Effect of spontaneous cephalic version techniques with acoustic stimulation on maternal and neonatal outcomes in breech presentation: A randomized clinical trial-Reference-Cited by-同舟云学术

Effect of spontaneous cephalic version techniques with acoustic stimulation on maternal and neonatal outcomes in breech presentation: A randomized clinical trial

Published:2023-08-31 Issue:3 Volume:23 Page:20-24
ISSN:
Container-title:Fizjoterapia Polska
language:
Short-container-title:Fiz Pol

Author:

Awad Eman¹,Mobark Ali²,Khamis Yasser²,Hamada Hamada Ahmed³,Yousef Amal⁴,Saeed Doaa⁵

Affiliation:

1. Department of Physical therapy for Woman and Child Health, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt

2. Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt

3. Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

4. Department of Physical Therapy for Gynecology and Obstetrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

5. Department of Physical therapy for Women’s Health, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt

Abstract

Aim. Breech presentation complicates 3-4% of all term deliveries. This trial aimed to study the effect of combining spontaneous cephalic version (SCV) techniques with acoustic stimulation on the position of breech fetuses and their subsequent impact on maternal and neonatal outcomes. Materials and Methods. A randomized controlled trial was conducted involving 60 pregnant women at 32-34 weeks of gestation, all expecting a singleton fetus in complete breech presentation. They were assigned to two equal groups: Group (A) consisted of intervention participants who performed SCV techniques in conjunction with acoustic stimulation from 34 weeks of gestation, along with routine antenatal care. Group (B) comprised control participants who continued with their routine prenatal care up to delivery. Results. The chi-square test indicated a statistically significant increase in the number of vaginal deliveries among participants in Group (A) due to the fetuses turning to a vertex position. Meanwhile, neonates from Group (B) demonstrated a statistically significant higher Apgar score value at the 1st minute of life compared to those in Group (A). Conclusion. Spontaneous cephalic version techniques combined with acoustic stimulation are effective in repositioning a breech baby into a vertex position, thereby reducing the incidence of cesarean sections and associated morbidities for both mother and neonate.

Publisher

DJ Studio Dariusz Jasinski

Subject

Applied Mathematics,Geometry and Topology,Algebra and Number Theory,Analysis,Marketing,General Earth and Planetary Sciences,General Environmental Science,Industrial and Manufacturing Engineering,General Medicine,Artificial Intelligence,Statistics, Probability and Uncertainty,Computer Science Applications,Business, Management and Accounting (miscellaneous),Applied Mathematics,Geometry and Topology,General Physics and Astronomy,Mathematical Physics,Analysis,Electrical and Electronic Engineering,Physical and Theoretical Chemistry,Condensed Matter Physics,Materials Science (miscellaneous),Artificial Intelligence,Applied Mathematics,Industrial and Manufacturing Engineering,Human-Computer Interaction,Information Systems,Control and Systems Engineering,General Medicine

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