Amnioinfusion for women with a singleton breech presentation and a previous failed external cephalic version: a randomized controlled trial
| Autor: | Victoire Weymuller, Bruno Giraudeau, Elsa Tavernier, Norbert Winer, Celine Descriaud, Caroline Diguisto, Franck Perrotin |
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| Přispěvatelé: | Université Francois Rabelais [Tours], Physiopathologie des Adaptations Nutritionnelles (PhAN), Université de Nantes (UN)-Institut National de la Recherche Agronomique (INRA), Centre Hospitalier Régional d'Orléans (CHRO), Centre d’Investigation Clinique [Tours] CIC 1415 (CIC ), Centre Hospitalier Régional Universitaire de Tours (CHRU Tours)-Hôpital Bretonneau-Université de Tours-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Recherche Agronomique (INRA)-Université de Nantes (UN), Centre Hospitalier Régional Universitaire de Tours (CHRU Tours)-Hôpital Bretonneau-Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Breech presentation Sodium Chloride law.invention Amnioinfusion 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy law medicine randomized trial Humans cephalic presentation 030212 general & internal medicine Version Fetal external cephalic version 030219 obstetrics & reproductive medicine Singleton business.industry Cephalic presentation Obstetrics and Gynecology Delivery Obstetric medicine.disease 3. Good health Surgery External cephalic version Pediatrics Perinatology and Child Health Female [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business amnioinfusion [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Journal of Maternal-Fetal and Neonatal Medicine Journal of Maternal-Fetal and Neonatal Medicine, Taylor & Francis, 2018, 31 (8), pp.993-999. ⟨10.1080/14767058.2017.1304909⟩ |
| ISSN: | 0046-5712 1476-7058 |
| DOI: | 10.1080/14767058.2017.1304909⟩ |
| Popis: | Our trial aimed to assess the effectiveness of amnioinfusion for a second attempt at external cephalic version (ECV).This open randomized controlled trial was planned with a sequential design. Women at a term ≥36 weeks of gestation with a singleton fetus in breech presentation and a first unsuccessful ECV were recruited in two level-3 maternity units. They were randomly allocated to transabdominal amnioinfusion with a 500-mL saline solution under ultrasound surveillance or no amnioinfusion before the second ECV attempt. Trained senior obstetricians performed all procedures. The primary outcome was the cephalic presentation rate at delivery. Analyses were conducted according to intention to treat (NCT00465712).Recruitment difficulties led to stopping the trial after a 57-month period, 119 women were randomized: 59 allocated to amnioinfusion + ECV and 60 to ECV only. Data were analyzed without applying the sequential feature of the design. The rate of cephalic presentation at delivery did not differ significantly according to whether the second version attempt was or was not preceded by amnioinfusion (20 versus 12%, p = .20). Premature rupture of the membranes occurred for 15% of the women in the amnioinfusion group.Amnioinfusion before a second attempt to external version does not significantly increase the rate of cephalic presentation at delivery. |
| Databáze: | OpenAIRE |
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