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Prediction of success in external cephalic version under tocolysis : still a challenge

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dc.contributor.authorVaz de Macedo, Carolina
dc.contributor.authorClode, Nuno
dc.contributor.authorGraça, Luís M.
dc.date.accessioned2020-12-09T13:51:10Z
dc.date.available2020-12-09T13:51:10Z
dc.date.issued2015
dc.descriptionCopyright © Ordem dos Médicos 2015pt_PT
dc.description.abstractIntroduction: External cephalic version is a procedure of fetal rotation to a cephalic presentation through manoeuvres applied to the maternal abdomen. There are several prognostic factors described in literature for external cephalic version success and prediction scores have been proposed, but their true implication in clinical practice is controversial. We aim to identify possible factors that could contribute to the success of an external cephalic version attempt in our population. Material and methods: We retrospectively examined 207 consecutive external cephalic version attempts under tocolysis conducted between January 1997 and July 2012. We consulted the department's database for the following variables: race, age, parity, maternal body mass index, gestational age, estimated fetal weight, breech category, placental location and amniotic fluid index. We performed descriptive and analytical statistics for each variable and binary logistic regression. Results: External cephalic version was successful in 46.9% of cases (97/207). None of the included variables was associated with the outcome of external cephalic version attempts after adjustment for confounding factors. Discussion: We present a success rate similar to what has been previously described in literature. However, in contrast to previous authors, we could not associate any of the analysed variables with success of the external cephalic version attempt. We believe this discrepancy is partly related to the type of statistical analysis performed. Conclusions: Even though there are numerous prognostic factors identified for the success in external cephalic version, care must be taken when counselling and selecting patients for this procedure. The data obtained suggests that external cephalic version should continue being offered to all eligible patients regardless of prognostic factors for success.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2015 Sep-Oct;28(5):554-558pt_PT
dc.identifier.doi10.20344/amp.6179pt_PT
dc.identifier.eissn1646-0758
dc.identifier.issn0870-399X
dc.identifier.urihttp://hdl.handle.net/10451/45184
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.relation.publisherversionhttps://www.actamedicaportuguesa.com/revista/index.php/amp/indexpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectBreech presentationpt_PT
dc.subjectPregnancypt_PT
dc.subjectTocolysispt_PT
dc.subjectTreatment outcomept_PT
dc.subjectVersion, fetalpt_PT
dc.titlePrediction of success in external cephalic version under tocolysis : still a challengept_PT
dc.title.alternativePredição de sucesso na versão cefálica externa sob tocólise : ainda um desafiopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage558pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage554pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume28pt_PT
person.familyNameGraça
person.givenNameLuís Mendes
person.identifier.orcid0000-0002-9972-5129
person.identifier.scopus-author-id7004181721
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationa54c1de9-1f03-465d-8e81-5a13d7b975d3
relation.isAuthorOfPublication.latestForDiscoverya54c1de9-1f03-465d-8e81-5a13d7b975d3

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