The impact of a routine late third trimester growth scan on the incidence, diagnosis, and management of breech presentation in Oxfordshire, UK: A cohort study.

ABSTRACT:

Background

Breech presentation at term contributes significantly to cesarean section (CS) rates worldwide. External cephalic version (ECV) is a safe procedure that reduces term breech presentation and associated CS. A principal barrier to ECV is failure to diagnose breech presentation. Failure to diagnose breech presentation also leads to emergency CS or unplanned vaginal breech birth. Recent evidence suggests that undiagnosed breech might be eliminated using a third trimester scan. Our aim was to evaluate the impact of introducing a routine 36-week scan on the incidence of breech presentation and of undiagnosed breech presentation.

Methods and findings

We carried out a population-based cohort study of pregnant women in a single unit covering Oxfordshire, United Kingdom. All

SUBMITTER: Salim I 

PROVIDER: S-EPMC7810318 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature