FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2162763650> ?p ?o ?g. }

• W2162763650 endingPage "CD000084" @default.
• W2162763650 startingPage "CD000084" @default.
• W2162763650 abstract "External cephalic version (ECV) of the breech fetus at term (after 37 weeks) has been shown to be effective in reducing the number of breech presentations and caesarean sections, but the rates of success are relatively low. This review examines studies initiating ECV prior to term (before 37 weeks' gestation).To assess the effectiveness of a policy of beginning ECV before term (before 37 weeks' gestation) for breech presentation on fetal presentation at birth, method of delivery, and the rate of preterm birth, perinatal morbidity, stillbirth or neonatal mortality.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 March 2015) and reference lists of retrieved studies.Randomised controlled trials (RCTs) of ECV attempted before term (37 weeks' gestation) or commenced before term, compared with a control group of women (in breech presentation) in which either no ECV attempted or ECV was attempted at term. Cluster-randomised trials were eligible for inclusion but none were identified. Quasi-RCTs or studies using a cross-over design were not eligible for inclusion.Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked for accuracy. Studies were assessed for risk of bias and for important outcomes the overall quality of the evidence was assessed using the GRADE approach.Five studies are included (2187 women). It was not possible for the intervention to be blinded, and it is not clear what impact lack of blinding would have on the outcomes reported. For other 'Risk of bias' domains studies were either at low or unclear risk of bias.One study reported on ECV that was undertaken and completed before 37 weeks' gestation compared with no ECV. No difference was found in the rate of non-cephalic presentation at birth (risk ratio (RR) 1.04, 95% confidence interval (CI) 0.64 to 1.69; participants = 102). One study reported on a policy of ECV that was initiated before term (33 weeks) and up until 40 weeks' gestation and which could be repeated up until delivery compared with no ECV. This study showed a decrease in the rate of non-cephalic presentation at birth (RR 0.59, 95% CI 0.45 to 0.77; participants = 179).Three studies reported on ECV started at between 34 to 35 weeks' gestation compared with beginning at 37 to 38 weeks' gestation. Pooled results suggested that early ECV reduced the risk of non-cephalic presentation at birth (RR 0.81, 95% CI 0.74 to 0.90; participants = 1906; studies = three; I² = 0%, evidence graded high quality), failure to achieve vaginal cephalic birth (RR 0.90, 95% CI 0.83 to 0.97; participants = 1888; studies = three; I² = 0%, evidence graded high quality), and vaginal breech delivery (RR 0.44, 95% CI 0.25 to 0.78; participants = 1888; studies = three; I² = 0%, evidence graded high quality). The difference between groups for risk of caesarean was not statistically significant (RR 0.92, 95% CI 0.85 to 1.00; participants = 1888; studies = three; I² = 0%, evidence graded high quality). There was evidence that risk of preterm labour was increased with early ECV compared with ECV after 37 weeks (6.6% in the ECV group and 4.3% for controls) (RR 1.51, 95% CI 1.03 to 2.21; participants = 1888; studies = three; I² = 0%, evidence graded high quality). There was no clear difference between groups for low infant Apgar score at five minutes or perinatal death (stillbirth plus neonatal mortality up to seven days) (evidence graded as low quality for both outcomes).Compared with no ECV attempt, ECV commenced before term reduces non-cephalic presentation at birth. Compared with ECV at term, beginning ECV at between 34 to 35 weeks may have some benefit in terms of decreasing the rate of non-cephalic presentation, and risk of vaginal breech birth. However, early ECV may increase risk of late preterm birth, and it is important that any future research reports infant morbidity outcomes. Results of the review suggest that there is a need for careful discussion with women about the timing of the ECV procedure so that they can make informed decisions." @default.
• W2162763650 created "2016-06-24" @default.
• W2162763650 creator A5016872796 @default.
• W2162763650 creator A5083651680 @default.
• W2162763650 creator A5084214657 @default.
• W2162763650 date "2015-07-29" @default.
• W2162763650 modified "2023-10-12" @default.
• W2162763650 title "External cephalic version for breech presentation before term." @default.
• W2162763650 cites W1496893942 @default.
• W2162763650 cites W1541097142 @default.
• W2162763650 cites W1669064220 @default.
• W2162763650 cites W1745618023 @default.
• W2162763650 cites W1847264697 @default.
• W2162763650 cites W1966221299 @default.
• W2162763650 cites W1983647512 @default.
• W2162763650 cites W1989441300 @default.
• W2162763650 cites W1999144531 @default.
• W2162763650 cites W2006064838 @default.
