Dr. A.N. Rosman; A. Guijt; F. Vlemmix; M.E.B. Rijnders; B.W.J. Mol; M. Kok
Objective. External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of ECV. …
F. Vlemmix; Dr. A.N. Rosman; M.E.B. Rijnders; A. Beuckens; B.C. Opmeer; B.W.J. Mol; M. Kok; M.A.H. Fleuren
To determine the effectiveness of a client or care‐provider strategy to improve the implementation of external cephalic version.
Cluster randomized controlled trial.
Twenty‐five clusters; hospitals and their referring midwifery practices randomly selected in the Netherlands.
F. Vlemmix; Dr. A.N. Rosman; S. te Hoven; S. van de Berg; M.A.H. Fleuren; M.E.B. Rijnders; A. Beuckens; B.C. Opmeer; B.W.J. Mol; M. Kok
External cephalic version (ECV) reduces the rate of elective cesarean sections as a result of breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim of this study was to evaluate the implementation of ECV in the Netherlands and to explain …
Dr. A.N. Rosman; F. Vlemmix; A. Beuckens; M.E.B. Rijnders; B.C. Opmeer; B.W.J. Mol; M. Kok; M.A.H. Fleuren
guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50–60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines among …
F. Vlemmix; J.K. Warendorf; Dr. A.N. Rosman; M. Kok; B.W.J. Mol; J.M. Morris; N. Nassar
Rapid development in health care has resulted in an increasing number of screening and treatment options. Consequently, there is an urgency to provide people with relevant information about benefits and risks of healthcare options in an unbiased way. Decision aids help people to make decisions …
F. Vlemmix; L. Bergenhenegouwen; J.M. Schaaf; S. Ensing; Dr. A.N. Rosman; A.C.J. Ravelli; J.A.M. van der Post; A. Verhoeven; G.H. Visser; B.W.J. Mol; M. Kok
The aim of this study was to evaluate the effect of the increased cesarean rate for term breech presentation on neonatal outcome. We also investigated whether the clinical case selection for vaginal delivery applied by Dutch obstetricians led to an optimization of neonatal outcome, or whether …
Dr. A.N. Rosman; F. Vlemmix; M.A.H. Fleuren; M.E.B. Rijnders; A. Beuckens; B.C. Opmeer; B.W.J. Mol; M.C.B. van Zwieten; M. Kok
external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of women …
Dr. A.N. Rosman; F. Vlemmix; S. Ensing; B.C. Opmeer; J. Velzel; M. de Hundt; S. van den Berg; H. Rota; J.A.M. van der Post; B.W.J. Mol; M. Kok
to assess the mode of childbirth and adverse neonatal outcomes in women with a breech presentation with or without an external cephalic version attempt, and to compare the mode of childbirth among women with successful ECV to women with a spontaneous cephalic presentation.
F. Vlemmix; Dr. A.N. Rosman; M.A.H. Fleuren; M.E.B. Rijnders; A. Beuckens; M.C. Haak; B.M.C. Akerboom; J.M.J. Bais; S.M.I. Kuppens; D.M. Papatsonis; B.C. Opmeer; J.A.M. van der Post; B.W.J. Mol; M. Kok
Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obstetrics …
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