This study evaluates the potential benefits of spinal anaesthesia for nulliparous mothers scheduled for external version of babies in breech position.
Fetuses in breech position are almost always delivered by Caesarian section (CS). If the fetus is in breech position by the end of pregnancy, attempts for external cephalic version (ECV) are usually made. The success rate of ECV in nulliparous women is lower than in multiparous women. There are studies showing a higher rate of successful ECV's if the mother received a low dose spinal anaesthesia (SA). Overall maternal satisfaction was higher with SA. These studies, however, did not take parity into account. The primary aim of this study is to see if SA can increase the rate of successful ECV's in nulliparous women. The secondary aims are to evaluate if maternal satisfaction increases and if the rate of CS is decreasing using SA during ECV.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Spinal anaesthesia with Bupivacain 2.5 mg and Sufentanil 5 µg
Skåne University Hospital
Lund, Sweden
Skåne University Hospital
Malmo, Sweden
External version success rate
Rate of successful version as assessed by gynaecologist after maximum three attempts.
Time frame: 1 hour
Overall maternal satisfaction post external version attempt
Evaluation of overall participant satisfaction using an online assessment questionnaire within an hour from the external version attempts.
Time frame: 1 hour
Overall maternal satisfaction post partum
Evaluation of overall participant satisfaction using an online assessment questionnaire within 3 months from the external version attempts (within 2 months post partum)
Time frame: 3 months
Caesarian section rate
The mode of delivery, assessed from the medical charts after delivery.
Time frame: 1 months
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