Implementation of the external cephalic version in breech delivery.Dutch national implementation study of external cephalic version.
- Conditions
- Implementation of external cephalic version in obstetric care in The Netherlands.
- Registration Number
- NL-OMON22365
- Lead Sponsor
- Prof. dr. BW MolAcademic Medical Centerdept. obstetrics & gynaecology, Room H4-213Meibergdreef 91105 AZ AmsterdamThe Netherlands
- Brief Summary
/A
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 50
Inclusion Criteria
The proposal will contain three phases. In the first phase, we will identify facilitators and barriers of implementation of ECV. Subsequently, we will develop an implementation strategy targeted on patient counselling and information of health care providers, and evaluate the cost-effectiveness of the developed strategy.
All hopsitals in midwife practices in The Netherlands are potential candidates for the randomized controlled trial of the implementation developes model.
Exclusion Criteria
N/A
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary endpoint is the number of patients that has an ECV performed.
- Secondary Outcome Measures
Name Time Method Secondary endpoints are guidelines’ adherence rates, complications at ECV, the number of children that is in cephalic position at delivery, the number of caesarean sections and the perinatal condition of mother and child. Moreover, we will assess patient knowledge (e.g. ECV, breech delivery, caesarean section), patient decisional conflict and patient satisfaction. We will also calculate costs of both implementation interventions and medical interventions. In case one or both implementation interventions are effective, their cost-effectiveness will be assessed.