• W2162763650 cites W2030906024 @default.
• W2162763650 cites W2038602680 @default.
• W2162763650 cites W2045527775 @default.
• W2162763650 cites W2052503890 @default.
• W2162763650 cites W2064951389 @default.
• W2162763650 cites W2072356904 @default.
• W2162763650 cites W2072881659 @default.
• W2162763650 cites W2088396910 @default.
• W2162763650 cites W2090748605 @default.
• W2162763650 cites W2095009106 @default.
• W2162763650 cites W2103835136 @default.
• W2162763650 cites W2112399159 @default.
• W2162763650 cites W2125631512 @default.
• W2162763650 cites W2134407891 @default.
• W2162763650 cites W2144758884 @default.
• W2162763650 cites W2145443732 @default.
• W2162763650 cites W2153998513 @default.
• W2162763650 cites W2154933365 @default.
• W2162763650 cites W2162763650 @default.
• W2162763650 cites W2167052359 @default.
• W2162763650 cites W2410351669 @default.
• W2162763650 cites W2411203225 @default.
• W2162763650 cites W2744343135 @default.
• W2162763650 cites W4295093627 @default.
• W2162763650 cites W58500723 @default.
• W2162763650 doi "https://doi.org/10.1002/14651858.cd000084.pub3" @default.
• W2162763650 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6505738" @default.
• W2162763650 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26222245" @default.
• W2162763650 hasPublicationYear "2015" @default.
• W2162763650 type Work @default.
• W2162763650 sameAs 2162763650 @default.
• W2162763650 citedByCount "146" @default.
• W2162763650 countsByYear W21627636502012 @default.
• W2162763650 countsByYear W21627636502013 @default.
• W2162763650 countsByYear W21627636502014 @default.
• W2162763650 countsByYear W21627636502015 @default.
• W2162763650 countsByYear W21627636502016 @default.
• W2162763650 countsByYear W21627636502017 @default.
• W2162763650 countsByYear W21627636502018 @default.
• W2162763650 countsByYear W21627636502019 @default.
• W2162763650 countsByYear W21627636502020 @default.
• W2162763650 countsByYear W21627636502021 @default.
• W2162763650 countsByYear W21627636502022 @default.
• W2162763650 countsByYear W21627636502023 @default.
• W2162763650 crossrefType "journal-article" @default.
• W2162763650 hasAuthorship W2162763650A5016872796 @default.
• W2162763650 hasAuthorship W2162763650A5083651680 @default.
• W2162763650 hasAuthorship W2162763650A5084214657 @default.
• W2162763650 hasConcept C126322002 @default.
• W2162763650 hasConcept C131872663 @default.
• W2162763650 hasConcept C141071460 @default.
• W2162763650 hasConcept C168563851 @default.
• W2162763650 hasConcept C187212893 @default.
• W2162763650 hasConcept C2776162027 @default.
• W2162763650 hasConcept C2779234561 @default.
• W2162763650 hasConcept C2779703513 @default.
• W2162763650 hasConcept C2781173009 @default.
• W2162763650 hasConcept C3018664633 @default.
• W2162763650 hasConcept C44249647 @default.
• W2162763650 hasConcept C46973012 @default.
• W2162763650 hasConcept C54355233 @default.
• W2162763650 hasConcept C71924100 @default.
• W2162763650 hasConcept C82789193 @default.
• W2162763650 hasConcept C86803240 @default.
• W2162763650 hasConceptScore W2162763650C126322002 @default.
• W2162763650 hasConceptScore W2162763650C131872663 @default.
• W2162763650 hasConceptScore W2162763650C141071460 @default.
• W2162763650 hasConceptScore W2162763650C168563851 @default.
• W2162763650 hasConceptScore W2162763650C187212893 @default.
• W2162763650 hasConceptScore W2162763650C2776162027 @default.
• W2162763650 hasConceptScore W2162763650C2779234561 @default.
• W2162763650 hasConceptScore W2162763650C2779703513 @default.
• W2162763650 hasConceptScore W2162763650C2781173009 @default.
• W2162763650 hasConceptScore W2162763650C3018664633 @default.
• W2162763650 hasConceptScore W2162763650C44249647 @default.
• W2162763650 hasConceptScore W2162763650C46973012 @default.
• W2162763650 hasConceptScore W2162763650C54355233 @default.
• W2162763650 hasConceptScore W2162763650C71924100 @default.
• W2162763650 hasConceptScore W2162763650C82789193 @default.
• W2162763650 hasConceptScore W2162763650C86803240 @default.

• next