[External cephalic version in case of persisting breech presentation at term: motivations and women's experience of the intervention].
GYNECOLOGIE, OBSTETRIQUE & FERTILITE 2013;
41:427-432. [PMID:
23102577 DOI:
10.1016/j.gyobfe.2012.09.029]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2011] [Accepted: 04/10/2012] [Indexed: 06/01/2023]
Abstract
OBJECTIVES
To evaluate the efficacy and acceptability of external cephalic version (ECV).
MATERIALS AND METHOD
From 2004 to 2008, 212 pregnant women between 34-37 weeks of gestation with fetus in breech presentation were included in a randomized clinical trial and 125 externals cephalic versions were studied.
RESULTS
A success rate of 37.6%t was recorded. At 34 weeks of gestation, 80.6% of women were considering an ECV in the event of persistent breech position at 37 weeks. These women expressed the desire to give birth vaginally (52% versus 24.4%, P<0.001). In contrast, others women preferred an elective cesarean section to avoid the risk of a breech vaginal delivery. Women felt pain during the ECV and scored 60 on average using the analogical visual scale. Women rated on a verbal rating scale the ECV as severely painful to unbearable (68%), and as stressful (70%). Despite this, the majority of women would recommend ECV to their friends or would be willing to repeat it for themselves.
DISCUSSION AND CONCLUSION
ECV remains a scary and painful medical procedure. More research is needed to reduce the impact. The use of analgesic medication for this indication is controversial. Hypnosis could be an alternative to evaluate.
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