An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives.
BJOG
; 123(3): 415-23, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-25639281
ABSTRACT
OBJECTIVE:
To evaluate the success of an external cephalic version (ECV) training programme, and to determine the rates of successful ECV, complications, and caesarean birth in a low-risk population.DESIGN:
Prospective observational study.SETTING:
Primary health care and hospital settings throughout the Netherlands (January 2008-September 2011). POPULATION Low-risk women with a singleton fetus in breech presentation, without contraindications to ECV, were offered ECV at approximately 36 weeks of gestation.METHODS:
Data were collected for all ECVs performed by midwives, and were entered into a national online database. MAINMEASURES:
Successful ECV was defined as the fetus having a cephalic presentation immediately following the procedure and at birth. Complications were observed at ≤ 30 minutes and between 30 minutes and 48 hours after the ECV procedure. All serious pregnancy outcomes that occurred after the ECV procedure until birth were reported.RESULTS:
A total of 47% had a successful ECv and a cephalic at the time of birth 34% of nulliparous and 66% of multiparous women. After ECV, 57% of women gave birth vaginally 45% of nulliparous women and 76% of multiparous women. Within 30 minutes after ECV, and between 30 minutes and 48 hours after ECV, the proportion of women experiencing a complication or serious pregnancy outcome was 0.9% and 1.8%, respectively. Serious pregnancy outcome at any time following ECV until birth was experienced by 58 (2.5%) of the women.CONCLUSIONS:
The success rate of ECVs performed by trained midwives in primary health care or hospital settings is comparable with that of other providers, and the procedure is safe for low-risk women.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Versão Fetal
/
Apresentação Pélvica
/
Tocologia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
BJOG
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Holanda