Patient’s willingness to opt for external cephalic version

Vlemmix, Floortje; Kuitert, Marjon; Bais, Joke; Opmeer, Brent C.; Post, Joris A. M. van der; Mol, Ben Willem; Kok, Marjolein

doi:10.3109/0167482x.2012.760540

Cited by 17 publications

(12 citation statements)

References 24 publications

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“…Other studies have described women’s experiences of having a breech presenting baby [22–24] and ECV [13, 14, 25–27]. Our findings add to the understanding of women’s experiences with a breech-presenting baby in the late third trimester of pregnancy as many women are offered an ECV,…”

Section: Discussionsupporting

confidence: 62%

“…This study describes Australian women’s experiences who underwent an ECV which resulted in a baby who remained a breech presentation. Other studies have described women’s experiences of having a breech presenting baby [ 22 – 24 ] and ECV [ 13 , 14 , 25 – 27 ]. Our findings add to the understanding of women’s experiences with a breech-presenting baby in the late third trimester of pregnancy as many women are offered an ECV,…”

Section: Discussionmentioning

confidence: 99%

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This baby is not for turning: Women’s experiences of attempted external cephalic version

Watts

Petrovska

Bisits

et al. 2016

BMC Pregnancy Childbirth

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BackgroundExisting studies regarding women’s experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby remains breech. The aim of this study was to examine women’s experience of an ECV which resulted in a persistent breech presentation.MethodsA qualitative descriptive exploratory design was undertaken. In-depth semi-structured interviews were conducted and analysed thematically.ResultsTwenty two (n = 22) women who attempted an ECV and subsequently planned a vaginal breech birth participated. Twelve women had a vaginal breech birth (55 %) and 10 (45 %) gave birth by caesarean section. In relation to the ECV, there were five main themes identified: ‘seeking an alternative’, ‘needing information’, ‘recounting the ECV experience’, ‘reacting to the unsuccessful ECV’ and, ‘reflecting on the value of an ECV’.ConclusionsECV should form part of a range of options provided to women, rather than a default procedure for management of the term breech. For motivated women who fit the safe criteria for vaginal breech birth, not being subjected to a painful experience (ECV) may be optimal. Women should be supported to access services that support vaginal breech birth if this is their choice, and continuity of care should be standard practice.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

This baby is not for turning: Women’s experiences of attempted external cephalic version

Watts

Petrovska

Bisits

et al. 2016

BMC Pregnancy Childbirth

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“…Interestingly, between 1995 and 2001, the number of patients aware of the procedure had significantly increased (52.7% to 73.2%) but the number of those willing to consider it had decreased from 52.7% to 23.9% 3 . Others have suggested that concerns about pain may be an important factor in women declining the offer of ECV, making up to 30% of patients favour C-Section instead 4,5 .…”

mentioning

confidence: 99%

A randomised controlled trial to assess the feasibility of utilising virtual reality to facilitate analgesia during external cephalic version

Smith

Warty

Kashyap

et al. 2020

Sci Rep

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external cephalic version (ecV) is associated with a moderate degree of pain. Virtual reality (VR) is a technology that has shown promise in offering procedural analgesia. We undertook a clinical pilot to assess the viability of VR to reduce pain during ECV. In an open randomised controlled trial (RCT), we randomised 50 women to either VR or standard care each (25 per group). Women receiving VR were administered VR content (Skylights) via a headset. Pre-and post-procedural measures of pain, anxiety, device experience and vital signs were measured. There were no significant differences between groups (VR/no VR) in pain scores (60.68 vs 49.76; p = 0.2), ECV success rates (80% vs 76%; p = 0.7) or anxiety levels. The women receiving VR had a significantly higher anticipation of pain pre-procedurally (70.0 vs 50.0; p = 0.03). 20 (80%) of the VR women indicated that they would use VR again and 22 (88%) indicated they would recommend it to a friend having ECV. There were no significant differences between groups for side effects encountered or changes in vital signs. We have shown that using VR during ecV is feasible and appears safe. our results inform the design of future Rcts. open Scientific RepoRtS | (2020) 10:3141 | https://doi.

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“…Several authors have already demonstrated that analgesic use increases the ECV success rate, thus showing that success may be directly associated with the pain the procedure can induce. Moreover, another study has showed that the two factors affecting motivation to undergo ECV are pain, with intense pain‐reducing motivation (OR 0.11, 95% CI 0.05‐0.23), and success rate, which increases willingness when high (OR 3.42, 95% CI 2.04‐5.74) . After we drafted our initial protocol, a prospective study was published comparing N 2 O/O 2 use in ECV for 150 women (September 2009‐December 2010) with ECV with no analgesia for 150 others (January‐August 2009) .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of nitrous oxide in external cephalic version on success rate: A randomized controlled trial

Dochez

Esbelin²,

Misbert

et al. 2019

Acta Obstet Gynecol Scand

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Introduction Approximately 4% of singleton pregnancies at term are in breech presentation. External cephalic version (ECV) can reduce the risks of noncephalic birth and cesarean delivery, but this maneuver can be painful. Our aim was to analyze the effect of administering inhaled nitrous oxide for analgesia on the ECV success rate. Material and methods This prospective, randomized, single‐blind, controlled trial included women with singleton pregnancies in breech presentation at term who were referred for ECV in a tertiary care center. Women were assigned according to a balanced (1:1) restricted randomization design to inhale either nitrous oxide (N2O) in a 50:50 mix with oxygen or medical air during the procedure. The main outcomes reported are the ECV success rate, degree of pain, adverse event rate, and women’s satisfaction. Trial registration: ClinicalTrials.gov Identifier: NCT01948115. Results The study included 150 women (nitrous oxide group: n = 74; medical air: n = 76). Inhaled nitrous oxide was not associated with a higher ECV success rate than medical air (24.3 vs 19.7%, P = 0.51). Among parous women (n = 34 in each group), the ECV success rate appeared higher in the nitrous oxide group, respectively 47.1% (n = 16) vs 23.5% (n = 8) (P = 0.042). Neither the median pain level nor adverse event rates differed significantly in women with inhaled nitrous oxide compared with medical air. Conclusions Use of an equimolar mixture of oxygen and nitrous oxide during ECV appears safe. Although it does not seem to change the overall success rate, it may increase success in parous women.

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Patient’s willingness to opt for external cephalic version

Cited by 17 publications

References 24 publications

This baby is not for turning: Women’s experiences of attempted external cephalic version

This baby is not for turning: Women’s experiences of attempted external cephalic version

A randomised controlled trial to assess the feasibility of utilising virtual reality to facilitate analgesia during external cephalic version

Effectiveness of nitrous oxide in external cephalic version on success rate: A randomized controlled trial

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