External cephalic version for breech presentation at term: predictors of success, and impact on the rate of caesarean section
| Autor: | M M Abdel-Fattah, M A Mahmoud, O A Hussin |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Gynecology
medicine.medical_specialty Pregnancy Obstetrics business.industry Vaginal delivery medicine.medical_treatment General Medicine medicine.disease Tertiary care female genital diseases and pregnancy complications Breech presentation External cephalic version medicine Caesarean section Prospective cohort study business reproductive and urinary physiology Cohort study |
| Zdroj: | Eastern Mediterranean Health Journal. 19:162-166 |
| ISSN: | 1687-1634 1020-3397 |
| Popis: | The incidence of caesarean section for breech presentation has increased markedly in the last 20 years. A prospective, interventional cohort study was carried out of the success rate of external cephalic version (ECV) and its predictors of as well as its impact on the rate of caesarean section for vaginal breech delivery. All 128 women admitted during the study period to the obstetrics department of a tertiary care military hospital in Taif, Saudi Arabia with breech presentation at term, regardless of age and parity, who accepted ECV were recruited. ECV was successful in 53.9% of the women. Most of the women with successful ECV delivered normally (84.1%) and only 14.5% of them delivered by caesarean section. Conversely, normal vaginal delivery was reported among 8.5% of those who had spontaneous version with failed ECV and approximately two-thirds of them delivered by caesarean section (62.7%). Successful ECV reduced the breech and caesarean section rate. |
| Databáze: | OpenAIRE |
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