Height of elevated fetal buttock for prediction of successful external cephalic version
| Autor: | Jung Yeol Han, Min Hyoung Kim, Hyun-Mee Ryu, Jin Hoon Chung, Yeorae Kim, In Sook Sohn, Jun Yi Lee, Sung-Hong Joo, Moon Young Kim, You Jung Han |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Obstetrics medicine.medical_treatment Predictive value Obstetrics and Gynecology Breech presentation Pubic symphysis Odds ratio lcsh:Gynecology and obstetrics Confidence interval Fetal buttock Maternal-Fetal Medicine medicine.anatomical_structure External cephalic version medicine Original Article Amniotic fluid index Ultrasonography business Prospective cohort study lcsh:RG1-991 |
| Zdroj: | Obstetrics & Gynecology Science Obstetrics & Gynecology Science, Vol 63, Iss 1, Pp 13-18 (2020) |
| ISSN: | 2287-8580 2287-8572 |
| Popis: | Objective To increase the rate of successful external cephalic version (ECV) and to minimize the complications, it is important to identify the predictors of success. Therefore, the purpose of this study was to investigate whether the height of the elevated fetal buttock (HOB) is a valuable predictor of successful ECV or not. Methods This prospective study was conducted from August 2016 to June 2018. A total of 139 pregnant women with breech presentation were enrolled in the study. HOB from the maternal pubic symphysis was measured on ultrasonography. The predictability and cut-off value of HOB for successful ECV were evaluated. Results Among the 139 patients, 114 (82%) had successful ECV. The adjusted odds ratio for multiparity, amniotic fluid index (AFI) >14 cm, and HOB >7.8 cm were 10.80 (95% confidence interval [CI], 1.57-74.94), 5.26 (95% CI, 1.06-26.19), and 10.50 (95% CI, 1.03-107.12), respectively. Areas under the curve (AUCs) for AFI, HOB, and parity were 0.66 (95% CI, 0.54-0.78), 0.74 (95% CI, 0.64-0.85), and 0.69 (95% CI, 0.62-0.76), respectively. HOB had the largest AUC, but there were no significant differences among the AUCs of other factors. The cut-off value of HOB was 6 cm. Conclusion This study showed that the AUC of HOB was greater than that of parity and AFI, although it was not statistically significant. As HOB is a noninvasive and comprehensive marker to predict successful ECV, consideration of HOB would be helpful before conducting ECV. Further studies are needed. |
| Databáze: | OpenAIRE |
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