TY - JOUR
T1 - Patient satisfaction with childbirth after external cephalic version
AU - Bogner, Gerhard
AU - Hammer, Barbara Eva
AU - Schausberger, Christiane
AU - Fischer, Thorsten
AU - Reisenberger, Klaus
AU - Jacobs, Volker
N1 - Department of Obstetrics and Gynaecology, Paracelsus Medical University Salzburg, Salzburger Landeskrankenanstalten (SALK), Müllner Haupstrasse 48, 5020, Salzburg, Austria, [email protected].
PY - 2014/3
Y1 - 2014/3
N2 - 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.
AB - 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.
KW - Adult
KW - Breech Presentation/therapy
KW - Cesarean Section/statistics & numerical data
KW - Delivery, Obstetric/methods
KW - Female
KW - Humans
KW - Patient Satisfaction
KW - Pregnancy
KW - Pregnancy Outcome
KW - Retrospective Studies
KW - Surveys and Questionnaires
KW - Version, Fetal/methods
U2 - 10.1007/s00404-013-3007-5
DO - 10.1007/s00404-013-3007-5
M3 - Original Article
C2 - 23959092
SN - 0932-0067
VL - 289
SP - 523
EP - 531
JO - ARCHIVES OF GYNECOLOGY AND OBSTETRICS
JF - ARCHIVES OF GYNECOLOGY AND OBSTETRICS
IS - 3
ER -