Women at term (over 37 weeks) that are candidates for external cephalic version will be positioned in the trendelenburg position 5 minutes prior to external cephalic version performance and during the procedure. The control group will not be positioned differently than usual. We will evaluate external cephalic version success and compare the 2 groups.
This is a randomized controlled trial that is designed to compare external cephalic version success between women positioned in the trendelenburg position 5 minutes prior to external cephalic version performance and during the procedure and a control group of women that will lie on their back without special positioning. The women that are eligible for participation will receive a thorough explanation and will sign informed consent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
180
Women positioned in the trendelenburg position prior to external cephalic version
Rambam health care campus
Haifa, Israel
RECRUITINGExternal cephalic version success
The rate of successful external cephalic version
Time frame: Up to 10 minutes from the beginning of external cephalic version.
Pain
Visual analog scale scoring from 0-10 during and following the procedure.
Time frame: Up to 2 hours from the beginning of external cephalic version.
Placental abruption
Rate of clinical placental abruption
Time frame: Up to 1 week from the beginning of external cephalic version.
Vaginal delivery
Rate of vaginal deliveries
Time frame: Up to 4 weeks from the beginning of external cephalic version.
Cesarean delivery
Rate of cesarean deliveries
Time frame: Up to 4 weeks from the beginning of external cephalic version.
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