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Midwifery. 2004 Jun;20(2):181-7.

Pregnant women's preferences and knowledge of term breech management, in an Australian setting.

Author information

1
Centre for Perinatal Health Services Research, Screening and Test Evaluation Program, School of Public Health, University of Sydney, Australia. camillerg@perinatal.usyd.edu.au

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.

PMID:
15177862
DOI:
10.1016/j.midw.2003.10.002
[Indexed for MEDLINE]

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