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Type: Journal article
Title: Pregnant women's preferences and knowledge of term breech management, in an Australian setting
Author: Raynes-Greenow, C.
Roberts, C.
Barratt, A.
Brodrick, B.
Peat, B.
Citation: Midwifery, 2004; 20(2):181-187
Publisher: Churchill Livingstone
Issue Date: 2004
ISSN: 0266-6138
Statement of
Camille H. Raynes-Greenow, Christine L. Roberts, Alexandra Barratt, Belinda Brodrick and Brian Peat
Abstract: OBJECTIVE: To assess women's familiarity with breech presentation and external cephalic version (ECV), and to identify women's preferences and attitudes regarding breech management. DESIGN: Cross-sectional survey. SETTING: King George V (KGV) Memorial Hospital for Mothers and Babies, Sydney, Australia, a major metropolitan teaching hospital. POPULATION: 174 pregnant women (20-38 weeks gestation) attending KGV for antenatal care in 2001. METHODS: Data were obtained from a self-administered questionnaire that was distributed through the antenatal clinics. MAIN OUTCOME MEASURES: Women's familiarity of breech presentation and ECV, women's attitude towards ECV, decision to attempt ECV, and with whom participants would like to make a decision regarding ECV. FINDINGS: Of the 174 respondents, 85% could correctly identify breech presentation, and 66% had heard of ECV. For 87% this information was from books, and family/friends, and not their midwife/doctor. Equal numbers of women responded that they would or would not choose ECV (39%), and the remaining 22% were uncertain. Factors influencing their decision included concerns about the safety for the baby, ECV not guaranteeing vaginal birth despite successful version, and ECV not being effective enough. Seventy-two per cent wanted to make the decision to attempt ECV together with their doctor. CONCLUSION: Although the majority of the women had a preference for vaginal birth, their knowledge of ECV appeared insufficient to enable them to make informed decisions about attempting ECV. These findings suggest that care-providers should offer women information on ECV, in a shared-decision-making environment.
Keywords: Humans; Breech Presentation; Cesarean Section; Version, Fetal; Questionnaires; Health Knowledge, Attitudes, Practice; Mothers; Nurse-Patient Relations; Decision Making; Counseling; Midwifery; Pregnancy; Pregnancy Trimester, Third; Time Factors; Adult; Infant, Newborn; Patient Participation; Patient Acceptance of Health Care; New South Wales; Female
Description: Copyright © 2003 Elsevier Ltd. All rights reserved.
RMID: 0020040664
DOI: 10.1016/j.midw.2003.10.002
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Appears in Collections:Obstetrics and Gynaecology publications

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