Implementation of external cephalic version in obstetric care in The Netherlands.
Conditions
Interventions
In the first two phases of the study, a omplementation plan will be developed. The regions of the participating hospitals will be randomized either to the control group, or to the group starting to wo
Sponsors
Prof. dr. BW Mol
Academic Medical Center
dept. obstetrics & gynaecology,
Room H4-213
Meibergdreef 9
1105 AZ Amsterdam
The Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: The proposal will contain three phases. In the first phase, we will identify facilitators and barriers of implementation of ECV. Subsequently, we will develop an implementation strategy targeted on patient counselling and information of health care providers, and evaluate the cost-effectiveness of the developed strategy. All hopsitals in midwife practices in The Netherlands are potential candidates for the randomized controlled trial of the implementation developes model.
Exclusion criteria
Exclusion criteria: N/A
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are guidelines’ adherence rates, complications at ECV, the number of children that is in cephalic position at delivery, the number of caesarean sections and the perinatal condition of mother and child. Moreover, we will assess patient knowledge (e.g. ECV, breech delivery, caesarean section), patient decisional conflict and patient satisfaction. We will also calculate costs of both implementation interventions and medical interventions. In case one or both implementation interventions are effective, their cost-effectiveness will be assessed. | — |
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint is the number of patients that has an ECV performed. | — |
Contacts
Public ContactF. Vlemmix
Academic Medical Center (AMC) Dept Gynaecology & Obstetrics, H4-140.1 Meibergdreef 8
Outcome results
None listed