Pregnant women's preferences and knowledge of term breech management, in an Australian setting.
Midwifery
; 20(2): 181-7, 2004 Jun.
Article
em En
| MEDLINE
| ID: mdl-15177862
ABSTRACT
OBJECTIVE:
To assess women's familiarity with breech presentation and external cephalic version (ECV), and to identify women's preferences and attitudes regarding breech management.DESIGN:
Cross-sectional survey.SETTING:
King George V (KGV) Memorial Hospital for Mothers and Babies, Sydney, Australia, a major metropolitan teaching hospital. POPULATION 174 pregnant women (20-38 weeks gestation) attending KGV for antenatal care in 2001.METHODS:
Data were obtained from a self-administered questionnaire that was distributed through the antenatal clinics. MAIN OUTCOMEMEASURES:
Women's familiarity of breech presentation and ECV, women's attitude towards ECV, decision to attempt ECV, and with whom participants would like to make a decision regarding ECV.FINDINGS:
Of the 174 respondents, 85% could correctly identify breech presentation, and 66% had heard of ECV. For 87% this information was from books, and family/friends, and not their midwife/doctor. Equal numbers of women responded that they would or would not choose ECV (39%), and the remaining 22% were uncertain. Factors influencing their decision included concerns about the safety for the baby, ECV not guaranteeing vaginal birth despite successful version, and ECV not being effective enough. Seventy-two per cent wanted to make the decision to attempt ECV together with their doctor.CONCLUSION:
Although the majority of the women had a preference for vaginal birth, their knowledge of ECV appeared insufficient to enable them to make informed decisions about attempting ECV. These findings suggest that care-providers should offer women information on ECV, in a shared-decision-making environment.
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Base de dados:
MEDLINE
Assunto principal:
Versão Fetal
/
Apresentação Pélvica
/
Conhecimentos, Atitudes e Prática em Saúde
/
Tomada de Decisões
/
Mães
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article