Rebozo and External Cephalic Version in breech presentation (RECEIVE): A randomised controlled study.

Autor: de Wolff MG; Department of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark.; Department of Obstetrics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark., Ladekarl M; Department of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark.; Research Unit for Dietary Studies, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark., Sparholt L; Department of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark., Lykke JA; Department of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark.; Department of Obstetrics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2022 Sep; Vol. 129 (10), pp. 1666-1675. Date of Electronic Publication: 2022 Mar 08.
DOI: 10.1111/1471-0528.17111
Abstrakt: Objective: To investigate if a hospital-initiated home-based rebozo intervention performed by the pregnant woman and her partner before external cephalic version (ECV) would increase the rate of cephalic presentations at birth.
Design: A multicentre randomised controlled trial.
Setting: Three university hospitals in Copenhagen, Denmark.
Population: Pregnant women with a breech or transverse presentation at 35 weeks or more of gestation eligible for ECV.
Methods: We compared rebozo before ECV with ECV alone. The randomisation was computer-generated in blocks and stratified by parity. The woman and her partner were instructed in the technique by a project midwife and performed the technique at home three times daily for 3-5 days before the scheduled ECV. Analyses were by intention-to-treat.
Main Outcome Measure: The number of cephalic presentations at the time of birth. Odds ratios (OR) and 95% confidence intervals (CI) were calculated.
Results: A total of 372 women were randomly assigned (1:1) to either rebozo intervention (n = 187) or control (n = 185). At birth, 95 (51%) in the intervention group versus 112 (62%) in the control group had a fetus in cephalic presentation (OR 0.61; 95% CI 0.40-0.95). No adverse events were observed in relation to the intervention.
Conclusions: In breech or transverse presentation, home-based rebozo exercise before ECV lowered the overall rate of cephalic presentation at birth.
Tweetable Abstract: Home-based rebozo for breech presentation before external version reduces the rate of cephalic presentation at birth.
(© 2022 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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