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Midwifery Practices for the Conversion of Foetus With Breech Presentation: A Qualitative Study
Menekşe Nazlı Aker1, Ilknur Münevver Gönenç1
1Ankara University Faculty of Nursing, Ankara, Turkey.
Journal of Evaluation in Clinical Practice
|August 20, 2025
Summary
Midwives use external cephalic version, mental, and physical techniques to convert breech presentations. Despite challenges, these methods improve vaginal birth chances and maternal satisfaction.
Area of Science:
- Maternal-Fetal Medicine
- Midwifery Practice
- Qualitative Research
Background:
- Breech presentation conversion to cephalic presentation benefits maternal and neonatal health.
- Limited knowledge exists on specific midwifery practices for breech conversion.
- Understanding midwife techniques and perceptions is crucial.
Purpose of the Study:
- Identify midwife methods for converting breech to cephalic presentation.
- Explore midwives' feelings about performing these conversion techniques.
Main Methods:
- Descriptive exploratory qualitative design.
- Individual in-depth interviews with 10 midwives.
- Thematic analysis of interview data.
Main Results:
- Midwives utilize external cephalic version, mental, and physical practices.
- Common themes include care elements, concerns, barriers, and outcomes.
- Positive outcomes reported: increased vaginal birth, enhanced birth perception, and maternal satisfaction.
Conclusions:
- Midwives employ diverse methods for breech conversion.
- Barriers and concerns exist, but positive outcomes are reported.
- Evidence base needs strengthening; midwives/nurses should inform pregnant women.
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