It involves a sitting mediation focused on breath adapted from the existing protocols of the Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT). The intervention is audio-guided and will be delivered via headphones.
Sponsors
Study design
Intervention model description
Randomization stratified for parity.
Eligibility
Inclusion criteria
* Pregnant women (18+y). * With a breech presenting fetus undergoing external cephalic version. * Dutch/English-speaking or understanding Dutch/English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-intervention external cephalic version success rate | 1 hour after enrollment (i.e., in hospital, after intervention and external cephalic version) | The success rate of the external cephalic versions (successful/not successful) will be compared between the intervention and control group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-intervention pain perception | 1 hour after enrollment (i.e., in hospital, after intervention and external cephalic version) | The pain experienced during the external cephalic version will be assessed with a visual analogue scale (VAS). The mean/median VAS scores will be compared between the intervention and control group. The scores range between 0 and 10, with a higher score indicating more experienced pain. |
| Post-intervention comfort | 1 hour after enrollment (i.e., in hospital, after intervention and external cephalic version) | Comfort during the external cephalic version will be assessed with a visual analogue scale (VAS). The mean/median VAS scores will be compared between the intervention and control group. The scores range between 0 and 10, with a higher score indicating more comfort. |
Countries
Netherlands