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Implementation of client versus care‐provider strategies to improve external cephalic version rates: a cluster randomized controlled trial

F. Vlemmix; A.N. Rosman; M.E.B. Rijnders; A. Beuckens; B.C. Opmeer; B.W.J. Mol; M. Kok; M.A.H. Fleuren

Objective To determine the effectiveness of a client or care‐provider strategy to improve the implementation of external cephalic version. Design Cluster randomized controlled trial. Setting Twenty‐five clusters; hospitals and their referring midwifery practices randomly selected in the Netherlands. Population Singleton …

2015-02-12GezondheidArtikel

Implementation of external cephalic version in the Netherlands: a retrospective cohort study

F. Vlemmix; 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

Background 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 …

2014-10-06GezondheidArtikel

Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: a quantitative analysis

A.N. Rosman; F. Vlemmix; A. Beuckens; M.E.B. Rijnders; B.C. Opmeer; B.W.J. Mol; M. Kok; M.A.H. Fleuren

Objective 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 …

2014-01-17GezondheidArtikel

Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

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

Objective 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 …

2013-05-09GezondheidArtikel

Contraindications for external cephalic version in breech position at term: a systematic review

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. …

2013-01-23GezondheidArtikel

Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

F. Vlemmix; 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

Background 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 …

2010-05-10GezondheidArtikel

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