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Cephalic version by postural management for breech presentation
1Department of Obstetrics and Gynaecology, Coronation Hospital and University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa. 091just@chiron.wits.ac.za
Background:
It is possible that maternal posture may influence fetal position. Many postural techniques have been used to promote cephalic version.
Objectives:
The objective of this review was to assess the effects of postural management of breech presentation on measures of pregnancy outcome.
Search Strategy:
The Cochrane Pregnancy and Childbirth trials register and Controlled Trials Register were searched. Date of last search: February 1999.
Selection Criteria:
Randomised and quasi-randomised trials comparing postural management with pelvic elevation for breech presentation, with a control group.
Data Collection And Analysis:
Eligibility and trial quality were assessed by both reviewers.
Main Results:
Three studies involving a total of 192 women were included. Postural management was associated with a non-significant trend towards fewer non-cephalic births (relative risk 0.90, 95% confidence interval 0. 73 to 1.12). No differences were detected for caesarean sections or Apgar scores below seven at one minute.
Reviewer'S Conclusions:
There is not enough evidence to evaluate the use of postural management for breech presentation.