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Cephalic version by postural management for breech presentation.

G J Hofmeyr1, R Kulier

  • 1Effective Care Research Unit, University of the Witwatersrand, Frere/Cecilia Makiwane Hospitals, Private Bag 9047, East London 5200, Eastern Cape, South Africa. gjh@global.co.za.

The Cochrane Database of Systematic Reviews
|July 25, 2000
PubMed
Summary

Maternal posture techniques for breech presentation did not affect non-cephalic birth rates. This review found no evidence supporting postural management for breech presentation in pregnant individuals.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatal Care

Background:

  • Maternal posture may influence fetal positioning.
  • Various techniques exist to encourage cephalic version (head-down fetal position).

Purpose of the Study:

  • To evaluate the impact of postural management on pregnancy outcomes for breech presentations.
  • To assess if specific maternal positions can influence fetal presentation.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched Cochrane Pregnancy and Childbirth trials register and Controlled Trials Register (search date: March 2000).
  • Included trials comparing postural management with pelvic elevation for breech presentation.

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Main Results:

  • Five studies with 392 women were analyzed.
  • No significant effect of postural management on non-cephalic birth rates was observed.
  • No differences were found in rates of cesarean sections or low Apgar scores.

Conclusions:

  • Current evidence does not support the use of postural management for breech presentation.
  • The number of women included in existing studies is relatively small, limiting definitive conclusions.