Document Detail


Antepartum identification of breech presentation.
MedLine Citation:
PMID:  15134156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the accuracy of clinical identification of breech presentation during third-trimester prenatal care and to evaluate factors associated with the accuracy of this determination. STUDY DESIGN: Three hundred eleven patients in the third trimester were prospectively studied. Clinical determination of fetal presentation was made, after which ultrasound was used to determine the true presentation. Amniotic fluid volume, maternal abdominal wall thickness and body mass index were determined for each patient. RESULTS: Among the 311 patients, there were 49 with breech presentation. Twenty-eight of 49 were identified correctly (57.1%). Multiple regression analysis indicated that gestational age, body mass index and maternal abdominal skin thickness did not influence the incidence of correct assessments. There was a significant difference between examiners in the accuracy of clinical assessment of fetal presentation. CONCLUSION: The accuracy of assessment of breech presentation does not appear to depend on gestational age or maternal body mass index but depends more on the individual obstetric care provider.
Authors:
William J Watson; Suzanne Welter; Diana Day
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  49     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-05-11     Completed Date:  2004-07-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of South Dakota School of Medicine, Sioux Falls 57105, USA. wwatson@usd.edu
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MeSH Terms
Descriptor/Qualifier:
Abdomen / anatomy & histology
Adult
Body Mass Index
Breech Presentation*
Female
Gestational Age
Humans
Observer Variation
Pregnancy
Pregnancy Trimester, Third
Prenatal Diagnosis*
Prospective Studies
Regression Analysis
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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