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. 2000:(2):CD000051.
doi: 10.1002/14651858.CD000051.

Cephalic version by postural management for breech presentation

G J Hofmeyr  1 , R Kulier
Affiliations

Cephalic version by postural management for breech presentation

G J Hofmeyr et al. Cochrane Database Syst Rev. 2000.

Update in

Abstract

Background: It is possible that maternal posture may influence fetal position. Many postural techniques have been used to promote cephalic version.

Objectives: The objective of this review was to assess the effects of postural management of breech presentation on measures of pregnancy outcome.

Search strategy: The Cochrane Pregnancy and Childbirth trials register and Controlled Trials Register were searched. Date of last search: February 1999.

Selection criteria: Randomised and quasi-randomised trials comparing postural management with pelvic elevation for breech presentation, with a control group.

Data collection and analysis: Eligibility and trial quality were assessed by both reviewers.

Main results: Three studies involving a total of 192 women were included. Postural management was associated with a non-significant trend towards fewer non-cephalic births (relative risk 0.90, 95% confidence interval 0. 73 to 1.12). No differences were detected for caesarean sections or Apgar scores below seven at one minute.

Reviewer's conclusions: There is not enough evidence to evaluate the use of postural management for breech presentation.

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