Document Detail

Women's attitudes towards management of breech presentation at term.
MedLine Citation:
PMID:  12521413     Owner:  NLM     Status:  MEDLINE    
Current advice on the management of breech presentation at term is that all uncomplicated cases should be offered external cephalic version (ECV) or an elective caesarean section. Clinical experience suggests that ECV is currently not offered as widely as advised and that the majority are delivered electively by caesarean section. We present the results of a patient attitude survey of term breech deliveries in a university teaching hospital over 12 months. The results show that half of respondents were not offered ECV and that two-thirds of these women were not eligible for ECV, either having had a previous caesarean or breech presentation diagnosed in labour. One-third of women, potentially suitable for ECV, were not made aware of their options. The majority are offered elective caesarean section with a small minority (10%) opting for planned vaginal breech delivery.
S Caukwell; L A Joels; P M Kyle; M S Mills
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  22     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2003-01-10     Completed Date:  2003-04-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  486-8     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, St Michael's Hospital, Bristol, UK.
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MeSH Terms
Attitude to Health*
Breech Presentation*
Cesarean Section / psychology*,  utilization
Patient Acceptance of Health Care / psychology
Pregnancy Trimester, Third
Version, Fetal / psychology*,  utilization

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