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Acta Obstétrica e Ginecológica Portuguesa
Print version ISSN 1646-5830
Abstract
GARCIA, Mafalda; BATISTA, Sara; MILHINHOS, Cláudia and CLODE, Nuno. Women's perception of external cephalic version during pregnancy. Acta Obstet Ginecol Port [online]. 2021, vol.15, n.2, pp.125-129. Epub June 30, 2021. ISSN 1646-5830.
Overview and aims:
External cephalic version (ECV) is a maneuver that can diminish the cesarean section rate. The objective of our study was to assess women’s perception with ECV to improve counselling and its implementation.
Study Design:
Semi structured interviews with closed and open questions were conducted by phone.
Population:
Women subjected to ECV between January 2015 and August 2018.
Methods:
Women’s answers descriptive analysis.
Results:
Sixty six women answered the questionnaire. Pain was reported as intense by 48,5% and severe by 12,1%. The majority considered ECV as an alternative to cesarean section and 22,7% had tried other techniques before ECV. Twenty four women felt anxious before ECV but only 15,1% regretted their decision to undergo ECV. More than 60% would consider this maneuver in a subsequent pregnancy or recommend it to a friend. There was no association between the referred pain and the success of ECV.
Conclusion:
ECV is perceived as painful by most women and causes anxiety to a significant number of patients. Therefore, ECV must be attempted by experienced practitioners with careful attention to maternal mood.
Keywords : External fetal version; Breech presentation.