External Cephalic Version Immediately Before a Caesarean Delivery
- Conditions
- Malpresentation Before Labor Affecting Fetus or Newborn
- Interventions
- Procedure: External cephalic version
- Registration Number
- NCT05020340
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
Fetal malpresentation at term affects around 5% of pregnancy and breech presentation is the most common type of malpresentation. It is a common indication for a Caesarean delivery. External cephalic version (ECV) refers to turning the fetus manually and aims to increase the success of vaginal birth by reducing the need for Caesarean section.
- Detailed Description
Several factors affect the chance of a successful ECV which include multiparity, use of tocolytic and regional anaesthesia during the procedure. Anticipating or not tolerating a painful procedure is another factor that affects the willingness to and success of ECV.
ECV can be reattempted under regional anaesthesia immediately just before the Caesarean section to increase the vaginal birth rate in women who have failed an ECV. Therefore, the aim of this study is to evaluate whether this approach could increase the rate of vaginal birth and reduce the non-cephalic presentation at labour and Caesarean section rate.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- Female
- Target Recruitment
- 42
- All women age ≥ 18 years old
- Singleton pregnancy
- Malpresentation
- Have failed an ECV
- Pregnant ≥ 37 weeks of gestation
- Condition requiring emergency delivery
- Other indication for Caesarean section
- History of antepartum haemorrhage in the past 7 days
- Oligohydraminos with amniotic fluid index <5cm
- Intrauterine growth restriction with abnormal fetal Doppler or cardiotocography
- Rhesus isoimmunization
- Rupture of membranes
- Gross fetal anomaly
- Major uterine anomaly
- Contraindication or refusal to regional anaesthesia
- Spontaneous cephalic version on the day of scheduled Caesarean section
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention External cephalic version External cephalic version
- Primary Outcome Measures
Name Time Method Vaginal birth Delivery Vaginal birth
- Secondary Outcome Measures
Name Time Method