Reattempt of External Cephalic Version After Regional Anaesthesia Immediately Before a Caesarean Delivery - a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 42
- 主要终点
- Vaginal birth
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •All women age ≥ 18 years old
- •Singleton pregnancy
- •Malpresentation
- •Have failed an ECV
- •Pregnant ≥ 37 weeks of gestation
排除标准
- •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
结局指标
主要结局
Vaginal birth
时间窗: Delivery
Vaginal birth
次要结局
未报告次要终点