Publicação
External cephalic version: predictors of success and influence on caesarean rates
| Resumo: | Objective: To evaluate the success rate of external cephalic version, predictive factors for success of this maneuver and to examine how it affects mode of delivery, pregnancy and neonatal outcome rates. Study design: Retrospective cross-sectional study performed in a tertiary care university hospital between January 2002 and June 2018. A total of 324 ECVs were performed in 321 pregnancies. Maternal and ultrasound data, procedure-related factors, birth characteristics and neonatal data were collected. Absolute and relative frequencies were used for descriptive analysis and the chi-square test for comparative analysis. Odds ratios with 95 % confidence intervals were calculated. Results: The overall success rate of the procedure was 33,3%. Multiparity, transverse lie, unengaged breech presentation, low body mass index, soft uterus and palpable fetal head were independent risk factors for success. No statistically significant association was found with other variables. Routine use of ECV allowed a reduction in cesarean delivery rates for breech presentation, with no increase in maternal or neonatal morbidity. Operative delivery rates after successful ECV were similar to those of the general population. Discussion and conclusion: Despite a relatively low overall success rate, routine use of ECV can result in reduced cesarean delivery rates with similar perinatal outcomes. Conveyed information on the success rate of ECV can be adapted to individual patient characteristics. |
|---|---|
| Autores principais: | Correia Costa, Susana |
| Outros Autores: | Raposo, Maria Inês; Machado, Ana Paula; Ramalho, Carla; Ayres-de-Campos, Diogo; Montenegro, Nuno |
| Assunto: | Breech presentation Cesarean rate External cephalic version |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1866810620164177920 |
|---|---|
| author | Correia Costa, Susana |
| author2 | Raposo, Maria Inês Machado, Ana Paula Ramalho, Carla Ayres-de-Campos, Diogo Montenegro, Nuno |
| author2_role | author author author author author |
| author_facet | Correia Costa, Susana Raposo, Maria Inês Machado, Ana Paula Ramalho, Carla Ayres-de-Campos, Diogo Montenegro, Nuno |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Correia Costa, Susana\"},{\"Person.name\":\"Raposo, Maria Inês\"},{\"Person.name\":\"Machado, Ana Paula\"},{\"Person.name\":\"Ramalho, Carla\"},{\"Person.name\":\"Ayres-de-Campos, Diogo\",\"Person.identifier.orcid\":\"0000-0002-7136-6240\"},{\"Person.name\":\"Montenegro, Nuno\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Correia Costa, Susana Raposo, Maria Inês Machado, Ana Paula Ramalho, Carla Ayres-de-Campos, Diogo Montenegro, Nuno |
| datacite.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2022-09-07T14:08:46Z |
| datacite.date.embargoed.fl_str_mv | 2022-09-07T14:08:46Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Breech presentation Cesarean rate External cephalic version |
| datacite.titles.title.fl_str_mv | External cephalic version: predictors of success and influence on caesarean rates |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Correia Costa, Susana Raposo, Maria Inês Machado, Ana Paula Ramalho, Carla Ayres-de-Campos, Diogo Montenegro, Nuno |
| dc.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2022-09-07T14:08:46Z |
| dc.date.embargoed.fl_str_mv | 2022-09-07T14:08:46Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/54358 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Breech presentation Cesarean rate External cephalic version |
| dc.title.fl_str_mv | External cephalic version: predictors of success and influence on caesarean rates |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Objective: To evaluate the success rate of external cephalic version, predictive factors for success of this maneuver and to examine how it affects mode of delivery, pregnancy and neonatal outcome rates. Study design: Retrospective cross-sectional study performed in a tertiary care university hospital between January 2002 and June 2018. A total of 324 ECVs were performed in 321 pregnancies. Maternal and ultrasound data, procedure-related factors, birth characteristics and neonatal data were collected. Absolute and relative frequencies were used for descriptive analysis and the chi-square test for comparative analysis. Odds ratios with 95 % confidence intervals were calculated. Results: The overall success rate of the procedure was 33,3%. Multiparity, transverse lie, unengaged breech presentation, low body mass index, soft uterus and palpable fetal head were independent risk factors for success. No statistically significant association was found with other variables. Routine use of ECV allowed a reduction in cesarean delivery rates for breech presentation, with no increase in maternal or neonatal morbidity. Operative delivery rates after successful ECV were similar to those of the general population. Discussion and conclusion: Despite a relatively low overall success rate, routine use of ECV can result in reduced cesarean delivery rates with similar perinatal outcomes. Conveyed information on the success rate of ECV can be adapted to individual patient characteristics. |
| dirty | 0 |
| eu_rights_str_mv | restrictedAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/76a0f1c5-0ddd-4117-842e-c663162926e9/download |
| id | ul_b60554ab3ceaa7b4e6036201a1be3184 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10451/54358 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/54358 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Correia Costa, Susana Raposo, Maria Inês Machado, Ana Paula Ramalho, Carla Ayres-de-Campos, Diogo Ayres-de-Campos, Diogo https://www.ciencia-id.pt/4414-0F40-DCFE 4414-0F40-DCFE http://orcid.org/0000-0002-7136-6240 0000-0002-7136-6240 Montenegro, Nuno |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Elsevier |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engElsevierpt_PTObjective: To evaluate the success rate of external cephalic version, predictive factors for success of this maneuver and to examine how it affects mode of delivery, pregnancy and neonatal outcome rates. Study design: Retrospective cross-sectional study performed in a tertiary care university hospital between January 2002 and June 2018. A total of 324 ECVs were performed in 321 pregnancies. Maternal and ultrasound data, procedure-related factors, birth characteristics and neonatal data were collected. Absolute and relative frequencies were used for descriptive analysis and the chi-square test for comparative analysis. Odds ratios with 95 % confidence intervals were calculated. Results: The overall success rate of the procedure was 33,3%. Multiparity, transverse lie, unengaged breech presentation, low body mass index, soft uterus and palpable fetal head were independent risk factors for success. No statistically significant association was found with other variables. Routine use of ECV allowed a reduction in cesarean delivery rates for breech presentation, with no increase in maternal or neonatal morbidity. Operative delivery rates after successful ECV were similar to those of the general population. Discussion and conclusion: Despite a relatively low overall success rate, routine use of ECV can result in reduced cesarean delivery rates with similar perinatal outcomes. Conveyed information on the success rate of ECV can be adapted to individual patient characteristics.application/pdfpt_PTExternal cephalic version: predictors of success and influence on caesarean ratesCorreia Costa, SusanaRaposo, Maria InêsMachado, Ana PaulaRamalho, CarlaPersonalAyres-de-Campos, DiogoDSpacehttp://dspace.org/items/108dde37-683c-4dc3-b963-98afdcd0d8cdDSpacehttp://dspace.org/items/108dde37-683c-4dc3-b963-98afdcd0d8cdAyres-de-CamposDiogoCiência IDhttps://www.ciencia-id.pt4414-0F40-DCFEORCIDhttp://orcid.org0000-0002-7136-6240Researcher IDhttps://www.researcherid.comH-9131-2013Scopus Author IDhttps://www.scopus.com6603806720Montenegro, NunoHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0301-2115DOIIsPartOf10.1016/j.ejogrb.2020.11.0372022-09-07T14:08:46Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/54358http://purl.org/coar/access_right/c_16ecrestricted accessBreech presentationCesarean rateExternal cephalic version285185 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/76a0f1c5-0ddd-4117-842e-c663162926e9/downloadEuropean Journal of Obstetrics & Gynecology and Reproductive Biology256211214 |
| spellingShingle | External cephalic version: predictors of success and influence on caesarean rates Correia Costa, Susana Breech presentation Cesarean rate External cephalic version |
| status | SINGLETON |
| subject.fl_str_mv | Breech presentation Cesarean rate External cephalic version |
| title | External cephalic version: predictors of success and influence on caesarean rates |
| title_full | External cephalic version: predictors of success and influence on caesarean rates |
| title_fullStr | External cephalic version: predictors of success and influence on caesarean rates |
| title_full_unstemmed | External cephalic version: predictors of success and influence on caesarean rates |
| title_short | External cephalic version: predictors of success and influence on caesarean rates |
| title_sort | External cephalic version: predictors of success and influence on caesarean rates |
| topic | Breech presentation Cesarean rate External cephalic version |
| topic_facet | Breech presentation Cesarean rate External cephalic version |
| url | http://hdl.handle.net/10451/54358 |
| visible | 1 |