Related Experiment Videos
Knee-chest postural management for breech at term: a randomized controlled trial.
C Smith1, C Crowther, C Wilkinson
1Department of Obstetrics & Gynaecology, University of Adelaide, Australia.
Birth (Berkeley, Calif.)
|February 25, 2000
Summary
Assuming the knee-chest position did not effectively reduce breech presentation at term or the need for cesarean delivery. This postural management is not recommended for routine care in term breech pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Clinical Trials
Background:
- Breech presentation occurs in 3-4% of term births.
- Investigating interventions to manage term breech presentation is crucial for optimizing delivery outcomes.
Purpose of the Study:
- To evaluate if the knee-chest position reduces term breech presentation frequency.
- To assess if this position improves external cephalic version success.
- To determine if the management plan decreases cesarean delivery rates.
Main Methods:
- Randomized clinical trial involving 100 women with term singleton breech presentation.
- Treatment group: knee-chest position (15 min, 3x/day for 1 week).
- Control group: no postural management; external cephalic version offered if breech persisted.
Main Results:
- Postural management did not significantly increase external cephalic version success.
- No reduction in the frequency of breech presentation at delivery was observed.
- The knee-chest position did not reduce the need for cesarean delivery.
Conclusions:
- The knee-chest position is not an effective intervention for term breech presentation.
- Findings suggest this postural management should not be routinely offered to women with term breech pregnancies.