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Rebozo and External Cephalic Version in breech presentation (RECEIVE): A randomised controlled study.

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Summary
This summary is machine-generated.

A home-based rebozo intervention for pregnant women with breech presentation before external cephalic version (ECV) did not increase cephalic presentations at birth. This intervention actually lowered the rate of cephalic presentations, indicating it may not be beneficial.

Keywords:
alternative medicinebreech presentationexternal cephalic versionpregnancyrebozo

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Area of Science:

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

Background:

  • Malpresentation, such as breech or transverse presentation, complicates approximately 3-4% of term pregnancies.
  • External cephalic version (ECV) is a procedure used to manually turn a fetus from a non-vertex presentation to a vertex (cephalic) presentation before labor.
  • Non-invasive techniques to improve ECV success rates or spontaneous cephalic presentation are of significant clinical interest.

Purpose of the Study:

  • To evaluate the efficacy of a hospital-initiated, home-based rebozo intervention performed by pregnant women and their partners prior to ECV.
  • To determine if this intervention increases the rate of cephalic presentations at birth in women with breech or transverse presentations.

Main Methods:

  • A multicenter randomized controlled trial involving 372 pregnant women with breech or transverse presentations at 35 weeks or more gestation.
  • Participants were randomized to either a rebozo intervention group (n=187) or a control group (ECV alone, n=185).
  • The rebozo intervention group received instruction on the technique and performed it at home three times daily for 3-5 days before ECV. Analyses were intention-to-treat.

Main Results:

  • At birth, 51% of the rebozo intervention group had a cephalic presentation compared to 62% in the control group.
  • This represents a lower rate of cephalic presentation in the intervention group (Odds Ratio 0.61; 95% Confidence Interval 0.40-0.95).
  • No adverse events were reported in relation to the rebozo intervention.

Conclusions:

  • Home-based rebozo exercises performed before external cephalic version in women with breech or transverse presentations did not increase, but rather decreased, the rate of cephalic presentation at birth.
  • The findings suggest that this specific home-based rebozo intervention may not be beneficial for promoting cephalic presentation in this population.
  • Further research may be needed to explore alternative non-invasive methods or refine existing techniques for managing malpresentations.