Fear for external cephalic version and depression: predictors of successful external cephalic version for breech presentation at term?

Emily Ciliacus, Marieke van der Zalm, Sophie E Truijens, Tom H Hasaart, Victor J Pop, Simone M Kuppens, Emily Ciliacus, Marieke van der Zalm, Sophie E Truijens, Tom H Hasaart, Victor J Pop, Simone M Kuppens

Abstract

Background: Objective was to determine whether fear for external cephalic version (ECV) and depression are associated with the success rate of ECV in women with a breech presentation at term.

Methods: Prospective study conducted in the Catharina Hospital Eindhoven between October 2007 and May 2012. Participants fulfilled The Edinburgh Depression Scale (EDS) questionnaire and expressed their degree of fear on a visual analogue scale from one to ten before ECV. Obstetric factors were evaluated as well. Primary outcome was the relation between psychological factors (fear for ECV and depression EDS scores) and ECV success rate. Secondary outcome was a possible relation between fear for ECV and increased abdominal muscle tension.

Results: The overall success rate was 55% and was significantly lower (p < 0.001) in nulliparous women (44.3%) compared with parous women (78.0%). Fear for ECV and depression EDS-scores were not related with ECV success rate. Parity, placental location, BMI and engagement of the fetal breech were obstetric factors associated with ECV outcome. There was no relation between fear for ECV and abdominal muscle tone.

Conclusion: Fear for ECV and depression were not related with ECV success rate in this study. Engagement of the fetal breech was the most important factor associated with a successful ECV.

Trial registration ebis: The Eindhoven Breech Intervention Study, NCT00516555.

References

    1. American College of Obstetrician and Gynecologists. ACOG Committee opinion no. 340. Mode of term singleton breech delivery. Obstet Gynecol. 2006;108:235–237.
    1. RCOG Royal College of Obstetricians and Gynaecologists. RCOG guideline. London (UK): External cephalic version and reducing the incidence of breech presentation (green-top 20a); 2006.
    1. Keriakos R, Abdelmalek B, Campbell L. Sheffield modified technique for external cephalic version. J Obstet Gynaecol. 2009;29(5):384–387.
    1. Ben-Meir A, Erez Y, Sela HY, Shveiky D, Tsafrir A, Ezra Y. Prognostic parameters for successful external cephalic version. J Matern Fetal Neonatal Med. 2008;21(9):660–662.
    1. Kok M, Cnossen J, Gravendeel L, Van Der Post JA, Mol BW. Ultrasound factors to predict the outcome of external cephalic version: a meta-analysis. Ultrasound Obstet Gynecol. 2009;33(1):76–84.
    1. Opmeer B, Mol BW, Van Der Post JA, Cnossen J, Gravendeel L, Kok M. Clinical factors to predict outcome of external cephalic version: a meta-analysis. Am J Obstet Gynecol. 2008;630(6):e1–e7. 199.
    1. Haas DM, Magann EF. External cephalic version with an amniotic fluid index < or = 10: a systematic review. J Matern Fetal Neonatal Med. 2005;18(4):249–252.
    1. Rijnders M, Herschderfer K, Prins M, van Baaren R, van Veelen AJ, Schönbeck Y, Buitendijk S. A retrospective study of the success, safety and effectiveness of external cephalic version without tocolysis in a specialised midwifery centre in the Netherlands. Midwifery. 2008;24(1):38–45. Epub 2006 Dec 29.
    1. Smaga D, Cheseaux N, Forster A, Colombo S, Rentsch D, de Tonnac N. Hypnosis and anxiety problems. Rev Med Suisse. 2010;6:330–333.
    1. Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT. Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med. 2001;63(5):830–834.
    1. Kuppens SM, Kooistra L, Hasaart TH, van der Donk RW, Vader HL, Oei GS, Pop VJ. Maternal thyroid function and the outcome of external cephalic version: a prospective cohort study. BMC Pregnancy Childbirth. 2011;11:10.
    1. Wijnen H, Bunevicius R, van Baar A, Pop V, Bergink V, Kooistra L, den Berg MP L-v. Validation of the Edinburgh depression scale during pregnancy. J Psychosom Res. 2011;70(4):385–389.
    1. Hutton EK, Hannah ME, Ross SJ, Delisle MF, Carson GD, Windrim R, Ohlsson A, Willan AR, Gafni A, Sylvestre G, Natale R, Barrett Y, Pollard JK, Dunn MS, Turtle P. Early ECV2 Trial Collaborative Group. The early external cephalic version (ECV) 2 trial: an international multicenter randomized controlled trial of timing of ECV for breech pregnancies. BJOG. 2011;118(5):564–577.
    1. Reinhard J, Heinrich TM, Reitter A, Herrmann E, Smart W, Louwen F. Clinical hypnosis before external cephalic version. Am J Clin Hypn. 2012;55(2):184–192.
    1. Grootscholten K, Kok M, Oei SG, Mol BW, van der Post JA. External cephalic version–related risks: a meta-analysis. Obstet Gynecol. 2008;112(5):1143–1151.

Source: PubMed

赞助者和合作者

医疗条件

药物干预

3
订阅