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Does Advice to Assume the Knee‐Chest Position Reduce the Incidence of Breech Presentation at Delivery? A Randomized Clinical Trial
Author(s) -
Chenia F.,
Crowther C. A.
Publication year - 1987
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/j.1523-536x.1987.tb01455.x
Subject(s) - breech presentation , medicine , external cephalic version , randomized controlled trial , gestation , presentation (obstetrics) , cephalic presentation , incidence (geometry) , obstetrics , position (finance) , pregnancy , surgery , genetics , physics , optics , biology , finance , economics
A randomized clinical trial of 76 women with a persistent singleton breech presentation at 37 weeks’ or more gestation tested the value of advising women to assume the knee‐chest position for 15 minutes three times a day in reducing the incidence of breech presentation at delivery. In the 39 women advised to perform the procedure, 16 (41.0%) fetuses underwent rotation and remained cephalic at delivery compared to 12 (32.4%) of the 37 women in the control group in whom spontaneous version to cephalic occurred. The procedure warrants further evaluation in other obstetric populations, at or in the thirty‐seventh week of gestation, and in a larger study group.