External cephalic version-related risks: a meta-analysis

K. Grootscholten, M. Kok, S.G. Oei, B.W.J. Mol, J.A. Post, van der

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

132 Citaten (Scopus)

Samenvatting

OBJECTIVE: To systematically review the literature on external cephalic version–related complications and to assess if the outcome of a version attempt is related to complications. DATA SOURCES: In March 2007 we searched MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials. METHODS OF STUDY SELECTION: Studies reporting on complications from an external cephalic version attempt for singleton breech pregnancies after 36 weeks of pregnancy were selected. We calculated odds ratios (ORs) from studies that reported both on complications as well as on the position of the fetus immediately after the procedure. TABULATION, INTEGRATION, AND RESULTS: We found 84 studies, reporting on 12,955 version attempts that reported on external cephalic version–related complications. The pooled complication rate was 6.1% (95% CI 4.7–7.8), 0.24% for serious complications (95% confidence interval [CI] 0.17–0.34) and 0.35% for emergency cesarean deliveries (95% CI 0.26–0.47). Complications were not related to external cephalic version outcome (OR 1.2 (95% CI 0.93–1.7). CONCLUSION: External cephalic version is a safe procedure.
Originele taal-2Engels
Pagina's (van-tot)1143-1151
Aantal pagina's9
TijdschriftObstetrics and Gynecology
Volume112
Nummer van het tijdschrift5
DOI's
StatusGepubliceerd - 2008

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