Prediction of Version Outcomes for External Maneuvers of Breech Fetus by Assessment of Bre
Breech presentation complicates about 3-4% of single pregnancies at term. Although vaginal delivery is also possible in breech presentations, this is associated with an increased risk of fetal morbidity and mortality. The cephalic version for external maneuvers is an obstetric procedure that allows conversion of an abn
| Condition(s) | Breech Presentation |
|---|---|
| Status | Recruiting |
| Study type | Observational |
| Summary | Breech presentation complicates about 3-4% of single pregnancies at term. Although vaginal delivery is also possible in breech presentations, this is associated with an increased risk of fetal morbidity and mortality. The cephalic version for external maneuvers is an obstetric procedure that allows conversion of an abnormal presentation/situation (breech or transverse) to a cephalic presentation by applying pressure to the maternal abdomen. Over the years, many authors have analyzed numerous factors that might be associated with an increased likelihood of successful maneuvering. Over time, transperineal ultrasonography has proven to be a valid, objective, and highly reproducible tool for the assessment of fetal head progression during delivery in conjunction with examination. The Angle of |
| Who can participate | Inclusion Criteria: * Women \>18 years of age with a single pregnancy at term (37-42 gestational weeks) with a fetus in breech presentation * Acquisition of Informed Consent Form Exclusion Criteria: * Oligohydramnios: maximum flap \< 2cm * Placenta previa * Uterine malformations * Regular uterine dynamics * Metrorrhagia * Contraindications to vaginal delivery * Premature rupture of membranes * Nonreassuring cardiotocographic tracing * Previous uterine surgery |
| Ages | 18 Years to 45 Years |
| Sex | Female |
| Lead sponsor | IRCCS Azienda Ospedaliero-Universitaria di Bologna |
| Locations | Bologna, Bologna, Italy; Bologna, Bologna, Italy |
| Start date | 2021-01-11 |
| NCT ID | NCT06816563 |
| Official listing | https://clinicaltrials.gov/study/NCT06816563 |