Clinical factors to predict the outcome of external cephalic version: a metaanalysis - 21/08/11
, Jeltsje Cnossen, MD b, Lonneke Gravendeel, MSc a, Joris van der Post, MD, PhD a, Brent Opmeer, PhD c, Ben Willem Mol, MD, PhD d
Reprints: Marjolein Kok, MD, Academic Medical Center, Department of Obstetrics and Gynecology, Meibergdreef 9, room H4-205, Amsterdam, 1105AZ, The NetherlandsRésumé |
Objective |
The objective of the study was to systematically review the medical literature reporting on potential clinical prognosticators for the outcome of external cephalic version (ECV).
Study Design |
Medline, EMBASE, and Cochrane Central Register of Controlled Trials were searched. Studies reporting on potential clinical prognosticators and ECV success rates that allowed construction of a 2 × 2 table were selected.
Results |
We detected 53 primary articles reporting on 10,149 women. Multiparity (P ≥ 1.00; odds ratio [OR], 2.5; 95% confidence interval [CI], 2.3-2.8), nonengagement of the breech (OR, 9.4; 95% CI, 6.3-14), a relaxed uterus (OR, 18; 95% CI, 12-29), a palpable fetal head (OR, 6.3; 95% CI, 4.3-9.2), and maternal weight less than 65 kg (OR, 1.8; 95% CI, 1.2-2.6) were predictors for successful external cephalic version.
Conclusion |
Success of an ECV attempt is associated with clinical factors. This should be taken into account in the counseling of women prior to an ECV attempt.
Le texte complet de cet article est disponible en PDF.Key words : external cephalic version, metaanalysis, prediction
Plan
| Cite this article as: Kok M, Cnossen J, Gravendeel L, et al. Clinical factors to predict the outcome of external cephalic version: a metaanalysis. Am J Obstet Gynecol 2008;199:630.e1-630.e7. |
Vol 199 - N° 6
P. null - décembre 2008 Retour au numéro
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