Abstract | OBJECTIVE: STUDY DESIGN: This was a prospective, two-phase, clinical study. Phase 1 was to develop a scoring system from 53 versions with singleton pregnancy in breech presentation at term using a standard protocol with fetal monitoring, ultrasound assessment and tocolysis. Phase 2 was to verify this scoring system by application to 88 versions using the same standard protocol as in phase 1. RESULTS: The success rates for ECV in phases 1 and 2 were 64.2% and 61.4%, respectively, making the overall success rate 62.4%. The results of phase 1 showed that there were significant differences in the following parameters: head palpable, breech unengagement, symphysisfundal height and uterine relaxation. A scoring system based on these four clinical parameters was developed. When applied to 88 versions in the second phase, the likelihood ratio of successful ECV was > 30 if the version score was > or = 3 and < 1.8 if the version score was < or = 2. CONCLUSION: Using our scoring system, prediction of successful ECV was possible without ultrasound scan or vaginal examination, and counseling could be given once breech presentation was diagnosed.
|
Authors | W M Wong, T T Lao, K L Liu |
Journal | The Journal of reproductive medicine
(J Reprod Med)
Vol. 45
Issue 3
Pg. 201-6
(Mar 2000)
ISSN: 0024-7758 [Print] United States |
PMID | 10756497
(Publication Type: Clinical Trial, Journal Article)
|
Topics |
- Adult
- Breech Presentation
- Female
- Fetal Monitoring
- Forecasting
- Humans
- Physical Examination
- Predictive Value of Tests
- Pregnancy
- Prospective Studies
- Treatment Outcome
- Version, Fetal
(methods)
|