Comparison of Materials used in Facilitating External Cephalic Version
Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcu...
Ausführliche Beschreibung
Autor*in: |
Noreen Majeed [verfasserIn] Faiza Safdar [verfasserIn] Khair un Nisa [verfasserIn] Shamsa Tariq [verfasserIn] Nargis Shabana [verfasserIn] Saana Bibji [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Journal of Rawalpindi Medical College - Rawalpindi Medical University, 2020, 26(2022), 2 |
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Übergeordnetes Werk: |
volume:26 ; year:2022 ; number:2 |
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Link aufrufen |
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DOI / URN: |
10.37939/jrmc.v26i2.1847 |
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Katalog-ID: |
DOAJ079618189 |
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520 | |a Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. | ||
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10.37939/jrmc.v26i2.1847 doi (DE-627)DOAJ079618189 (DE-599)DOAJ9388d33fd98c442b8ea2d83d7c377f59 DE-627 ger DE-627 rakwb eng Noreen Majeed verfasserin aut Comparison of Materials used in Facilitating External Cephalic Version 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. External cephalic version (ECV) Medicine R Faiza Safdar verfasserin aut Khair un Nisa verfasserin aut Shamsa Tariq verfasserin aut Nargis Shabana verfasserin aut Saana Bibji verfasserin aut In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 26(2022), 2 (DE-627)1735713449 16833570 nnns volume:26 year:2022 number:2 https://doi.org/10.37939/jrmc.v26i2.1847 kostenfrei https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/1847 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2022 2 |
spelling |
10.37939/jrmc.v26i2.1847 doi (DE-627)DOAJ079618189 (DE-599)DOAJ9388d33fd98c442b8ea2d83d7c377f59 DE-627 ger DE-627 rakwb eng Noreen Majeed verfasserin aut Comparison of Materials used in Facilitating External Cephalic Version 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. External cephalic version (ECV) Medicine R Faiza Safdar verfasserin aut Khair un Nisa verfasserin aut Shamsa Tariq verfasserin aut Nargis Shabana verfasserin aut Saana Bibji verfasserin aut In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 26(2022), 2 (DE-627)1735713449 16833570 nnns volume:26 year:2022 number:2 https://doi.org/10.37939/jrmc.v26i2.1847 kostenfrei https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/1847 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2022 2 |
allfields_unstemmed |
10.37939/jrmc.v26i2.1847 doi (DE-627)DOAJ079618189 (DE-599)DOAJ9388d33fd98c442b8ea2d83d7c377f59 DE-627 ger DE-627 rakwb eng Noreen Majeed verfasserin aut Comparison of Materials used in Facilitating External Cephalic Version 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. External cephalic version (ECV) Medicine R Faiza Safdar verfasserin aut Khair un Nisa verfasserin aut Shamsa Tariq verfasserin aut Nargis Shabana verfasserin aut Saana Bibji verfasserin aut In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 26(2022), 2 (DE-627)1735713449 16833570 nnns volume:26 year:2022 number:2 https://doi.org/10.37939/jrmc.v26i2.1847 kostenfrei https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/1847 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2022 2 |
allfieldsGer |
10.37939/jrmc.v26i2.1847 doi (DE-627)DOAJ079618189 (DE-599)DOAJ9388d33fd98c442b8ea2d83d7c377f59 DE-627 ger DE-627 rakwb eng Noreen Majeed verfasserin aut Comparison of Materials used in Facilitating External Cephalic Version 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. External cephalic version (ECV) Medicine R Faiza Safdar verfasserin aut Khair un Nisa verfasserin aut Shamsa Tariq verfasserin aut Nargis Shabana verfasserin aut Saana Bibji verfasserin aut In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 26(2022), 2 (DE-627)1735713449 16833570 nnns volume:26 year:2022 number:2 https://doi.org/10.37939/jrmc.v26i2.1847 kostenfrei https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/1847 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2022 2 |
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10.37939/jrmc.v26i2.1847 doi (DE-627)DOAJ079618189 (DE-599)DOAJ9388d33fd98c442b8ea2d83d7c377f59 DE-627 ger DE-627 rakwb eng Noreen Majeed verfasserin aut Comparison of Materials used in Facilitating External Cephalic Version 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. External cephalic version (ECV) Medicine R Faiza Safdar verfasserin aut Khair un Nisa verfasserin aut Shamsa Tariq verfasserin aut Nargis Shabana verfasserin aut Saana Bibji verfasserin aut In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 26(2022), 2 (DE-627)1735713449 16833570 nnns volume:26 year:2022 number:2 https://doi.org/10.37939/jrmc.v26i2.1847 kostenfrei https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/1847 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2022 2 |
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Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. |
abstractGer |
Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. |
abstract_unstemmed |
Introduction: External cephalic version (ECV) is a procedure to manipulate a fetus with breech presentation to cephalic presentation through maternal abdomen under ultrasound guidance. It is done to reduce the number of assisted breech deliveries and caesarean sections for breech presentation. Talcum powder or aqueous gel is frequently used to facilitate ECV. We compared powder with gel in attaining a successful version and level of practitioner satisfaction with powder versus gel use. Materials and Methods: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) , Wah Cantt from 10th Oct 2015- 10th Oct 2019. Total of 56 low risk gravid women underwent ECV after selection on the basis of inclusion and exclusion criteria. By using convenient consecutive sampling, powder or gel during ECV was allocated accordingly. ECV was performed by the single experienced practitioner in labour room with cardiotocograph and emergency caesarean facilities . Powder and gel use was compared in attaining a successful version. ECV was declared successful on confirming head of fetus in lower uterine segment on ultrasound. Unsuccessful ECVs were reattempted with crossover use to the other aid. Practitioner satisfaction was defined as, ease experienced by the practitioner in performing ECV. It was graded as high, medium and low on the base of ease or difficulty experienced by the practitioner while using powder or gel during ECV. The data was recorded & analysed using SPSS software. Descriptive statistics with Chi-square test is applied to find out the association between successful version & practitioner satisfaction level with powder versus gel use. Results: In the powder use group, 9 ECVs were successful and 19 ECV’s were unsuccessful. In gel use group, 12 ECVs were successful and 16 were unsuccessful. There were more successful ECV’s in gel group but the association was not significant (P-value .408). Practitioner satisfaction was significantly high with gel than the powder use(P-value .<.001). Conclusion: Powder or gel is not superior over the other as an aid for achieving successful ECV though gel use is more satisfying for the provider than powder use in performing ECV. More studies are required regarding aids used in performing ECV for recommendations in clinical practice. |
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Comparison of Materials used in Facilitating External Cephalic Version |
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https://doi.org/10.37939/jrmc.v26i2.1847 https://doaj.org/article/9388d33fd98c442b8ea2d83d7c377f59 https://www.journalrmc.com/index.php/JRMC/article/view/1847 https://doaj.org/toc/1683-3562 https://doaj.org/toc/1683-3570 |
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Faiza Safdar Khair un Nisa Shamsa Tariq Nargis Shabana Saana Bibji |
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