Patient satisfaction with childbirth after external cephalic version.

Abstract

PURPOSE:

To assess acceptance and impact of external cephalic version (ECV) for breech presentation at term on maternal satisfaction with childbirth.

METHODS:

Retrospective study on n = 131 women with breech presentation comparing maternal satisfaction after ECV and consecutive childbirth (n = 66; 50.4% of these successful attempts in n = 33; 50%) against the group without ECV and primary caesarean section (CS) (n = 65; 49.6%) instead using a questionnaire.

RESULTS:

Women with successful ECV tolerated side effects of the intervention better than after unsuccessful ECV (pain, tocolytics, mental and physical state, for all p < 0.001). They were not more satisfied with childbirth than women who experienced an unsuccessful ECV (p = 0.37). However, they would undergo the procedure again (p = 0.003) and would recommend it to other women (p < 0.001). Only women with spontaneous vaginal deliveries after successful version were more satisfied with childbirth than women with planned CS (p = 0.05). Women with version attempts tend to perceive childbirth as being less problematic with fewer complications (9.5 vs. 19%, p = 0.12). Unsuccessful ECVs had no negative impact on satisfaction with childbirth (p = 0.072).

CONCLUSION:

Attempting ECV seems to be an option for increasing the rate of vaginal births with breech presentation without negative impact on maternal satisfaction regarding consecutive childbirth.

• Authors: Gerhard Bogner, Barbara Eva Hammer, Christiane Schausberger, Thorsten Fischer, Klaus Reisenberger, Volker Jacobs
• Journal: Archives of gynecology and obstetrics (Arch Gynecol Obstet) Vol. 289 Issue 3 Pg. 523-31 (Mar 2014) ISSN: 1432-0711 [Electronic] Germany
• PMID: 23959092 (Publication Type: Journal Article)

Topics

• Adult
• Breech Presentation (therapy)
• Cesarean Section (statistics & numerical data)
• Delivery, Obstetric (methods)
• Female
• Humans
• Patient Satisfaction
• Pregnancy
• Pregnancy Outcome
• Retrospective Studies
• Surveys and Questionnaires
• Version, Fetal (methods)