Breech External Cephalic Version Intervention Trial

Study Overview
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Brief Summary
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A prospective study assessing the use of external cephalic version for the management of breech presentation in pregnancy.

Detailed Description
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The primary aim of the study is to determine the success rate of external cephalic version for breech presentation from 36 gestational weeks.

Official Title
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Breech External Cephalic Version Intervention Trial- A Prospective Study

Conditions
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Breech Presentation

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Presence of the written consent of the patients. The patients must be over 18 years old . No limit in the ability to consent. Exclusion criteria: Age under 18 Limited ability to consent Placenta previa Fetal abnormalities

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success rate of external cephalic version | Mean Percentage (Range 0-100) - Successfully performed external cephalic Versions / Total number of participants, | 4 hours after external cephalic version | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sonographic Fetal Parameters: Head Circumference | Measurements in mm | 30 Minutes before external cephalic version | 
| Sonographic Fetal Parameters: Abdominal Circumference | Measurements in mm | 30 Minutes before external cephalic version | 
| Sonographic Fetal Parameters: Femur length | Measurements in mm | 30 Minutes before external cephalic version | 
| Sonographic Fetal Parameters: Amniotic Fluid | Measurements in mm | 30 Minutes before external cephalic version | 
| Fetal Doppler Indices middle cerebral | Index Measurements/Ratios | 30 Minutes before external cephalic version | 
| Fetal Doppler Indices Umbilical Pulsatility Index | Index Measurements/Ratios | 30 Minutes before external cephalic version | 
| Fetal Doppler Indices Umbilical Resistance Index | Index Measurements/Ratios | 30 Minutes after external cephalic version | 
| Maternal Doppler Indices Uterine artery Right | Index Measurements/Ratios | 30 Minutes before external cephalic version | 
| Maternal Doppler Indices Uterine artery Left | Index Measurements/Ratios | 30 Minutes after external cephalic version | 
| Bladder volume | Volume measurement | 30 Minutes before external cephalic version | 
| Distance Symphysis to Breech | mm | 30 Minutes before external cephalic version | 
| Depression and Anxiety Stress scale score | A scale score with a range from 0 to 42 (0-10 is normal and 35-42 extremely severe) | 60 minutes before external cephalic version | 
| Depression and Anxiety Stress scale score | A scale score with a range from 0 to 42 (0-10 is normal and 35-42 extremely severe) | 120 Minutes after external cephalic version | 
| Fetal reflexes | Percentage | 30 Minutes before external cephalic version | 
| Mode of delivery | Type of delivery Vaginal or Caesarean | 6 weeks after delivery | 
| Incidence of fetal extended legs | Numerical percentage | 30 Minutes before external cephalic version | 
| Incidence of bleeding | Numerical percentage | 30 minutes after external cephalic version | 
| Incidence of ruptured membranes | Numerical percentage | 30 minutes after external cephalic version | 
| Incidence of pathological Cardiotocogram | Numerical percentage | 30 minutes after external cephalic version | 
| Incidence of emergency delivery | Numerical percentage | 30 minutes after external cephalic version | 
| Pain scores | Numerical score. Pain scale Linkert score. (0-10 with 10 being extremely painful) | 30 minutes after external cephalic version | 
| Incidence of tocolysis | Numerical percentage | 30 minutes after external cephalic version | 
| Incidence of umbilical cord looping | Numerical percentage | 30 Minutes before external cephalic version |