The management of breech pregnancies in Australia and New Zealand

Simple item page
dc.contributor.authorPhipps, H.
dc.contributor.authorRoberts, C.
dc.contributor.authorNassar, N.
dc.contributor.authorRaynes-Greenow, C.
dc.contributor.authorPeat, B.
dc.contributor.authorHutton, E.
dc.date.issued2003
dc.description.abstract<h4>Aim</h4>To assess current obstetric practice in the management of singleton breech pregnancies in Australia and New Zealand.<h4>Methodology</h4>Survey mailed to all members and fellows of the Royal Australian and New Zealand College of Obstetrics and Gynaecology.<h4>Results</h4>Of 1284 surveyed, 956 (74%) responded of whom 696 (73%) were practicing obstetrics. Prior to the Term Breech Trial (TBT), 72% of obstetricians reported that they routinely offered vaginal breech birth for uncomplicated singleton breech pregnancies. After the TBT publication this rate declined to 20%. External cephalic version (ECV) was usually recommended by 67% of obstetricians and only 53% use tocolytics. Common practices for which safety has yet to be demonstrated included 28% of obstetricians carrying out ECV outside hospitals and 42% carrying out ECV before 37 weeks' gestation.<h4>Conclusions</h4>While the majority of obstetricians recommend ECV and/or planned Caesarean section for breech presentation, barriers to the promotion of ECV and the use of tocolysis for ECV need to be identified if the rates of this effective manoeuvre are to be increased.
dc.description.statementofresponsibilityHala Phipps, Christine L. Roberts, Natasha Nassar, Camille H. Raynes-Greenow, Brian Peat and Eileen K. Hutton
dc.identifier.citationAustralian and New Zealand Journal of Obstetrics and Gynaecology, 2003; 43(4):294-297
dc.identifier.doi10.1046/j.0004-8666.2003.00078.x
dc.identifier.issn0004-8666
dc.identifier.issn1479-828X
dc.identifier.urihttp://hdl.handle.net/2440/7961
dc.language.isoen
dc.publisherBlackwell Publishing Asia
dc.source.urihttps://doi.org/10.1046/j.0004-8666.2003.00078.x
dc.subjectHumans
dc.subjectBreech Presentation
dc.subjectCesarean Section
dc.subjectVersion, Fetal
dc.subjectPregnancy
dc.subjectAustralia
dc.subjectNew Zealand
dc.subjectFemale
dc.subjectPractice Patterns, Physicians'
dc.titleThe management of breech pregnancies in Australia and New Zealand
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Obstetrics and Gynaecology publications